#aafth ,,congress  #ast ,session  ,h4   
,r4 #gbh  ,,an ,,act  ,to amend title   
,,viii of the ,public ,health ,service  
,act to extend advanced education       
nursing grants to support clinical nurse
 specialist programs1 and for other     
purposes4  #a4 ,short title2 table of   
contents  7a7 ,short title ,this ,act   
may be cited as the ,title ,,viii       
,nursing ,workforce ,reauthorization    
,act of #bjai4  7b7 ,table of contents  
,the table of contents of this ,act is  
as follows3  ,sec4 #a4 ,short title2    
table of contents4 ,sec4 #b4 ,general   
provisions4 ,sec4 #c4 ,nurse            
practitioners1 nurse midwives1 nurse    
anesthetists1 and other advanced        
education nurses4 ,sec4 #d4 ,increasing 
nursing workforce diversity4 ,sec4 #e4  
,strengthening capacity for basic nurse 
education and practice4 ,sec4 #f4       
,student loans4 ,sec4 #g4 ,national     
,advisory ,council on ,nurse ,education 
and ,practice4 ,sec4 #h4 ,other         
provisions4  #b4 ,general provisions    

7a7 ,application ,section #hjb7;c7 of   
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bif;a7c77 is amended by      
striking shall address relevant national
 nursing needs that the project will    
meet and inserting shall address        
relevant national nursing needs that the
 project will address and how the       
project aligns with the national nursing
 service goals referred to in section   
#hjf7;a74  7b7 ,use of funds ,section   
#hjc of the ,public ,health ,service    
,act 7#db ,u4,s4,c4 #bif;b7 is amended  
by adding at the end the following3  7c7
 ,supplement not supplant ,funds awarded
 as a grant under this title for a      
project or activity shall be used to    
supplement1 not supplant1 the           
non-,federal funds that would otherwise 
be made available for such project or   
activity4  4  7c7 ,generally applicable 
provisions ,section #hjf of the ,public 
,health ,service ,act 7#db ,u4,s4,c4    
#bif;e7 is amended--  7#a7 in subsection
 7b71 by amending paragraph 7#b7 to read

 as follows3  7#b7 ,evaluations ,the    
,secretary shall establish procedures to
 ensure the annual evaluation of        
programs and projects operated by       
recipients of grants under this title4  
,such procedures shall ensure that      
continued funding for such programs and 
projects will be conditioned upon the   
submission of--  7,a7 data demonstrating
 that satisfactory progress has been    
made by the program or project in       
meeting the performance outcome         
standards 7as described in section #hjb7
 of such program or project2 and  7,b7 a
 detailed description of activities     
conducted by such program or project to 
meet such performance outcome standards4
  2  7#b7 in subsection 7e77#b71 by     
inserting 1 and have relevant expertise 
and experience after who are not        
officers or employees of the ,federal   
,government2 and  7#c7 by adding at the 
end the following3  7i7 ,annual report  
on nursing workforce programs ,annually1
 the ,secretary shall submit to the     

,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate1   
and the ,committee on ,energy and       
,commerce of the ,house of              
,representatives1 a report containing an
 assessment of the programs and         
activities of the ,department of ,health
 and ,human ,services related to        
enhancing the nursing workforce1        
including the extent to which programs  
and activities under this title meet    
identified goals and performance        
measures developed for the respective   
programs and activities4  4  #c4 ,nurse 
practitioners1 nurse midwives1 nurse    
anesthetists1 and other advanced        
education nurses ,section #haa of the   
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bif;j7 is amended--  7#a7 in 
subsection 7b7-- 7,a7 by striking       
,r4,n4_/,master's and inserting         
,r4,n4_/graduate2 and  7,b7 by inserting
 clinical nurse leaders1 before or      
public health nurses2  7#b7 by          
redesignating subsections 7f7 and 7g7 as

 subsections 7g7 and 7h71 respectively2 
7#c7 by inserting after subsection 7e7  
the following new subsection3  7f7      
,authorized clinical nurse specialist   
programs ,clinical nurse specialist     
programs eligible for support under this
 section are education programs that--  
7#a7 provide registered nurses with     
full-time clinical nurse specialist     
education2 and  7#b7 have as their      
objective the education of clinical     
nurse specialists who will upon         
completion of such a program be         
qualified to effectively provide care   
through the wellness and illness        
continuum to inpatients and outpatients 
experiencing acute and chronic illness4 
2 and  7#d7 by adding at the end the    
following3  7i7 ,authorization of       
appropriations ,there are authorized to 
be appropriated to carry out this       
section #gg1ehe1jjj for each of fiscal  
years #bjbj through #bjbd4  4  #d4      
,increasing nursing workforce diversity 
,section #hba of the ,public ,health    

,service ,act 7#db ,u4,s4,c4 #bifm7 is  
amended by adding at the end the        
following3  7d7 ,authorization of       
appropriations ,there are authorized to 
be appropriated to carry out this       
section #ah1jcg1jjj for each of fiscal  
years #bjbj through #bjbd4  4  #e4      
,strengthening capacity for basic nurse 
education and practice  7a7 ,nurse      
education1 practice1 quality1 and       
retention grants ,section #hca of the   
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bifp7 is amended-- 7#a7 in   
the section heading1 by striking and    
quality and inserting quality1 and      
retention2  7#b7 in subsection 7b71 by  
amending paragraph 7#b7 to read as      
follows3  7#b7 providing care for       
underserved populations and high-risk   
groups1 which may include the elderly1  
individuals with ,,hiv_/,,aids1         
individuals with mental health or       
substance use disorders1 individuals who
 are homeless1 and victims and survivors
 of domestic violence2  2  7#c7 in      

subsection 7c71 by amending paragraph   
7#a7 to read as follows3  7#a7 ,grants  
for career ladder programs ,the         
,secretary may award grants to and enter
 into contracts with eligible entities  
for programs--  7,a7 to promote career  
advancement for-- 7i7 nursing personnel 
in a variety of training settings1 cross
 training or specialty training among   
diverse population groups1 and the      
advancement of individuals1 including to
 become professional registered nurses1 
advanced practice registered nurses1 and
 nurses with graduate nursing education2
 and  7ii7 individuals1 including       
licensed practical nurses1 licensed     
vocational nurses1 certified nurse      
assistants1 and diploma degree or       
associate degree nurses1 to become      
baccalaureate-prepared registered nurses
 or nurses with graduate nursing        
education2  7,b7 to assist individuals  
in obtaining education and training     
required to enter the nursing profession
 and advance within such profession1    

such as by providing career counseling  
and mentoring2 and  7,c7 to develop and 
implement internships1 accredited       
fellowships1 and accredited residency   
programs in collaboration with one or   
more accredited schools of nursing to   
encourage mentoring and development of  
specialties4  2  7#d7 by striking       
subsection 7e7 7relating to preference72
  7#e7 by redesignating subsections 7f7 
through 7h7 as subsections 7e7 and 7g71 
respectively2  7#f7 in subsection 7e71  
as so redesignated1 by striking ,the    
,secretary shall submit to the ,congress
 before the end of each fiscal year a   
and inserting ,as part of the report on 
nursing workforce programs described in 
section #hjf7;i71 the ,secretary shall2 
7#g7 by amending subsection 7f71 as     
redesignated by paragraph 7#e71 to read 
as follows3  7f7 ,definitions ,for      
purposes of this section3  7#a7         
,eligible entity ,the term eligible     
entity includes an accredited school of 
nursing1 a health care facility1 a      

partnership of such a school and        
facility1 a federally qualified health  
center1 or a nurse-managed health       
clinic4  7#b7 ,nurse-managed health     
clinic ,the term nurse-managed health   
clinic means a nurse-practice           
arrangement1 managed by advanced        
practice nurses1 that provides primary  
care or wellness services to underserved
 or vulnerable populations that is      
associated with a school1 college1      
university or department of nursing1    
federally qualified health center1 or   
independent nonprofit health or social  
services agency4  2 and  7#h7 in        
subsection 7g71 as redesignated by      
paragraph 7#e71 by striking such sums as
 may be necessary for each of fiscal    
years #bjaj through #bjad and inserting 
#dc1eij1jjj for each of fiscal years    
#bjbj through #bjbd4  7b7 ,nurse        
retention grants ,section #hca;,a of the
 ,public ,health ,service ,act 7#db     
,u4,s4,c4 #bifp-#a7 is repealed4  #f4   
,student loans  7a7 ,loan repayment and 

scholarship programs ,section #hdf of   
the ,public ,health ,service ,act 7#db  
,u4,s4,c4 #bign7 is amended-- 7#a7 in   
subsection 7b77#a71 by striking he began
 such practice and inserting the        
individual began such practice2  7#b7 in
 subsection 7d77#a71 by striking 7for   
fiscal years #bjjc and #bjjd7 and may   
7for fiscal years thereafter72  7#c7 in 
subsection 7h71 in the matter preceding 
paragraph 7#a71 by striking ,not later  
than through regarding and inserting    
,the annual report on nursing workforce 
programs1 as required by section        
#hjf7;i71 shall include information     
regarding the programs carried out under
 this section1 including2 and  7#d7 in  
subsection 7i77#a71 by striking such    
sums as may be necessary for each of    
fiscal years #bjjc through #bjjg and    
inserting #ij1fbj1jjj for each of fiscal
 years #bjbj through #bjbd4  7b7 ,nurse 
faculty loan program ,section #hdf;,a7f7
 of the ,public ,health ,service ,act   
7#db ,u4,s4,c4 #bign-#a7;f77 is amended 

by striking such sums as may be         
necessary for each of fiscal years #bjaj
 through #bjad and inserting #bi1fdj1jjj
 for each of fiscal years #bjbj through 
#bjbd4  #g4 ,national ,advisory ,council
 on ,nurse ,education and ,practice     
,section #hea of the ,public ,health    
,service ,act 7#db ,u4,s4,c4 #bigt7 is  
amended-- 7#a7 in subsection            
7b77#a77;,a77iv71 by striking and nurse 
anesthetists and inserting nurse        
anesthetists1 and clinical nurse        
specialists2  7#b7 in subsection 7d71 by
 amending paragraph 7#c7 to read as     
follows3  7#c7 not later than #b years  
after the date of enactment of the      
,title ,,viii ,nursing ,workforce       
,reauthorization ,act of #bjai1 and     
every #b years thereafter1 prepare and  
submit to the ,secretary1 the ,committee
 on ,health1 ,education1 ,labor1 and    
,pensions of the ,senate1 and the       
,committee on ,energy and ,commerce of  
the ,house of ,representatives1 a report
 describing the activities of the       

,council1 including findings and        
recommendations made by the ,council    
concerning the activities under this    
title4  2 and  7#c7 in subsection 7g71  
by striking under this title and        
inserting for carrying out parts ,b1 ,c1
 and ,d of this title4  #h4 ,other      
provisions  7a7 ,public service         
announcements ,part ,g of title ,,viii  
of the ,public ,health ,service ,act    
7#db ,u4,s4,c4 #bigw et seq47 is        
repealed4  7b7 ,funding ,part ,i of     
title ,,viii of the ,public ,health     
,service ,act 7#db ,u4,s4,c4 #bih;d7 is 
repealed4  7c7 ,eliminating limitation  
on assignment ,section #hdf7;a7 of the  
,public ,health ,service ,act 7#db      
,u4,s4,c4 #bign7a77 is amended1 in the  
matter following paragraph 7#c71 by     
striking ,after fiscal year #bjjg1 and  
all that follows through the period at  
the end4  ,passed the ,house of         
,representatives ,october #bh1          
#bjai4;,clerk4