,,ib  ,union ,cal5d> ,no4 #aga  #aaf?   
,,congress  #a/ ,session  ,h4 ,r4 #gbh  
,report ,no4 #aaf-baf  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,janu>y #bc1 #bjai
 ,mr4 ,joyce ( ,ohio 7= himself1 ,ms4   
,gabb>d1 ,mr4 ,rodney ,davis ( ,ill9ois1
 ,ms4 ,bonamici1 ,ms4 ,matsui1 ,ms4     
,ca/or ( ,florida1 ,mr4 ,mc,kinley1 &   
,ms4 ,und]wood7 introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on ,en]gy 
& ,comm]ce  ,septemb] #bd1 #bjai        
,additional sponsors3 ,mr4 ,fitzpatrick1
 ,ms4 ,norton1 ,mr4 ,coh51 ,ms4 ,cl>ke (
 ,new ,york1 ,ms4 ,blunt ,ro*e/]1 ,mr4  
,lip9ski1 ,ms4 ,roybal-,all>d1 ,mr4     
,de,fazio1 ,mr4 ,pocan1 ,mr4 ,takano1   
,mr4 ,payne1 ,mr4 ,gallego1 ,mr4        
,khanna1 ,mr4 ,price ( ,nor? ,c>ol9a1   
,mr4 ,sablan1 ,mr4 ,"y1 ,mrs4 ,watson   
,coleman1 ,mrs4 ,beatty1 ,mr4 ,ru%1 ,mr4
 ,br5dan ,f4 ,boyle ( ,p5nsylvania1 ,mr4
 ,ryan1 ,mr4 ,loebsack1 ,mr4 ,aguil>1   
,mr4 ,heck1 ,ms4 ,h]r]a ,beutl]1 ,mr4   
,c\rtney1 ,ms4 ,johnson ( ,texas1 ,mrs4 
,d+ell1 ,mr4 ,y>mu?1 ,mr4 ,/iv]s1 ,mr4  

,sean ,patrick ,maloney ( ,new ,york1   
,mr4 ,c>son ( ,indiana1 ,ms4 ,ku/] (    
,new ,hamp%ire1 ,mr4 ,turn]1 ,mr4       
,de,saulnier1 ,ms4 ,p+ree1 ,mr4         
,gonzalez ( ,ohio1 ,mr4 ,cisn]os1 ,ms4  
,hill ( ,cali=nia1 ,mr4 ,pappas1 ,mr4   
,johnson ( ,georgia1 ,mr4 ,cole1 ,ms4   
,wild1 ,mr4 ,o',hall]an1 ,mr4 ,higg9s ( 
,new ,york1 ,mr4 ,lamborn1 ,mr4 ,kilm]1 
,ms4 ,mc,collum1 ,ms4 ,moore1 ,ms4      
,l(gr51 ,mr4 ,visclosky1 ,mr4 ,rose (   
,new ,york1 ,mr4 ,tonko1 ,mr4 ,m\lton1  
,mr4 ,case1 ,mrs4 ,napolitano1 ,mr4     
,coop]1 ,mr4 ,lewis1 ,ms4 ,spei]1 ,ms4  
,jackson ,lee1 ,mr4 ,gohm]t1 ,mr4       
,rupp]sb]g]1 ,mr4 ,ru!r=d1 ,mr4 ,?ompson
 ( ,mississippi1 ,mr4 ,k9d1 ,mr4 ,h>d] (
 ,cali=nia1 ,mr4 ,katko1 ,mr4 ,rask91   
,mr4 ,bey]1 ,ms4 ,m5g1 ,mr4 ,watk9s1    
,ms4 ,f9k5au]1 ,mrs4 ,davis ( ,cali=nia1
 ,mr4 ,s*iff1 ,mr4 ,bilirakis1 ,ms4     
,craig1 ,mr4 ,gold51 ,ms4               
,muc>sel-,p[ell1 ,mr4 ,k9z+]1 ,ms4      
,scanlon1 ,mr4 ,k5n$y1 ,mrs4 ,luria1    
,ms4 ,kaptur1 ,mr4 ,grijalva1 ,mr4      

,?ompson ( ,p5nsylvania1 ,ms4 ,titus1   
,mr4 ,van ,drew1 ,ms4 ,b>ragn1 ,mr4     
,lujn1 ,ms4 ,judy ,*u ( ,cali=nia1 ,ms4 
,velzquez1 ,mr4 ,/aub]1 ,mr4 ,mc,govern1
 ,ms4 ,de,gette1 ,ms4 ,davids ( ,kansas1
 ,ms4 ,del,bene1 ,mr4 ,mi*ael ,f4 ,doyle
 ( ,p5nsylvania1 ,mr4 ,suozzi1 ,mr4 ,k+ 
( ,new ,york1 ,mr4 ,mull91 ,ms4 ,lee (  
,cali=nia1 ,mr4 ,delgado1 ,mr4          
,blum5au]1 ,miss ,rice ( ,new ,york1    
,mr4 ,lawson ( ,florida1 ,mr4 ,p]lmutt]1
 ,mr4 ,r\da1 ,ms4 ,fudge1 ,mr4 ,cr[1    
,mr4 ,allr$1 ,mr4 ,lev9 ( ,cali=nia1    
,mr4 ,cumm+s1 ,mr4 ,t$ ,lieu (          
,cali=nia1 ,mr4 ,david ,scott (         
,georgia1 ,mr4 ,ca/5 ( ,ill9ois1 ,mr4   
,wald51 ,ms4 ,k5dra ,s4 ,horn (         
,oklahoma1 ,mr4 ,lyn*1 ,mr4 ,pet]s1 ,ms4
 ,s*ak[sky1 ,mr4 ,l>son ( ,connecticut1 
,mr4 ,morelle1 & ,ms4 ,spanb]g]         
,septemb] #bd1 #bjai ,report$ ) an      
am5dm5t1 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$ ,/rike out all aft] ! 
enact+ clause & ins]t ! "p pr9t$ 9      

italic ,= text ( introduc$ bill1 see    
copy ( bill z introduc$ on ,janu>y #bc1 
#bjai  ,a ,,bill  ,to am5d title ,,viii 
( ! ,public ,heal? ,s]vice ,act to ext5d
 advanc$ education nurs+ grants to      
support cl9ical nurse speciali/         
programs1 & = o!r purposes4  #a4 ,%ort  
title2 table ( cont5ts  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,title ,,viii 
,nurs+ ,work=ce ,reau?orization ,act (  
#bjai4  7b7 ,table ( cont5ts ,! table ( 
cont5ts ( ?is ,act is z foll[s3  ,sec4  
#a4 ,%ort title2 table ( cont5ts4 ,sec4 
#b4 ,g5]al provisions4 ,sec4 #c4 ,nurse 
practition]s1 nurse midwives1 nurse     
ane/heti/s1 & o!r advanc$ education     
nurses4 ,sec4 #d4 ,increas+ nurs+       
work=ce div]sity4 ,sec4 #e4 ,/r5g!n+    
capacity = basic nurse education &      
practice4 ,sec4 #f4 ,/ud5t loans4 ,sec4 
#g4 ,national ,advisory ,c\ncil on      
,nurse ,education & ,practice4 ,sec4 #h4
 ,o!r provisions4  #b4 ,g5]al provisions
  7a7 ,application ,section #hjb7;c7 ( !
 ,public ,heal? ,s]vice ,act 7#db       

,u4,s4,c4 #bif;a7c77 is am5d$ by /rik+  
%all address relevant national nurs+    
ne$s t ! project w meet & ins]t+ %all   
address relevant national nurs+ ne$s t !
 project w address & h[ ! project aligns
 ) ! national nurs+ s]vice goals ref]r$ 
to 9 section #hjf7;a74  7b7 ,use ( funds
 ,section #hjc ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #bif;b7 is  
am5d$ by add+ at ! end ! foll[+3  7c7   
,supplem5t n supplant ,funds aw>d$ z a  
grant "u ?is title = a project or       
activity %all be us$ to supplem5t1 n    
supplant1 ! non-,f$]al funds t w\ld     
o!rwise be made available = su* project 
or activity4  4  7c7 ,g5]ally applicable
 provisions ,section #hjf ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bif;e7 is am5d$--  7#a7 9 subsection   
7b71 by am5d+ p>agraph 7#b7 to read z   
foll[s3  7#b7 ,evaluations ,! ,secret>y 
%all e/abli% proc$ures to ensure !      
annual evaluation ( programs & projects 
op]at$ by recipi5ts ( grants "u ?is     
title4 ,su* proc$ures %all ensure t     

cont9u$ fund+ = su* programs & projects 
w be condition$ ^u ! submission (--     
7,a7 data demon/rat+ t satisfactory     
progress has be5 made by ! program or   
project 9 meet+ ! p]=mance outcome /&>ds
 7z describ$ 9 section #hjb7 ( su*      
program or project2 &  7,b7 a detail$   
description ( activities conduct$ by su*
 program or project to meet su* p]=mance
 outcome /&>ds4  2  7#b7 9 subsection   
7e77#b71 by ins]t+ 1 & h relevant       
exp]tise & exp]i5ce aft] :o are n (fic]s
 or employees ( ! ,f$]al ,gov]nm5t2 &   
7#c7 by add+ at ! end ! foll[+3  7i7    
,annual report on nurs+ work=ce programs
 ,annually1 ! ,secret>y %all submit to !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate1 & !      
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 a report       
conta9+ an assessm5t ( ! programs &     
activities ( ! ,dep>tm5t ( ,heal? &     
,human ,s]vices relat$ to enhanc+ !     
nurs+ work=ce1 includ+ ! ext5t to :i*   
programs & activities "u ?is title meet 

id5tifi$ goals & p]=mance measures      
develop$ = ! respective programs &      
activities4  4  #c4 ,nurse practition]s1
 nurse midwives1 nurse ane/heti/s1 & o!r
 advanc$ education nurses ,section #haa 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bif;j7 is am5d$--  7#a7 9    
subsection 7b7-- 7,a7 by /rik+          
,r4,n4_/,ma/]'s & ins]t+                
,r4,n4_/graduate2 &  7,b7 by ins]t+     
cl9ical nurse lead]s1 be=e or public    
heal? nurses2  7#b7 by r$esignat+       
subsections 7f7 & 7g7 z subsections 7g7 
& 7h71 respectively2  7#c7 by ins]t+    
aft] subsection 7e7 ! foll[+ new        
subsection3  7f7 ,au?oriz$ cl9ical nurse
 speciali/ programs ,cl9ical nurse      
speciali/ programs eligible = support "u
 ?is section are education programs t-- 
7#a7 provide regi/]$ nurses ) full-"t   
cl9ical nurse speciali/ education2 &    
7#b7 h z _! objective ! education (     
cl9ical nurse speciali/s :o w ^u        
completion ( su* a program be qualifi$  
to effectively provide c>e ?r\gh !      

wellness & illness cont9uum to inpati5ts
 & outpati5ts exp]i5c+ acute & *ronic   
illness4  2 &  7#d7 by add+ at ! end !  
foll[+3  7i7 ,au?orization (            
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section     
#gg1ehe1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4  4  #d4 ,increas+ nurs+    
work=ce div]sity ,section #hba ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bifm7 is am5d$ by add+ at !  
end ! foll[+3  7d7 ,au?orization (      
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section     
#ah1jcg1jjj = ea* ( fiscal ye>s #bjbj   
?r\gh #bjbd4  4  #e4 ,/r5g!n+ capacity =
 basic nurse education & practice  7a7  
,nurse education1 practice1 quality1 &  
ret5tion grants ,section #hca ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bifp7 is am5d$-- 7#a7 9 !    
section head+1 by /rik+ & quality &     
ins]t+ quality1 & ret5tion2  7#b7 9     
subsection 7b71 by am5d+ p>agraph 7#b7  
to read z foll[s3  7#b7 provid+ c>e =   

und]s]v$ populations & high-risk gr\ps1 
:i* may include ! eld]ly1 individuals ) 
,,hiv_/,,aids1 individuals ) m5tal heal?
 or sub/ance use disord]s1 individuals  
:o are homeless1 & victims & survivors (
 dome/ic viol5ce2  2  7#c7 9 subsection 
7c71 by am5d+ p>agraph 7#a7 to read z   
foll[s3  7#a7 ,grants = c>e] ladd]      
programs ,! ,secret>y may aw>d grants to
 & ent] into contracts ) eligible       
entities = programs--  7,a7 to promote  
c>e] advancem5t =-- 7i7 nurs+ p]sonnel 9
 a v>iety ( tra9+ sett+s1 cross tra9+ or
 specialty tra9+ among div]se population
 gr\ps1 & ! advancem5t ( individuals1   
includ+ to become pr(essional regi/]$   
nurses1 advanc$ practice regi/]$ nurses1
 & nurses ) graduate nurs+ education2 & 
7ii7 individuals1 includ+ lic5s$        
practical nurses1 lic5s$ vocational     
nurses1 c]tifi$ nurse assi/ants1 &      
diploma degree or associate degree      
nurses1 to become baccalaureate-prep>$  
regi/]$ nurses or nurses ) graduate     
nurs+ education2  7,b7 to assi/         

individuals 9 obta9+ education & tra9+  
requir$ to ent] ! nurs+ pr(ession &     
advance )9 su* pr(ession1 su* z by      
provid+ c>e] c\nsel+ & m5tor+2 &  7,c7  
to develop & implem5t int]n%ips1        
accr$it$ fell[%ips1 & accr$it$ resid5cy 
programs 9 collaboration ) "o or m      
accr$it$ s*ools ( nurs+ to enc\rage     
m5tor+ & developm5t ( specialties4  2   
7#d7 by /rik+ subsection 7e7 7relat+ to 
pref]5ce72  7#e7 by r$esignat+          
subsections 7f7 ?r\gh 7h7 z subsections 
7e7 & 7g71 respectively2  7#f7 9        
subsection 7e71 z s r$esignat$1 by /rik+
 ,! ,secret>y %all submit to ! ,congress
 be=e ! end ( ea* fiscal ye> a & ins]t+ 
,z "p ( ! report on nurs+ work=ce       
programs describ$ 9 section #hjf7;i71 ! 
,secret>y %all2  7#g7 by am5d+          
subsection 7f71 z r$esignat$ by p>agraph
 7#e71 to read z foll[s3  7f7           
,def9itions ,= purposes ( ?is section3  
7#a7 ,eligible entity ,! t]m eligible   
entity includes an accr$it$ s*ool (     
nurs+1 a heal? c>e facility1 a p>tn]%ip 

( su* a s*ool & facility1 a f$]ally     
qualifi$ heal? c5t]1 or a nurse-manag$  
heal? cl9ic4  7#b7 ,nurse-manag$ heal?  
cl9ic ,! t]m nurse-manag$ heal? cl9ic   
means a nurse-practice arrangem5t1      
manag$ by advanc$ practice nurses1 t    
provides prim>y c>e or wellness s]vices 
to und]s]v$ or vuln]able populations t  
is associat$ ) a s*ool1 college1        
univ]sity or dep>tm5t ( nurs+1 f$]ally  
qualifi$ heal? c5t]1 or indep5d5t       
nonpr(it heal? or social s]vices ag5cy4 
2 &  7#h7 9 subsection 7g71 z r$esignat$
 by p>agraph 7#e71 by /rik+ su* sums z  
may be necess>y = ea* ( fiscal ye>s     
#bjaj ?r\gh #bjad & ins]t+ #dc1eij1jjj =
 ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4   
7b7 ,nurse ret5tion grants ,section     
#hca;,a ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bifp-#a7 is repeal$4    
#f4 ,/ud5t loans  7a7 ,loan repaym5t &  
s*ol>%ip programs ,section #hdf ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bign7 is am5d$-- 7#a7 9      
subsection 7b77#a71 by /rik+ he began   

su* practice & ins]t+ ! individual began
 su* practice2  7#b7 9 subsection       
7d77#a71 by /rik+ 7= fiscal ye>s #bjjc &
 #bjjd7 & may 7= fiscal ye>s !reaft]72  
7#c7 9 subsection 7h71 9 ! matt] prec$+ 
p>agraph 7#a71 by /rik+ ,n lat] ?an     
?r\gh reg>d+ & ins]t+ ,! annual report  
on nurs+ work=ce programs1 z requir$ by 
section #hjf7;i71 %all include in=mation
 reg>d+ ! programs c>ri$ out "u ?is     
section1 includ+2 &  7#d7 9 subsection  
7i77#a71 by /rik+ su* sums z may be     
necess>y = ea* ( fiscal ye>s #bjjc ?r\gh
 #bjjg & ins]t+ #ij1fbj1jjj = ea* (     
fiscal ye>s #bjbj ?r\gh #bjbd4  7b7     
,nurse faculty loan program ,section    
#hdf;,a7f7 ( ! ,public ,heal? ,s]vice   
,act 7#db ,u4,s4,c4 #bign-#a7;f77 is    
am5d$ by /rik+ su* sums z may be        
necess>y = ea* ( fiscal ye>s #bjaj ?r\gh
 #bjad & ins]t+ #bi1fdj1jjj = ea* (     
fiscal ye>s #bjbj ?r\gh #bjbd4  #g4     
,national ,advisory ,c\ncil on ,nurse   
,education & ,practice ,section #hea ( !
 ,public ,heal? ,s]vice ,act 7#db       

,u4,s4,c4 #bigt7 is am5d$-- 7#a7 9      
subsection 7b77#a77;,a77iv71 by /rik+ & 
nurse ane/heti/s & ins]t+ nurse         
ane/heti/s1 & cl9ical nurse speciali/s2 
7#b7 9 subsection 7d71 by am5d+ p>agraph
 7#c7 to read z foll[s3  7#c7 n lat] ?an
 #b ye>s aft] ! date ( enactm5t ( !     
,title ,,viii ,nurs+ ,work=ce           
,reau?orization ,act ( #bjai1 & e #b    
ye>s !reaft]1 prep>e & submit to !      
,secret>y1 ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate1 & ! ,committee on ,en]gy &      
,comm]ce ( ! ,h\se ( ,repres5tatives1 a 
report describ+ ! activities ( !        
,c\ncil1 includ+ f9d+s & recomm5dations 
made by ! ,c\ncil conc]n+ ! activities  
"u ?is title4  2 &  7#c7 9 subsection   
7g71 by /rik+ "u ?is title & ins]t+ =   
c>ry+ out p>ts ,b1 ,c1 & ,d ( ?is title4
  #h4 ,o!r provisions  7a7 ,public      
s]vice ann\ncem5ts ,"p ,g ( title ,,viii
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bigw et seq47 is repeal$4    
7b7 ,fund+ ,"p ,i ( title ,,viii ( !    

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bih;d7 is repeal$4  7c7      
,elim9at+ limitation on assignm5t       
,section #hdf7;a7 ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bign7a77 is
 am5d$1 9 ! matt] foll[+ p>agraph 7#c71 
by /rik+ ,aft] fiscal ye> #bjjg1 & all t
 foll[s ?r\gh ! p]iod at ! end4         
,septemb] #bd1 #bjai ,report$ ) an      
am5dm5t1 committ$ to ! ,committee ( !   
,:ole ,h\se on ! ,/ate ( ! ,union1 &    
ord]$ to be pr9t$