,,ii ,calendar ,no4 #ebg #aaith ,,congress #b;d ,session ,s4 #ahgd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #bb1 #bjbe,mr4 ,merkley 7for himself1 ,ms4 ,collins1 ,ms4 ,baldwin1 ,mrs4 ,blackburn1 ,mr4 ,blumenthal1 ,mr4 ,coons1 ,mrs4 ,gillibrand1 ,mr4 ,kelly1 ,mr4 ,schiff1 ,ms4 ,murkowski1 ,mrs4 ,hyde-,smith1 ,ms4 ,blunt ,rochester1 ,mr4 ,lujn1 ,mrs4 ,shaheen1 ,mr4 ,ossoff1 and ,mr4 ,gallego7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,july #bh1 #bjbf,reported by ,mr4 ,cassidy1 with an amendment,strike out all after the enacting clause and insert the part printed in italic ,a ,,bill ,to amend the ,public ,health ,service ,act to reauthorize certain nursing workforce development programs1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,title ,,viii ,nursing ,workforce ,reauthorization ,act of #bjbe4 #b4 ,advanced nursing education grants ,section #haa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bif;j7 is amended-- 7#a7 in subsection 7a77#b71 by striking programs4 and inserting the following3 8programs1 including individuals enrolled in-- 7,a7 authorized nurse practitioner programs described in subsection 7c72 7,b7 authorized nurse-midwifery programs described in subsection 7d72 7,c7 authorized nurse anesthesia programs described in subsection 7e72 and 7,d7 authorized clinical nurse specialist programs described in subsection 7f74 2 7#b7 in subsection 7d7-- 7,a7 in paragraph 7#a71 by striking midwives and inserting nurse-midwives2 and 7,b7 in paragraph 7#b71 by striking ,american ,college of ,nurse-,midwives2 and 7#c7 in subsection 7h77#a77;,a71 by striking fees and inserting fees1 including costs for clinical education and preceptors14 #c4 ,strengthening capacity for nurse education and practice 7a7 ,in general ,part ,d of title ,,viii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bifp et seq47 is amended-- 7#a7 in the part heading1 by striking basic2 and 7#b7 in section #hca 7#db ,u4,s4,c4 #bifp7-- 7,a7 in subsection 7a7-- 7i7 in paragraph 7#a71 by striking or after the semicolon2 7ii7 in paragraph 7#b71 by striking methodologies4 and inserting methodologies1 audiovisual or other equipment1 simulation and augmented reality resources1 telehealth technologies1 and virtual and physical laboratories2 or2 and 7iii7 by adding at the end the following3 7#c7 increasing the number of faculty and students at schools of nursing in order to address nursing workforce shortages4 2 and 7,b7 in subsection 7b7-- 7i7 in paragraph 7#b71 by striking and survivors of domestic violence and inserting survivors of domestic violence1 and survivors of sexual assault2 7ii7 in paragraph 7#c71 by striking or after the semicolon2 7iii7 in paragraph 7#d71 by striking the period and inserting 2 or2 and 7iv7 by adding at the end the following3 7#e7 partnering with a health care facility1 nurse-managed health clinic1 community health center1 or other facility that provides health care in order to provide education opportunities for the purpose of establishing or expanding clinical education4 4 7b7 ,conforming amendment ,section #hjf7;f77#b77;,c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bif;e7f77#b77;,c77 is amended by striking basic4 #d4 ,authorization of appropriations ,section #hga of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bih;d7 is amended-- 7#a7 in subsection 7a71 by striking #acg1hcg1jjj for each of fiscal years #bjba through #bjbe and inserting #ahd1ccg1jjj for each of fiscal years #bjbf through #bjcj2 and 7#b7 in subsection 7b71 by striking #aag1ace1jjj for each of the fiscal years #bjba through #bjbe and inserting #aba1ace1jjj for each of fiscal years #bjbf through #bjcj4 #a4 ,short title ,this ,act may be cited as the ,title ,,viii ,nursing ,workforce ,reauthorization ,act of #bjbf4 #b4 ,advanced nursing education grants ,section #haa of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bif;j7 is amended-- 7#a7 in subsection 7a77#b71 by striking programs4 and inserting the following3 8programs1 including individuals enrolled in-- 7,a7 authorized nurse practitioner programs described in subsection 7c72 7,b7 authorized nurse-midwifery programs described in subsection 7d72 7,c7 authorized nurse anesthesia programs described in subsection 7e72 and 7,d7 authorized clinical nurse specialist programs described in subsection 7f74 2 7#b7 in subsection 7d7-- 7,a7 in paragraph 7#a71 by striking midwives and inserting nurse-midwives2 and 7,b7 in paragraph 7#b71 by striking ,american ,college of ,nurse-,midwives2 and 7#c7 in subsection 7h77#a77;,a71 by striking fees and inserting fees1 including costs for clinical education and preceptors14 #c4 ,strengthening capacity for nurse education and practice 7a7 ,in general ,part ,d of title ,,viii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bifp et seq47 is amended-- 7#a7 in the part heading1 by striking basic2 and 7#b7 in section #hca 7#db ,u4,s4,c4 #bifp7-- 7,a7 in subsection 7a7-- 7i7 in paragraph 7#a71 by striking or after the semicolon2 7ii7 in paragraph 7#b71 by striking methodologies4 and inserting methodologies1 audiovisual or other equipment1 simulation and augmented reality resources1 telehealth technologies1 and virtual and physical laboratories2 or2 and 7iii7 by adding at the end the following3 7#c7 increasing the number of faculty and students at schools of nursing in order to address nursing workforce shortages4 2 and 7,b7 in subsection 7b7-- 7i7 in paragraph 7#b71 by striking and survivors of domestic violence and inserting survivors of domestic violence1 and survivors of sexual assault2 7ii7 in paragraph 7#c71 by striking or after the semicolon2 7iii7 in paragraph 7#d71 by striking the period and inserting 2 or2 and 7iv7 by adding at the end the following3 7#e7 partnering with a health care facility1 nurse-managed health clinic1 community health center1 or other facility that provides health care in order to provide education opportunities for the purpose of establishing or expanding clinical education4 4 7b7 ,conforming amendment ,section #hjf7;f77#b77;,c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bif;e7f77#b77;,c77 is amended by striking basic4 #d4 ,nurse faculty demonstration program ,section #hdf;,a of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bign-#a7 is amended-- 7#a7 by amending subsection 7a7 to read as follows3 7a7 ,in general ,to increase the number of qualified nursing faculty1 the ,secretary may-- 7#a7 enter into an agreement with any accredited school of nursing for the establishment and operation of a student loan fund in accordance with subsection 7b72 and 7#b7 award nurse faculty grants in accordance with subsection 7c74 2 7#b7 in subsection 7b7-- 7,a7 by redesignating subparagraphs 7,a7 through 7,d7 of paragraph 7#b7 as clauses 7i7 through 7iv71 respectively1 and adjusting the margins accordingly2 7,b7 by redesignating paragraphs 7#a7 through 7#e7 as subparagraphs 7,a7 through 7,e71 respectively1 and adjusting the margins accordingly2 7,c7 in subparagraph 7,c71 as so redesignated1 by striking subsection 7c7 and inserting paragraph 7#b72 and 7,d7 by striking 7b7 ,agreements--,each agreement entered into under subsection 7a7 shall-- and inserting the following3 7b7 ,school of nursing student loan fund 7#a7 ,in general ,each agreement entered into under subsection 7a77#a7 shall-- 2 7#c7 in subsection 7c7-- 7,a7 by striking subsection 7a7 each place it appears and inserting subsection 7a77#a72 7,b7 in paragraph 7#c71 by redesignating subparagraphs 7,a7 and 7,b7 as clauses 7i7 and 7ii71 respectively1 and adjusting the margins accordingly2 7,c7 in paragraph 7#f71 by redesignating subparagraphs 7,a7 and 7,b7 as clauses 7i7 and 7ii71 respectively1 and adjusting the margins accordingly2 7,d7 by redesignating paragraphs 7#a7 through 7#f7 as subparagraphs 7,a7 through 7,f71 respectively1 and adjusting the margins accordingly2 and 7,e7 in subparagraph 7,f77ii71 as so redesignated1 by striking subsection 7e7 and inserting paragraph 7#d72 7#d7 in subsection 7e71 by striking subsection 7c77#f77;,b7 and inserting paragraph 7#b77;,f77ii72 7#e7 by redesignating subsections 7c7 through 7e7 as paragraphs 7#b7 through 7#d71 respectively1 and adjusting the margins accordingly2 and 7#f7 by adding at the end the following3 7c7 ,nurse faculty demonstration program 7#a7 ,in general ,the ,secretary shall establish and carry out a demonstration program described in subsection 7a77#b7 under which eligible schools of nursing receive a grant for purposes of supplementing the salaries of eligible nursing faculty members to enhance recruitment and retention of nursing faculty members4 7#b7 ,eligible entities ,to be eligible to receive a grant under this subsection1 an entity shall-- 7,a7 be an accredited school of nursing2 and 7,b7 submit an application to the ,secretary1 at such time1 in such manner1 and containing such information as the ,secretary may require1 including-- 7i7 7,i7 to the extent such information is available to the school of nursing1 the salary history of nursing faculty at such school who previously were nurses in clinical practice1 for the most recent #c-year period ending on the date of application1 adjusted for inflation as appropriate and broken down by credentials1 experience1 and levels of education of such nurses2 or 7,,ii7 if the information described in subclause 7,i7 is not available1 information on the average local salary of nurses in clinical practice1 adjusted for inflation as appropriate and broken down by credentials1 experience1 and levels of education of the individual nurses1 in accordance with such requirements as the ,secretary may specify2 7ii7 an attestation of the average nursing faculty salary at the school of nursing during the most recent #c-year period prior to the date of application1 adjusted for inflation1 as appropriate1 broken down by credentials1 experience1 and levels of education of such faculty members2 7iii7 the number of nursing faculty member vacancies at the entity at the time of application1 and the entity's projection of such vacancies over the ensuing #e-year period2 and 7iv7 a description of the entity's plans to identify funding sources to sustainably continue1 after the #c-year grant period1 the salary available to the eligible nursing faculty member pursuant to the program under this subsection during such grant program and to retain eligible nursing faculty members after the end of the grant period4 7#c7 ,awards ,a grant awarded under this subsection1 with respect to supporting eligible nursing faculty members1 shall-- 7,a7 be awarded to the school of nursing to supplement the salaries of eligible faculty members at the school of nursing1 annually1 for up to a #c-year period1 in an amount equal to1 for each eligible nursing faculty member at the eligible entity during the grant period1 the difference between-- 7i7 the average salary of nurses in clinical practice1 as submitted under subclause 7,i7 or 7,,ii7 of paragraph 7#b77;,b77i72 and 7ii7 the greater of-- 7,i7 the salary for the eligible nursing faculty member at the school of nursing2 or 7,,ii7 the average nursing faculty salary1 as submitted under paragraph 7#b77;,b77ii7 for faculty members with the same or similar credentials and level of education2 7,b7 notwithstanding section #hjc7;a71 be used in its entirety to supplement the eligible faculty member's salary2 and 7,c7 be conditioned upon the school of nursing maintaining1 for each year in which the award is made as described in subparagraph 7,a71 a salary for such faculty member at a level that is not less than the greater of the amount under subclause 7,i7 or 7,,ii7 of subparagraph 7,a77ii74 7#d7 ,priority ,in awarding grants under this subsection1 the ,secretary shall-- 7,a7 ensure the equitable geographic distribution of awards2 7,b7 give priority to applications from schools of nursing that demonstrate-- 7i7 the greatest need for such grant1 which may be based upon the financial circumstances of the school of nursing1 the number of eligible nurse faculty members1 the planned number of students to be trained or admitted off a wait list2 or 7ii7 training or partnerships to serve vulnerable patient populations1 such as through the location or activity of a school in a health professional shortage area 7as defined in section #ccb72 and 7,c7 ensure that not less than #bj percent of the total amount awarded is awarded to eligible entities located in ,states with populations under #a1ejj1jjj4 7#e7 ,rule of construction ,nothing in this subsection precludes a school of nursing or an eligible nursing faculty member receiving an award under this section from obtaining or receiving any other form of ,federal support or funding4 7#f7 ,report ,not later than #c years after the date of enactment of this subsection1 the ,secretary shall submit to the ,committee on ,finance and the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,ways and ,means and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 a report that evaluates the program established under this subsection1 including-- 7,a7 the impact of such program on recruitment and retention rates of nursing faculty1 as available1 and specifically for each faculty member participating in the program2 and 7,b7 recommendations and considerations for ,congress on continuing the program under this subsection4 7#g7 ,definitions ,in this subsection3 7,a7 ,eligible nursing faculty member ,the term eligible nursing faculty member means a nursing faculty member who-- 7i7 was hired by a school of nursing within the #b-year period preceding the submission of an application under paragraph 7#b71 or a prospective nursing faculty member2 7ii7 is currently employed at the school of nursing and who demonstrates the need for such support2 7iii7 previously worked as a nurse in clinical practice or as a nurse faculty member at another school of nursing2 or 7iv7 may work on a part-time basis as a nursing faculty member1 for whom such award amounts described in paragraph 7#c7 shall be prorated relative to the amount of time participating in part-time teaching4 7,b7 ,inflation ,the term inflation means the ,consumer ,price ,index for all urban consumers 7all items2 ,u4,s4 city average74 7#h7 ,authorization of appropriations ,to carry out this subsection1 there is authorized to be appropriated #ae1jjj1jjj for the period of fiscal years #bjbg through #bjca4 7#i7 ,sunset ,the authority of the ,secretary to award grants under this section shall terminate on ,september #cj1 #bjca4 ,any grant awarded before such date shall continue in accordance with the terms of the grant1 but no grant may be awarded under this subsection after such date4 4 #e4 ,state and regional nursing workforce center data collection pilot program 7a7 ,in general ,title ,,viii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bif et seq47 is amended by striking ,part ,g--,public ,service ,announcements and inserting the following3 ,g ,nursing workforce centers #hfa4 ,state and regional nursing workforce center data collection pilot program 7a7 ,in general ,the ,secretary may carry out a #c-year pilot program under which the ,secretary awards grants1 or enters into contracts with1 eligible entities to establish new or enhance existing ,state- and regional based nursing workforce centers1 evaluate the impact of ,state-and regional based nursing workforce centers on outcomes1 and assess the feasibility of nursing workforce public-private partnerships4 ,the ,secretary shall begin implementation of such pilot program not later than #a year after the date of enactment of the ,title ,,viii ,nursing ,workforce ,reauthorization ,act of #bjbf4 7b7 ,award terms 7#a7 ,term ,the term of a grant or contract awarded under the pilot program under subsection 7a7 shall be #c years4 7#b7 ,matching requirement ,as a condition on receipt of a grant or contract under the pilot program under subsection 7a71 the ,secretary shall require the applicant to agree1 with respect to costs to be incurred by the applicant in carrying out the activities funded through the grant or contract1 to make available non-,federal contributions 7in cash or in kind7 toward such costs in an amount that is equal to not less than #a for each #d of ,federal funds provided through the grant or contract4 ,such contributions may be made directly or through donations from public or private entities4 7c7 ,eligibility ,to be eligible to receive a grant or contract under this section1 an entity shall be-- 7#a7 a ,state agency2 7#b7 a ,state board of nursing2 7#c7 a nonprofit2 or 7#d7 a school of nursing4 7d7 ,equitable distribution ,in awarding grants or contracts under this section1 the ,secretary shall ensure1 to the greatest extent possible1 that such grants and contracts are equitably distributed among the geographical regions of the ,united ,states4 7e7 ,priority ,in selecting the eligible entity to be awarded a grant or contract under this section for a nursing workforce center in a particular ,state1 the ,secretary shall give priority to eligible entities that-- 7#a7 propose to provide statewide services2 7#b7 have expertise in the ,state's nursing workforce issues2 7#c7 have a history of convening entities to address nursing workforce issues2 and 7#d7 have partnerships with entities that traditionally educate or employ the ,state's nurses4 7f7 ,use of funds ,a recipient of a grant or contract under this section may use such award for purposes of-- 7#a7 collecting1 analyzing1 and reporting data regarding nursing workforce training programs under this ,act to the ,national ,center for ,health ,workforce ,analysis and to the public2 and 7#b7 providing technical assistance to local and regional entities on the collection1 analysis1 and reporting of data and making recommendations to improve nursing workforce capacity4 7g7 ,reports ,not later than #b years after the date on which the first grant or contract is awarded under the pilot program under subsection 7a71 and annually thereafter1 the ,secretary shall submit to ,congress a report on the grants and contracts awarded under such pilot program during the year covered by the report4 ,each such report shall include-- 7#a7 a description of initiatives to study the unique characteristics of ,state nursing workforces1 and efforts to increase the number of new nurses1 recruit nurses to the nursing profession1 and retain nurses in the workplace2 7#b7 impact data on nurses served by nursing workforce centers1 including demographic information of the individuals served1 the number of such individuals1 and the types of services provided2 7#c7 the effectiveness of establishing formal public-private relationships for purposes of understanding the national nursing workforce through improved data collection and standardization2 7#d7 data on continuous evaluation and quality improvement1 and other relevant data as determined by the ,secretary2 and 7#e7 the ,secretary's recommendations and best practices for-- 7,a7 reducing shortages among different nursing specialties2 7,b7 reducing shortages in rural and underserved areas2 7,c7 improving geographical distribution of the nursing workforce2 and 7,d7 reducing shortages among different types of nursing employers4 7h7 ,data collection ,the recipient of a grant or contract under this section shall provide the ,secretary with such information 7including data and assurances71 at such time1 and in such manner as the ,secretary may require in order to prepare the report under subsection 7g74 7i7 ,funding 7#a7 ,in general ,from the amounts appropriated to carry out this title1 the ,secretary may use up to #a1ejj1jjj for each of fiscal years #bjbg through #bjbi for purposes of carrying out this section4 7#b7 ,limitation ,paragraph 7#a7 shall not apply for a fiscal year unless the amount made available to carry out parts ,b1 ,c1 and ,d for such fiscal year exceeds the amount appropriated to carry out such parts for fiscal year #bjbf4 4 7b7 ,authorization of appropriations ,section #hga7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bih;d7a77 is amended by striking and ,d and inserting ,d1 and ,g4 #f4 ,authorization of appropriations ,section #hga of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bih;d71 as amended by section #e7;b71 is further amended-- 7#a7 in subsection 7a71 by striking #acg1hcg1jjj for each of fiscal years #bjba through #bjbe and inserting #ahd1ccg1jjj for each of fiscal years #bjbg through #bjca2 and 7#b7 in subsection 7b71 by striking #aag1ace1jjj for each of the fiscal years #bjba through #bjbe and inserting #aba1ace1jjj for each of fiscal years #bjbg through #bjca4 ,july #bh1 #bjbf,reported with an amendment