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H.R. 728 — what changed

Title VIII Nursing Workforce Reauthorization Act of 2019

From Introduced in House to Reported in House. 5 sections amended between Introduced in House and Reported in House.

Sec. 3 Nurse practitioners, nurse midwives, nurse anesthetists, and other advanced education nurses

Section 811 of the Public Health Service Act (42 U.S.C. 296j) is amended—

(1)
in subsection (b)—
(A)
by striking “R.N./Master’s” and inserting “R.N./graduate”; and
(B)
by inserting “clinical nurse leaders,” before “or public health nurses”;
(2)
by redesignating subsections (f) and (g) as subsections (g) and (h), respectively;
(3)
by inserting after subsection (e) the following new subsection:

“(f) Authorized clinical nurse specialist programs—Clinical nurse specialist programs eligible for support under this section are education programs that—

“(1) provide registered nurses with full-time clinical nurse specialist education; and

“(2) 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 illness.”

(4)
by adding at the end the following:

changed “(i) Authorization of appropriations—There are authorized to be appropriated to carry out this section $74,581,000 $77,585,000 for each of fiscal years 2020 through 2024.”

Sec. 4 Increasing nursing workforce diversity

Section 821 of the Public Health Service Act (42 U.S.C. 296m) is amended by adding at the end the following:

changed “(d) Authorization of appropriations—There are authorized to be appropriated to carry out this section $17,343,000 $18,037,000 for each of fiscal years 2020 through 2024.”

Sec. 5 Strengthening capacity for basic nurse education and practice

(a)
Nurse education, practice, quality, and retention grants— Section 831 of the Public Health Service Act (42 U.S.C. 296p) is amended—
(1)
in the section heading, by striking “and quality” and inserting “quality, and retention”;
(2)
in subsection (b), by amending paragraph (2) to read as follows:

“(2) providing care for underserved populations and high-risk groups, which may include the elderly, individuals with HIV/AIDS, individuals with mental health or substance use disorders, individuals who are homeless, and victims and survivors of domestic violence;”

(3)
in subsection (c), by amending paragraph (1) to read as follows:

“(1) Grants for career ladder programs—The Secretary may award grants to and enter into contracts with eligible entities for programs—

“(A) to promote career advancement for—

“(i) nursing personnel in a variety of training settings, cross training or specialty training among diverse population groups, and the advancement of individuals, including to become professional registered nurses, advanced practice registered nurses, and nurses with graduate nursing education; and

“(ii) individuals, including licensed practical nurses, licensed vocational nurses, certified nurse assistants, and diploma degree or associate degree nurses, to become baccalaureate-prepared registered nurses or nurses with graduate nursing education;

“(B) to assist individuals in obtaining education and training required to enter the nursing profession and advance within such profession, such as by providing career counseling and mentoring; and

“(C) to develop and implement internships, accredited fellowships, and accredited residency programs in collaboration with one or more accredited schools of nursing to encourage mentoring and development of specialties.”

(4)
by striking subsection (e) (relating to preference);
(5)
by redesignating subsections (f) through (h) as subsections (e) and (g), respectively;
(6)
in subsection (e), as so redesignated, 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 806(i), the Secretary shall”;
(7)
by amending subsection (f), as redesignated by paragraph (5), to read as follows:

“(f) Definitions—For purposes of this section:

“(1) Eligible entity—The term eligible entity includes an accredited school of nursing, a health care facility, a partnership of such a school and facility, a federally qualified health center, or a nurse-managed health clinic.

“(2) Nurse-managed health clinic—The term nurse-managed health clinic means a nurse-practice arrangement, managed by advanced practice nurses, that provides primary care or wellness services to underserved or vulnerable populations that is associated with a school, college, university or department of nursing, federally qualified health center, or independent nonprofit health or social services agency.”

(8)
changed in subsection (g), as redesignated by paragraph (5), by striking “such sums as may be necessary for each of fiscal years 2010 through 2014” and inserting “$41,913,000 “$43,590,000 for each of fiscal years 2020 through 2024”.
(b)
Nurse retention grants— Section 831A of the Public Health Service Act (42 U.S.C. 296p–1) is repealed.

Sec. 6 Student loans

(a)
Loan repayment and scholarship programs— Section 846 of the Public Health Service Act (42 U.S.C. 297n) is amended—
(1)
in subsection (b)(1), by striking “he began such practice” and inserting “the individual began such practice”;
(2)
in subsection (d)(1), by striking “(for fiscal years 2003 and 2004) and may (for fiscal years thereafter)”;
(3)
in subsection (h), in the matter preceding paragraph (1), by striking “Not later than” through “regarding” and inserting “The annual report on nursing workforce programs, as required by section 806(i), shall include information regarding the programs carried out under this section, including”; and
(4)
changed in subsection (i)(1), by striking “such sums as may be necessary for each of fiscal years 2003 through 2007” and inserting “$87,135,000 “$90,620,000 for each of fiscal years 2020 through 2024”.
(b)
changed Nurse faculty loan program— Section 846A 846A(f) of the Public Health Service Act (42 U.S.C. 297n–1) 297n–1(f)) is amended by striking “such sums as may be necessary for each of fiscal years 2010 through 2014” and inserting “$28,500,000 “$29,640,000 for each of fiscal years 2020 through 2024”.

Sec. 8 Other provisions

(a)
Public service announcements— Part G of title VIII of the Public Health Service Act (42 U.S.C. 297w et seq.) is repealed.
(b)
Funding— Part I of title VIII of the Public Health Service Act (42 U.S.C. 298d) is repealed.
(c)
added Eliminating limitation on assignment— Section 846(a) of the Public Health Service Act (42 U.S.C. 297n(a)) is amended, in the matter following paragraph (3), by striking “After fiscal year 2007,” and all that follows through the period at the end.