Sec. 205. Nurse education, practice, quality, and retention grants
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Section 831 of the Public Health Service Act ( 42 U.S.C. 296p ) is amended by adding at the end the following: To carry out this section (other than subsection (e)), in addition to amounts made available under section 871(a), there are authorized to be appropriated $59,413,000 for each of fiscal years 2024 through 2026, to remain available until expended. . Section 831 of the Public Health Service Act ( 42 U.S.C. 296p ), as amended by subsection (a), is further amended— by redesignating subsections
(e)through
(g)as subsections
(f)through (h), respectively; and by inserting after subsection
(d)the following: The Secretary shall award grants to institutions of higher education (as defined in section 101 of the Higher Education Act of 1965) offering an accredited registered nursing program at the associate degree level for the purpose of expanding the number of students enrolled in each such program. A recipient of a grant under this subsection shall use the grant funds to expand the number of students enrolled in the recipient's accredited registered nursing program, which may include increasing nurse faculty and nurse faculty salaries, expanding the number of qualified preceptors at clinical rotations sites, providing direct support for students, supporting partnerships with health facilities for clinical training, purchasing and training faculty to use distance learning technologies and simulation equipment, alteration, renovation, construction, equipment, and other capital improvement costs, and other projects determined appropriate by the Secretary. Each institution of higher education that offers a program described in paragraph
(1)that desires to receive a grant under this subsection shall— provide documentation from the last 4 academic years, or number of academic years the program has been accredited if less than 4, demonstrating the average percentage of individuals who graduated from the nursing degree program with an associate degree within 150 percent of the expected completion time designated for the program; and submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may require, including the average percent of individuals determined under subparagraph (A). For purposes of this subsection, the term health facility means an Indian health service center, a Native Hawaiian health center, a Federally qualified health center, a rural health clinic, a nursing home, a home health agency, a hospice program, a public health clinic, a State or local department of public health, a skilled nursing facility, or an ambulatory surgical center. There is established in the Treasury an account, to be known as the Account to Address the Nursing Workforce Shortage (referred to in this subsection as the Account ), for purposes of carrying out this subsection, in addition to amounts otherwise made available, including under section 871(a). The Secretary of the Treasury shall transfer, from the general fund of the Treasury, to the Account $240,000,000 for each of fiscal years 2024 through 2028. Any amounts transferred under clause
(i)shall remain unavailable in the Account until such amounts are appropriated pursuant to subparagraph (C). For each of fiscal years 2024 through 2028, there is authorized to be appropriated from the Account to the Secretary, for the purpose of carrying out the activities under this subsection, in addition to amounts otherwise made available for such purpose, an amount not to exceed the total amount transferred to the Account under subparagraph (B)(i). For any of fiscal years 2024 through 2028, for any discretionary appropriation under the heading Account to Address the Nursing Workforce Shortage provided to the Secretary pursuant to the authorization of appropriations under clause
(i)for an additional amount for carrying out this subsection, the total amount of such appropriations for the applicable fiscal year (not to exceed the total amount remaining in the Account) shall be subtracted from the estimate of discretionary budget authority and the resulting outlays for any estimate under the Congressional Budget and Impoundment Control Act of 1974 or the Balanced Budget and Emergency Deficit Control Act of 1985, and the amount transferred to the Account shall be reduced by the same amount. Not later than October 1 of fiscal years 2025 through 2029, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives, a report including a description of any use of funds provided pursuant to the authorization of appropriations under paragraph (5)(C). Notwithstanding any transfer authority authorized by this subsection or any appropriations Act, any funds made available pursuant to the authorization of appropriations under paragraph (5)(C) may not be used for any purpose other than the program established under paragraph (1). Amounts remaining unappropriated in the Account under this subsection shall be transferred back to the general fund of the Treasury on October 1, 2028. .
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Sec. 205
Nurse education, practice, quality, and retention grants
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