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Amends 42 U.S.C. 296p(c)(1) (nurse retention grants) by adjusting punctuation and adding two new subparagraphs (D) and (E) that authorize support for nursing preceptorship projects and mentorship projects.
Amends 42 U.S.C. 297n(d) (scholarship and stipend provisions) by inserting additional text into the subsection heading and into paragraph (1) (specific inserted text not included in the provided section).
Amends section 1866(a)(1) by adjusting punctuation in existing subparagraphs and inserting a new subparagraph (Z) that requires hospitals to comply with the provisions of title XXXIV of the Public Health Service Act.
Amends section 1902(a) to add a new paragraph (88) requiring State plans to provide that any hospital receiving payment under the plan comply with the provisions of title XXXIV of the Public Health Service Act (minimum direct care registered nurse staffing requirements), and makes minor punctuation changes to preceding paragraphs.
Adds paragraphs (7) and (8) to subsection (a) to require Department medical facility hospitals to comply with title XXXIV of the Public Health Service Act and to clarify that neither chapter 74 nor 5 U.S.C. 7106 precludes enforcement of title XXXIV with respect to a Department hospital through grievance procedures negotiated under chapter 71.
Adds a new section 1110c to Chapter 55 requiring that a facility of the uniformed services that is a hospital comply with the provisions of title XXXIV of the Public Health Service Act.
Adds a new section 833 to Title VIII of the Indian Health Care Improvement Act requiring all hospitals of the Service to comply with title XXXIV of the Public Health Service Act (relating to minimum direct care registered nurse staffing requirements).
Amends section 7106 by adding a new subsection (c) clarifying that nothing in section 7106 precludes enforcement of title XXXIV of the Public Health Service Act through grievance procedures negotiated under section 7121, and makes a conforming amendment to 7106(a) to reference subsection (c).
Adds a new title (referred to as title XXXIV) to the Public Health Service Act establishing minimum direct care registered nurse staffing requirements.
Creates a new federal hospital nurse‑staffing framework that requires reports and recommendations on staffing and retention, extends enforcement of staffing requirements across Medicare, Medicaid, VA, DoD, and Indian Health Service facilities, and updates workforce programs to support nurse scholarships, retention grants, and preceptorship/mentorship projects. It directs the HHS Secretary and HRSA to deliver analysis and timelines for implementing and monitoring nurse staffing, and it integrates the new staffing law into multiple federal health program rules and grievance/ labor processes.
The bill aims to strengthen nurse supply and retention by requiring actionable reports, enabling enforcement across federal health care programs, and authorizing targeted workforce supports (scholarships, stipends, retention grants, and preceptor/mentor programs) to help new and recent nurses stay in practice.
Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (Sponsor introductory remarks on measure: CR S2864)
Introduced May 12, 2025 by Alejandro Padilla · Last progress May 12, 2025
Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (Sponsor introductory remarks on measure: CR S2864)
Introduced in Senate