United States 116th Congress Status: In Committee 1 D cosponsors

S 1399 — Title VIII Nursing Workforce Reauthorization Act of 2019

Last action — Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

255 added · 16 removed

Plain-language change summary

The amendment introduces the definition of "nurse managed health clinic" to the bill, specifying that these clinics are managed by advanced practice nurses and provide primary care or wellness services to underserved or vulnerable populations. This change clarifies the role of nurse managed health clinics within the context of nursing workforce development. By defining these clinics, the amendment outlines their relationship with educational institutions and federally qualified health centers, which may influence how services are delivered to communities in need.

→
Previous
Latest
1399 Introduced in Senate (IS)] <DOC> 116th CONGRESS 1st Session S.
1399 Reported in Senate (RS)] <DOC> Calendar No.
285 116th CONGRESS 1st Session S.
Merkley (for himself and Mr.
Merkley (for himself, Mr.
Burr) introduced the following bill;
Burr, Ms.
which was read twice and referred to the Committee on Health, Education, Labor, and Pensions _______________________________________________________________________ A BILL To amend title VIII of the Public Health Services Act to revise and extend nursing workforce development programs.
Baldwin, Mrs.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1.
Blackburn, Mr.
Jones, and Ms.
Collins) introduced the following bill;
which was read twice and referred to the Committee on Health, Education, Labor, and Pensions November 5, 2019 Reported by Mr.
Alexander, with an amendment [Strike out all after the enacting clause and insert the part printed in italic] _______________________________________________________________________ A BILL To amend title VIII of the Public Health Services Act to revise and extend nursing workforce development programs.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, <DELETED>SECTION 1.
SHORT TITLE.</DELETED> <DELETED> This Act may be cited as the ``Title VIII Nursing Workforce Reauthorization Act of 2019''.</DELETED> <DELETED>SEC.
2.
NURSING WORKFORCE DEVELOPMENT.</DELETED> <DELETED> (a) In General.--Title VIII of the Public Health Service Act (42 U.S.C.
296 et seq.) is amended--</DELETED> <DELETED> (1) in section 801 (42 U.S.C.
296), by adding at the end the following:</DELETED> <DELETED> ``(18) 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 and that is associated with a school, college, university or department of nursing, federally qualified health center, or independent nonprofit health or social services agency.'';</DELETED> <DELETED> (2) in section 802(c) (42 U.S.C.
296a(c)), by inserting ``, and how such project aligns with the goals in section 806(a)'' before the period in the second sentence;</DELETED> <DELETED> (3) in section 803(b) (42 U.S.C.
296b(b)), by adding at the end the following:
``Such Federal funds are intended to supplement, not supplant, existing non-Federal expenditures for such activities.'';</DELETED> <DELETED> (4) in section 806 (42 U.S.C.
296e)--</DELETED> <DELETED> (A) in subsection (a), by striking ``as needed to'' and all that follows and inserting the following:
``as needed to address national nursing needs, including--</DELETED> <DELETED> ``(1) addressing challenges, including through supporting training and education of nursing students, related to the distribution of the nursing workforce and existing or projected nursing workforce shortages in geographic areas that have been identified as having, or that are projected to have, a nursing shortage;</DELETED> <DELETED> ``(2) increasing access to and the quality of health care services, including by supporting the training of professional registered nurses, advanced practice registered nurses, and advanced education nurses within community based settings and in a variety of health delivery system settings;
or</DELETED> <DELETED> ``(3) addressing the strategic goals and priorities identified by the Secretary and that are in accordance with this title.</DELETED> <DELETED>Contracts may be entered into under this title with public or private entities as determined necessary by the Secretary.'';</DELETED> <DELETED> (B) in subsection (b)(2), by striking ``a demonstration'' and all that follows and inserting the following:
``the reporting of data and information demonstrating that satisfactory progress has been made by the program or project in meeting the performance outcome standards (as described in section 802) of such program or project.'';</DELETED> <DELETED> (C) in subsection (e)(2), by inserting ``, and have relevant expertise and experience'' before the period at the end of the first sentence;
and</DELETED> <DELETED> (D) by adding at the end the following:</DELETED> <DELETED> ``(i) Biennial Report on Nursing Workforce Program Improvements.--Not later than September 30, 2020, and biennially thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, a report that contains an assessment of the programs and activities of the Department of Health and Human Services related to enhancing the nursing workforce, including the extent to which programs and activities under this title meet the identified goals and performance measures developed for the respective programs and activities, and the extent to which the Department coordinates with other Federal departments with programs designed to improve the nursing workforce.'';</DELETED> <DELETED> (5) in section 811 (42 U.S.C.
296j)--</DELETED> <DELETED> (A) in subsection (b)--</DELETED> <DELETED> (i) by striking ``Master's'' and inserting ``graduate'';
and</DELETED> <DELETED> (ii) by inserting ``clinical nurse leaders,'' after ``nurse administrators,'';</DELETED> <DELETED> (B) by redesignating subsections (f) and (g) as subsections (g) and (h), respectively;
and</DELETED> <DELETED> (C) by inserting after subsection (e), the following:</DELETED> <DELETED> ``(f) Authorized Clinical Nurse Specialist Programs.-- Clinical nurse specialist programs eligible for support under this section are education programs that--</DELETED> <DELETED> ``(1) provide registered nurses with full-time clinical nurse specialist education;
and</DELETED> <DELETED> ``(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.'';</DELETED> <DELETED> (6) in section 831 (42 U.S.C.
296p)--</DELETED> <DELETED> (A) in the section heading, by striking ``and quality grants'' and inserting ``quality, and retention grants'';</DELETED> <DELETED> (B) in subsection (b)(2), by striking ``other high-risk groups such as the elderly, individuals with HIV/AIDS, substance abusers, the homeless, and victims'' and inserting ``high risk groups, such as the elderly, individuals with HIV/AIDS, individuals with mental health or substance use disorders, individuals who are homeless, and survivors'';</DELETED> <DELETED> (C) in subsection (c)(1)--</DELETED> <DELETED> (i) in subparagraph (A)-- </DELETED> <DELETED> (I) by striking ``advancement for nursing personnel'' and inserting the following:
``advancement for--</DELETED> <DELETED> ``(i) nursing'';</DELETED> <DELETED> (II) by striking ``professional nurses, advanced education nurses, licensed practical nurses, certified nurse assistants, and home health aides'' and inserting ``professional registered nurses, advanced practice registered nurses, and nurses with graduate nursing education'';
and</DELETED> <DELETED> (III) by adding at the end the following:</DELETED> <DELETED> ``(ii) individuals including licensed practical nurses, licensed vocational nurses, certified nurse assistants, home health aides, diploma degree or associate degree nurses, to become registered nurses with baccalaureate degrees or nurses with graduate nursing education;'';</DELETED> <DELETED> (ii) in subparagraph (B), by striking the period and inserting ``;
and'';
and</DELETED> <DELETED> (iii) by adding at the end the following:</DELETED> <DELETED> ``(C) developing and implementing internships, accredited fellowships, and accredited residency programs in collaboration with one or more accredited schools of nursing, to encourage the mentoring and development of specialties.'';</DELETED> <DELETED> (D) by striking subsection (e);</DELETED> <DELETED> (E) by redesignating subsection (f) through (h), as subsections (e) through (g), respectively;</DELETED> <DELETED> (F) in subsection (e) (as so redesignated), by striking ``The Secretary shall submit to the Congress before the end of each fiscal year'' and inserting ``As part of the report on nursing workforce programs described in section 806(i), the Secretary shall include'';</DELETED> <DELETED> (G) in subsection (f) (as so redesignated), by striking ``a school of nursing, as defined in section 801(2),,'' and inserting ``an accredited school of nursing, as defined in section 801(2), a health care facility, including federally qualified health centers or nurse-managed health clinics, or a partnership of such a school and facility'';
and</DELETED> <DELETED> (H) in subsection (g) (as so redesignated), by striking ``2010 through 2014'' and inserting ``2020 through 2024'';</DELETED> <DELETED> (7) by striking section 831A (42 U.S.C.
296p- 1);</DELETED> <DELETED> (8) in section 846 (42 U.S.C.
297n)--</DELETED> <DELETED> (A) by striking the last sentence of subsection (a);</DELETED> <DELETED> (B) in subsection (b)(1), by striking ``he began such practice'' and inserting ``the individual began such practice'';
and</DELETED> <DELETED> (C) in subsection (i)(I), by striking ``2003 through 2007'' and inserting ``2020 through 2024'';</DELETED> <DELETED> (9) in section 846A(f) (42 U.S.C.
247n-1(f)), by striking ``2010 through 2014'' and inserting ``2020 through 2024'';</DELETED> <DELETED> (10) in section 847(g) (42 U.S.C.
297o(g)), by striking ``such sums as may be necessary for each of fiscal years 2010 through 2014'' and inserting ``$115,635,000 for each of fiscal years 2020 through 2024'';</DELETED> <DELETED> (11) in section 851 (42 U.S.C.
297t)--</DELETED> <DELETED> (A) in subsection (b)(1)(A)(iv), by striking ``and nurse anesthetists'' and inserting ``nurse anesthetists, and clinical nurse specialists'';</DELETED> <DELETED> (B) in subsection (d)(3)--</DELETED> <DELETED> (i) by striking ``3 years after the date of enactment of this section'' and inserting ``2 years after the date of enactment of the Title VIII Nursing Workforce Reauthorization Act'';</DELETED> <DELETED> (ii) by striking ``Labor and Human Resources'' and inserting ``Health, Education, Labor, and Pensions'';
Show all 61 changed rows (21 more)
Previous
Latest
and</DELETED> <DELETED> (iii) by inserting ``Energy and'' before ``Commerce'';
and</DELETED> <DELETED> (C) in subsection (g), by striking ``under this title'' and inserting ``for carrying out parts B, C, and D'';</DELETED> <DELETED> (12) in section 865(e) (42 U.S.C.
298(e)), by striking ``2014'' and inserting ``2024'';
and</DELETED> <DELETED> (13) in section 871 (42 U.S.C.
298d), by striking ``$338,000,000 for fiscal year 2010, and such sums as may be necessary for each of the fiscal years 2011 through 2016'' and inserting ``$133,837,000 for each of fiscal years 2020 through 2024''.</DELETED> <DELETED> (b) Evaluation and Report on Nurse Loan Repayment Programs.--</DELETED> <DELETED> (1) Evaluation.--The Comptroller General shall conduct an evaluation of the nurse loan repayment programs administered by the Health Resources and Services Administration.
Such evaluation shall include--</DELETED> <DELETED> (A) the manner in which payments are made under such programs;</DELETED> <DELETED> (B) the existing oversight functions necessary to ensure the proper use of such programs, including payments made as part of such programs;</DELETED> <DELETED> (C) the identification of gaps, if any, in oversight functions;
and</DELETED> <DELETED> (D) information on the number of nurses assigned to facilities pursuant to such programs, including the type of facility to which nurses are assigned and the impact of modifying the eligibility requirements for programs under section 846 of the Public Health Service Act (42 U.S.C.
297n), such as the impact on entities to which nurses had previously been assigned prior to fiscal year 2019 (such as federally qualified health centers and facilities affiliated with the Indian Health Service).</DELETED> <DELETED> (2) Report.--Not later than 18 months after the enactment of this Act, the Comptroller General shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the evaluation under paragraph (1), which may include recommendations to improve relevant nursing workforce loan repayment programs.</DELETED> SECTION 1.
``(i) Biennial Report on Nursing Workforce Program Improvements.-- Not later than September 30, 2020, and biennially thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, a report that contains an assessment of the programs and activities of the Department of Health and Human Services related to enhancing the nursing workforce, including the extent to which programs and activities under this title meet the identified goals and performance measures developed for the respective programs and activities, and the extent to which the Department coordinates with other Federal departments with programs designed to improve the nursing workforce.'';
``(i) Biennial Report on Nursing Workforce Program Improvements.-- Not later than September 30, 2020, and biennially thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, a report that contains an assessment of the programs and activities of the Department of Health and Human Services related to enhancing the nursing workforce, including the extent to which programs and activities under this title meet the identified goals and performance measures developed for the respective programs and activities, and the extent to which the Department coordinates with other Federal departments regarding programs designed to improve the nursing workforce.'';
(6) in section 831 (42 U.S.C.
and (6) in section 831 (42 U.S.C.
``(ii) individuals including licensed practical nurses, licensed vocational nurses, certified nurse assistants, home health aides, diploma degree or associate degree nurses, to become registered nurses with baccalaureate degrees or nurses with graduate nursing education;'';
``(ii) individuals including licensed practical nurses, licensed vocational nurses, certified nurse assistants, home health aides, diploma degree or associate degree nurses, and other health professionals, such as health aides or community health practitioners certified under the Community Health Aide Program of the Indian Health Service, to become registered nurses with baccalaureate degrees or nurses with graduate nursing education;'';
(B) in subsection (d)(3)-- (i) by striking ``3 years after the date of enactment of this section'' and inserting ``2 years after the date of enactment of the Title VIII Nursing Workforce Reauthorization Act'';
(B) in subsection (d)(3)-- (i) by striking ``3 years after the date of enactment of this section'' and inserting ``2 years after the date of enactment of the Title VIII Nursing Reauthorization Act'';
(12) in section 865(e) (42 U.S.C.
(12) by striking sections 861 and 862 (42 U.S.C.
297w and 297x);
(13) in section 865(e) (42 U.S.C.
and (13) in section 871 (42 U.S.C.
and (14) in section 871 (42 U.S.C.
(2) Report.--Not later than 18 months after the enactment of this Act, the Comptroller General shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the evaluation under paragraph (1), which may include recommendations to improve relevant nursing workforce loan repayment programs.
(2) Report.--Not later than 18 months after the enactment of this Act, the Comptroller General shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives, a report on the evaluation under paragraph (1), which may include recommendations to improve relevant nursing workforce loan repayment programs.
<all>
Calendar No.
285 116th CONGRESS 1st Session S.
1399 _______________________________________________________________________ A BILL To amend title VIII of the Public Health Services Act to revise and extend nursing workforce development programs.
_______________________________________________________________________ November 5, 2019 Reported with an amendment
⬇ Download PDF
View plain text versions (2)

Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

  3. Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.

  4. Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.

  5. Committee on Health, Education, Labor, and Pensions. Reported by Senator Alexander with an amendment in the nature of a substitute. Without written report.

  6. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 546 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (546)

546 members have not signed on to this bill.

Show all 546 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor education
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors S 1399?
S 1399 is sponsored by Merkley, Jeff (Democratic).
What is the current status of S 1399?
This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track S 1399?
Track S 1399 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on S 1399

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of S 1399

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →