(2) in the subparagraph (W) added by section 
3005(1)(C) of Public Law 111–148— 
(A) by striking the period at the end and 
inserting a comma; 
(B) by moving the indentation 2 ems to 
the left; and 
(C) by moving such subparagraph to im-
mediately follow subparagraph (V); 
(3) in the subparagraph (W) added by section 
6406(b)(3) of Public Law 111–148— 
(A) by striking the period at the end and 
inserting ‘‘, and’’; 
(B) by moving the indentation 2 ems to 
the left; 
(C) by redesignating such subaragraph as 
subparagraph (X); and 
(D) by moving such subparagraph to im-
mediately follow subparagraph (W), as moved 
under paragraph (2)(C); and 
(4) by inserting after the subparagraph (X), as 
redesignated and moved under paragraph (3), the 
following: 
‘‘(Y) in the case of a hospital, to comply with 
the provisions of title XXXIV of the Public Health 
Service Act.’’. 
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(b) MEDICAID PROGRAM.—Section 1902(a) of the 
Social Security Act (42 U.S.C. 1396(a)) is amended— 
(1) by striking ‘‘and’’ at the end of paragraph 
(82)(C); 
(2) by striking the period at the end of para-
graph (83) and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (83) the fol-
lowing new paragraph: 
‘‘(84) provide that any hospital that receives a 
payment under such plan comply with the provisions 
of title XXXIV of the Public Health Service Act (re-
lating to minimum direct care registered nurse staff-
ing requirements).’’. 
(c) HEALTH BENEFITS PROGRAM OF THE DEPART-
MENT OF VETERANS AFFAIRS.—Section 8110(a) of title 
38, United States Code, is amended by adding at the end 
the following new paragraphs: 
‘‘(7) In the case of a Department medical facility that 
is a hospital, the hospital shall comply with the provisions 
of title XXXIV of the Public Health Service Act. 
‘‘(8) Nothing either in chapter 74 of this title or in 
section 7106 of title 5 shall preclude enforcement of the 
provisions of title XXXIV of the Public Health Service Act 
with respect to a Department hospital through grievance 
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procedures negotiated in accordance with chapter 71 of 
title 5.’’. 
(d) HEALTH BENEFITS PROGRAM OF THE DEPART-
MENT OF DEFENSE.— 
(1) IN
GENERAL.—Chapter 55 of title 10, 
United States Code, is amended by adding at the 
end the following new section: 
‘‘§ 1110c. Staffing requirements 
‘‘In the case of a facility of the uniformed services 
that is a hospital, the hospital shall comply with the provi-
sions of title XXXIV of the Public Health Service Act.’’. 
(2) CLERICAL AMENDMENT.—The table of sec-
tions at the beginning of such chapter is amended 
by inserting after the item relating to section 1110b 
the following new item: 
‘‘1110c. Staffing requirements.’’. 
(e) INDIAN HEALTH SERVICES PROGRAM.—Title 
VIII of the Indian Health Care Improvement Act (25 
U.S.C. 1671 et seq.) is amended by adding at the end 
the following new section: 
‘‘SEC. 833. STAFFING REQUIREMENTS. 
‘‘All hospitals of the Service shall comply with the 
provisions of title XXXIV of the Public Health Service Act 
(relating to minimum direct care registered nurse staffing 
requirements).’’. 
(f) FEDERAL LABOR-MANAGEMENT RELATIONS.— 
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(1) IN
GENERAL.—Section 7106 of title 5, 
United States Code, is amended by adding at the 
end the following: 
‘‘(c) Nothing in this section shall preclude enforce-
ment of the provisions of title XXXIV of the Public Health 
Service Act through grievance procedures negotiated in ac-
cordance with section 7121.’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
7106(a) of title 5, United States Code, is amended 
by striking ‘‘Subject to subsection (b) of this title,’’ 
and inserting ‘‘Subject to subsections (b) and (c),’’. 
SEC. 4. NURSE WORKFORCE INITIATIVE. 
(a) SCHOLARSHIP AND STIPEND PROGRAM.—Section 
846(d) of the Public Health Service Act (42 U.S.C. 
297n(d)) is amended— 
(1) in the section heading, by inserting ‘‘AND 
STIPEND’’ after ‘‘SCHOLARSHIP’’; and 
(2) in paragraph (1), by inserting ‘‘or stipends’’ 
after ‘‘scholarships’’. 
(b) NURSE RETENTION GRANTS.—Section 831A(b) 
of the Public Health Service Act (42 U.S.C. 296p–1(b)) 
is amended— 
(1) by striking ‘‘GRANTS FOR CAREER LADDER 
PROGRAM.—’’ and inserting ‘‘GRANTS FOR NURSE 
RETENTION.—’’; 
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(2) in paragraph (2), by striking ‘‘; or’’ and in-
serting a semicolon; 
(3) in paragraph (3), by striking the period and 
inserting a semicolon; and 
(4) by adding at the end the following: 
‘‘(4) to provide additional support to nurses en-
tering the workforce by implementing nursing pre-
ceptorship projects that establish a period of prac-
tical and clinical experiences and training for nurs-
ing students, newly hired nurses, and recent grad-
uates of a direct care degree programs for registered 
nurses; or 
‘‘(5) to implement mentorship projects that as-
sist new or transitional direct care registered nurses 
in adapting to the hospital setting.’’. 
Æ 
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