(5) Studies suggest that schools with a full-time 
registered nurse experience far-reaching benefits in-
cluding fewer student absences, students spending 
more time in class, more accurate medical records, 
higher immunization rates, fewer student preg-
nancies, and better health outcomes for students 
with asthma or diabetes. 
(6) School nurses play a critical role in helping 
to manage the chronic physical, emotional, mental, 
and social health needs of students, conduct health 
screenings, facilitate vaccinations and immunization 
compliance efforts, reduce burdens on educators and 
other school staff, and support a positive and 
healthy school climate. 
SEC. 3. ONE SCHOOL, ONE NURSE GRANT PROGRAM. 
(a) GRANT PROGRAM AUTHORIZED.—Not later than 
12 months after the date of enactment of this section, the 
Secretary shall establish a program to award grants, on 
a competitive basis, to eligible entities to carry out the 
activities under subsection (d). Grants awarded under this 
section shall be for a period of 5 years. 
(b) APPLICATION.—An eligible entity desiring a grant 
under this section shall submit an application to the Sec-
retary at such time, in such manner, and containing such 
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information as the Secretary may require. Such applica-
tion shall include— 
(1) a needs assessment of the eligible entity 
that demonstrates the existence of persistent short-
ages of school nurses or persistent shortages of full- 
time school nurses; 
(2) a description of the health and wellness 
needs of the student population served by the eligible 
entity; 
(3) a comprehensive plan for the use of grant 
funds to address persistent shortages described in 
the needs assessment under paragraph (1), including 
a description of how such activities shall address the 
health and wellness needs described under paragraph 
(2) and how such funds will be used to ensure that 
the eligible entity will continue to employ and retain 
school nurses after the completion of the grant pe-
riod; and 
(4) a description of how the eligible entity will 
prioritize recruiting individuals from the commu-
nities served by the eligible entity and from under-
represented populations in public health professions 
(as determined by the Secretary by regulation), and 
how the eligible entity will track progress in meeting 
any specified hiring goals. 
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(c) SELECTION AND PRIORITY.—In awarding grants 
under this section, the Secretary shall give priority to eligi-
ble entities that— 
(1) are a high-need local educational agency, or 
are a partnership between a State educational agen-
cy and a consortium of high-need local educational 
agencies; and 
(2) describe and set specific hiring goals to-
wards increasing the share of school nurses who are 
from underrepresented populations in public health 
professions. 
(d) ACTIVITIES.—Grant funds awarded under this 
section shall be used by an eligible entity to carry out one 
or more of the following activities: 
(1) Recruit and hire school nurses. 
(2) Provide resources necessary to convert part- 
time school nurse positions at elementary or sec-
ondary schools served by the eligible entity into full- 
time school nurse positions. 
(3) Support the retention of school nurses, in-
cluding by increasing salaries. 
(4) Maintain recommended nurse-to-student ra-
tios (as determined by the Secretary by regulation). 
(e) REPORTING.—Each eligible entity awarded a 
grant under this section shall submit to the Secretary an 
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annual report for each year of the grant award. Such re-
port shall include— 
(1) a summary of the eligible entity’s progress 
in employing at least one full-time registered nurse 
at each elementary and secondary school served by 
the eligible entity and maintaining recommended 
nurse-to-student ratios (as determined by the Sec-
retary by regulation); 
(2) data on the number and percentage of full- 
time and part-time school nurses, disaggregated by 
major racial and ethnic groups and gender, em-
ployed at each elementary and secondary school 
served by the eligible entity; and 
(3) a summary of any progress made by the eli-
gible entity in addressing the health and wellness 
needs identified in the needs assessment required 
under subsection (b)(2) as a result of activities car-
ried out with a grant under this section. 
(f) REGULATIONS REQUIRED.—Not later than 12 
months after the date of enactment of this section, the 
Secretary shall— 
(1) in consultation with the Secretary of Health 
and Human Services— 
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(A) specify in regulation the recommended 
nurse-to-student ratios for elementary and sec-
ondary schools; 
(B) provide for guidance and other tech-
nical assistance to eligible entities with respect 
to achieving and maintaining such ratios; and 
(C) specify in regulation the definition of 
‘‘underrepresented populations in public health 
professions’’ for the purposes of this section; 
and 
(2) in consultation with the Secretary of Health 
and Human Services and the Secretary of Labor, 
specify in regulation the definition of ‘‘full-time’’ 
with respect to school nurses for the purposes of this 
section. 
(g) DEFINITIONS.—In this section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means— 
(A) a local educational agency; or 
(B) a partnership between a State edu-
cational agency and a consortium of local edu-
cational agencies in the State, entered into for 
the purposes of a grant under this section. 
(2) HIGH-NEED
LOCAL
EDUCATIONAL
AGEN-
CY.—The term ‘‘high-need local educational agency’’ 
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has the meaning given such term in section 200 of 
the Higher Education Act of 1965 (20 U.S.C. 
1021). 
(3) LOCAL EDUCATIONAL AGENCY; STATE EDU-
CATIONAL AGENCY.—The terms ‘‘local educational 
agency’’ and ‘‘State educational agency’’ have the 
meanings given such terms in section 8101 of the 
Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7801). 
(4) SCHOOL NURSE.—The term ‘‘school nurse’’ 
means a registered nurse who is employed by a 
school or local educational agency or State or State 
educational agency and is qualified under State law 
to provide assessment, diagnosis, counseling, edu-
cational, therapeutic, and other health services to 
meet student needs. 
(5) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Education. 
Æ 
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