are not officers or employees of the Federal Govern-
ment’’; and 
(3) by adding at the end the following: 
‘‘(i) ANNUAL REPORT
ON NURSING WORKFORCE 
PROGRAMS.—Annually, 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 containing an 
assessment of the programs and activities of the Depart-
ment of Health and Human Services related to enhancing 
the nursing workforce, including the extent to which pro-
grams and activities under this title meet identified goals 
and performance measures developed for the respective 
programs and activities.’’. 
SEC. 3. NURSE PRACTITIONERS, NURSE MIDWIVES, NURSE 
ANESTHETISTS, AND OTHER ADVANCED EDU-
CATION NURSES. 
Section 811 of the Public Health Service Act (42 
U.S.C. 296j) is amended— 
(1) in subsection (b)— 
(A) by striking ‘‘R.N./Master’s’’ and in-
serting ‘‘R.N./graduate’’; and 
(B) by inserting ‘‘clinical nurse leaders,’’ 
before ‘‘or public health nurses’’;
(2) by redesignating subsections (f) and (g) as 
subsections (g) and (h), respectively; 
(3) by inserting after subsection (e) the fol-
lowing new subsection: 
‘‘(f) AUTHORIZED
CLINICAL
NURSE
SPECIALIST 
PROGRAMS.—Clinical nurse specialist programs eligible 
for support under this section are education programs 
that— 
‘‘(1) provide registered nurses with full-time 
clinical nurse specialist education; and 
‘‘(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.’’; and 
(4) by adding at the end the following: 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$74,581,000 for each of fiscal years 2019 through 2023.’’. 
SEC. 4. INCREASING NURSING WORKFORCE DIVERSITY. 
Section 821 of the Public Health Service Act (42 
U.S.C. 296m) is amended by adding at the end the fol-
lowing:
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$17,343,000 for each of fiscal years 2019 through 2023.’’. 
SEC. 5. STRENGTHENING CAPACITY FOR BASIC NURSE 
EDUCATION AND PRACTICE. 
(a) NURSE EDUCATION, PRACTICE, QUALITY, AND 
RETENTION GRANTS.—Section 831 of the Public Health 
Service Act (42 U.S.C. 296p) is amended— 
(1) in the section heading, by striking ‘‘AND 
QUALITY’’ and inserting ‘‘QUALITY, AND RETEN-
TION’’; 
(2) in subsection (b), by amending paragraph 
(2) to read as follows: 
‘‘(2) providing care for underserved populations 
and high-risk groups, which may include the elderly, 
individuals with HIV/AIDS, individuals with mental 
health or substance use disorders, individuals who 
are homeless, and victims and survivors of domestic 
violence;’’; 
(3) in subsection (c), by amending paragraph 
(1) to read as follows: 
‘‘(1) GRANTS
FOR
CAREER
LADDER
PRO-
GRAMS.—The Secretary may award grants to and 
enter into contracts with eligible entities for pro-
grams—
‘‘(A) to promote career advancement for— 
‘‘(i) nursing personnel in a variety of 
training settings, cross training or spe-
cialty training among diverse population 
groups, and the advancement of individ-
uals, including to become professional reg-
istered nurses, advanced practice reg-
istered nurses, and nurses with graduate 
nursing education; and 
‘‘(ii) individuals, including licensed 
practical nurses, licensed vocational nurses, 
certified nurse assistants, and diploma de-
gree or associate degree nurses, to become 
baccalaureate-prepared registered nurses 
or nurses with graduate nursing education; 
‘‘(B) to assist individuals in obtaining edu-
cation and training required to enter the nurs-
ing profession and advance within such profes-
sion, such as by providing career counseling and 
mentoring; and 
‘‘(C) to develop and implement internships, 
accredited fellowships, and accredited residency 
programs in collaboration with one or more ac-
credited schools of nursing to encourage men-
toring and development of specialties.’’;
(4) by striking subsection (e) (relating to pref-
erence); 
(5) by redesignating subsections (f) through (h) 
as subsections (e) and (g), respectively; 
(6) in subsection (e), as so redesignated, by 
striking ‘‘The Secretary shall submit to the Congress 
before the end of each fiscal year a’’ and inserting 
‘‘As part of the report on nursing workforce pro-
grams described in section 806(i), the Secretary 
shall’’; 
(7) by amending subsection (f), as redesignated 
by paragraph (5), to read as follows: 
‘‘(f) DEFINITIONS.—For purposes of this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ includes an accredited school of nursing, a 
health care facility, a partnership of such a school 
and facility, a federally qualified health center, or a 
nurse-managed health clinic. 
‘‘(2) 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 serv-
ices to underserved or vulnerable populations that is 
associated with a school, college, university or de-
partment of nursing, federally qualified health cen-
ter, or independent nonprofit health or social serv-
ices agency.’’; and 
(8) in subsection (g), as redesignated by para-
graph (5), by striking ‘‘such sums as may be nec-
essary for each of fiscal years 2010 through 2014’’ 
and inserting ‘‘$41,913,000 for each of fiscal years 
2019 through 2023’’. 
(b) NURSE RETENTION GRANTS.—Section 831A of 
the Public Health Service Act (42 U.S.C. 296p–1) is re-
pealed. 
SEC. 6. STUDENT LOANS. 
(a) LOAN REPAYMENT
AND SCHOLARSHIP PRO-
GRAMS.—Section 846 of the Public Health Service Act (42 
U.S.C. 297n) is amended— 
(1) in subsection (b)(1), by striking ‘‘he began 
such practice’’ and inserting ‘‘the individual began 
such practice’’; 
(2) in subsection (d)(1), by striking ‘‘(for fiscal 
years 2003 and 2004) and may (for fiscal years 
thereafter)’’; 
(3) in subsection (h), in the matter preceding 
paragraph (1), by striking ‘‘Not later than’’ through 
‘‘regarding’’ and inserting ‘‘The annual report on 
nursing workforce programs, as required by section 
806(i), shall include information regarding the pro-
grams carried out under this section, including’’; 
and 
(4) in subsection (i)(1), by striking ‘‘such sums 
as may be necessary for each of fiscal years 2003 
through 2007’’ and inserting ‘‘$87,135,000 for each 
of fiscal years 2019 through 2023’’. 
(b) NURSE
FACULTY
LOAN
PROGRAM.—Section 
846A of the Public Health Service Act (42 U.S.C. 297n– 
1) is amended by striking ‘‘such sums as may be necessary 
for each of fiscal years 2010 through 2014’’ and inserting 
‘‘$28,500,000 for each of fiscal years 2019 through 
2023’’. 
SEC. 7. NATIONAL ADVISORY COUNCIL ON NURSE EDU-
CATION AND PRACTICE. 
Section 851 of the Public Health Service Act (42 
U.S.C. 297t) is amended— 
(1) in subsection (b)(1)(A)(iv), by striking ‘‘and 
nurse anesthetists’’ and inserting ‘‘nurse anes-
thetists, and clinical nurse specialists’’; 
(2) in subsection (d), by amending paragraph 
(3) to read as follows: 
‘‘(3) not later than 2 years after the date of en-
actment of the Title VIII Nursing Workforce Reau-
thorization Act of 2018, and every 2 years there-
after, prepare and submit to the Secretary, the Com-
mittee on Health, Education, Labor, and Pensions 
of the Senate, and the Committee on Energy and 
Commerce of the House of Representatives, a report 
describing the activities of the Council, including 
findings and recommendations made by the Council 
concerning the activities under this title.’’; and 
(3) in subsection (g), by striking ‘‘under this 
title’’ and inserting ‘‘for carrying out parts B, C, 
and D of this title’’. 
SEC. 8. OTHER PROVISIONS. 
(a) PUBLIC SERVICE ANNOUNCEMENTS.—Part G of 
title VIII of the Public Health Service Act (42 U.S.C. 
297w et seq.) is repealed. 
(b) FUNDING.—Part I of title VIII of the Public 
Health Service Act (42 U.S.C. 298d) is repealed. 
Passed the House of Representatives July 23, 2018. 
Attest: 
Clerk.
115TH CONGRESS 
2D SESSION 
H. R. 959 
AN ACT 
To amend title VIII of the Public Health Service 
Act to extend advanced education nursing grants 
to support clinical nurse specialist programs, and 
for other purposes.