II 118th CONGRESS 1st Session S. 1627 IN THE SENATE OF THE UNITED STATES May 16, 2023 Mr. Kelly (for himself and Mrs. Blackburn ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend the Internal Revenue Code of 1986 to create a tax credit for nurse preceptors.

1. Short title This Act may be cited as the Providing Real-World Education and Clinical Experience by Precepting Tomorrow’s Nurses Act or the PRECEPT Nurses Act . 2. Credit for nurse preceptors (a) In general Subpart A of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986 is amended by inserting after section 25E the following new section: 25F. Credit for nurse preceptors (a) In general In the case of any eligible nurse preceptor, there shall be allowed as a credit against the tax imposed by this chapter for any taxable year an amount equal to $2,000. (b) Definitions For purposes of this section, with respect to any taxable year— (1) Eligible nurse preceptor The term eligible nurse preceptor means an individual who serves not less than 200 hours during the taxable year as a nurse preceptor in a community which is designated as a health professional shortage area under section 332 of the Public Health Service Act. The Secretary shall publish on an annual basis on the website of the Internal Revenue Service a list of the areas which are so designated. (2) Nurse preceptor The term nurse preceptor means a licensed registered nurse or health care provider (as defined in section 3000(3) of the Public Health Service Act ( 42 U.S.C. 300jj(3) )) who provides supervision and personalized experiential learning, training, instruction, and mentoring opportunities in the clinical practice of nursing (as defined by the applicable State Board of Nursing, applicable state agency, or written agreement between the relevant academic institution and clinical site) to a student of nursing, student of advanced practice registered nursing, or newly hired licensed nurse. (3) Relevant academic institution The term relevant academic institution means a school of nursing (as defined in section 801(2) of the Public Health Service Act ( 42 U.S.C. 296(2) )) in which a student of nursing or student of advanced practice registered nursing is enrolled. (4) Newly hired The term newly hired means within the first 6 months of employment. (5) Minimum required hours of preceptorship The term minimum required hours of preceptorship means 200 hours of serving as a nurse preceptor. (c) Reporting requirement (1) In general No credit shall be allowed under subsection (a) unless the eligible nurse preceptor has received a certification indicating that the eligible nurse preceptor has completed the minimum required hours of preceptorship for the taxable year. (2) Contents of certification A certification under paragraph (1) shall include— (A) a certification from the relevant partnering academic institution stating the number of hours the preceptor served as a nurse preceptor to a student of nursing or student of advanced practice registered nursing during the taxable year, or (B) a certification from the clinical site at which the preceptor is employed stating the number of hours the preceptor served as a nurse preceptor to a newly hired nurse during the taxable year. (3) Multiple certifications A nurse preceptor may receive multiple certifications from multiple entities under paragraph (2) to establish the completion of the minimum required hours of preceptorship. (d) Termination This section shall not apply to any taxable year beginning after December 31, 2030. . (b) Clerical amendment The table of sections for subpart A of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986 is amended by inserting after the item relating to section 25E the following new item: Sec. 25F. Credit for nurse preceptors. . (c) Effective date The amendments made by this section shall apply to taxable years beginning after December 31, 2023. (d) Report and evaluation (1) In general Beginning with taxable year 2024 and ending with taxable year 2030, the Secretary of the Treasury (or such Secretary's delegate) shall report to the relevant committees of Congress for each taxable year on the credit under section 25F of the Internal Revenue Code of 1986, as added by this section. Such report shall include— (A) the number of taxpayers claiming such credit for the taxable year, (B) the total hours served and other aggregated and averaged data on the preceptorships served by taxpayers as an eligible nurse preceptor (as defined in section 25F(b) of such Code, as so added), (C) the geographic distribution of taxpayers claiming such credit for the taxable year, and (D) such other information as determined relevant by the Secretary (or the Secretary's delegate). (2) Evaluation Not later than June 30, 2031, the Secretary of the Treasury (or the Secretary's delegate), in consultation with the Administrator of the Health Resources and Services Administration, shall provide to the relevant committees of Congress an evaluation of the effectiveness of the credit under section 25F of the Internal Revenue Code of 1986, as added by this section, in increasing the number of nurse preceptors in the United States. (3) Relevant committees of Congress For purposes of this subsection, the term relevant committees of Congress means— (A) the Committee on Finance of the Senate, (B) the Committee on Ways and Means of the House of Representatives, (C) the Committee on Health, Education, Labor, and Pensions of the Senate, (D) the Committee on Education and the Workforce of the House of Representatives, and (E) the Committee on Energy and Commerce of the House of Representatives. (e) Funding (1) Determination of amount of credit allowed Beginning with taxable year 2024 and ending with taxable year 2030, the Secretary shall, subsequent to the close of such taxable year, determine the total amount of the credit allowed under section 25F of the Internal Revenue Code of 1986 (as added by this section) with respect to such taxable year. (2) Transfer of expired and unused COVID–19 funding (A) In general Following any determination by the Secretary under paragraph (1), with respect to any amounts related to COVID–19 relief which— (i) were appropriated under any covered Act, and (ii) on the date of the determination described in such paragraph, were unobligated and the authority to obligate or expend such amounts has terminated, the Secretary shall (at such time and in such manner as the Secretary may provide) transfer a share of such appropriated amounts into the general fund of the Treasury of the United States in an amount equal to the amount determined under such paragraph. (B) Ordering For purposes of subparagraph (A), amounts appropriated under any covered Act which are described in such subparagraph shall be transferred— (i) in the order in which the authority to obligate or expend such amounts has terminated, or (ii) in the case of any amounts for which such authority terminated on the same date, in a pro rata manner. (3) Definitions In this subsection— (A) Covered Act The term covered Act means any of the following: (i) The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 ( Public Law 116–123 ; 134 Stat. 146). (ii) The Families First Coronavirus Response Act ( Public Law 116–127 ; 134 Stat. 178). (iii) The CARES Act ( Public Law 116–136 ; 134 Stat. 281). (iv) The Paycheck Protection Program and Health Care Enhancement Act ( Public Law 116–139 ; 134 Stat. 620). (v) Divisions M and N of the Consolidated Appropriations Act, 2021 ( Public Law 116–260 ; 134 Stat. 1182). (vi) The American Rescue Plan Act of 2021 ( Public Law 117–2 ; 135 Stat. 4). (B) Secretary The term Secretary has the meaning given such term in section 7701(a)(11)(B) of the Internal Revenue Code of 1986.