S. 446Senate110th Congress (2007-2009)In Committee

Nurse Education, Expansion, and Development Act of 2007

Introduced January 31, 2007

Legislative Activity

Stay on top of the latest movement without scrolling through every action

1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S1415-1416)

January 31, 2007

View full timeline
SenateIntro Referral

Introduced in Senate

January 31, 2007

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S1415-1416)

January 31, 2007

Floor Debate

19 members

What members said about S. 446 on the floor

4 Republicans15 Democrats
Russell D. Feingold
Sen. Russell D. FeingoldD-WI · Jan 31, 2007

Mr. President, today I am introducing the Federal Death Penalty Abolition Act of 2007. This bill would abolish the death penalty at the Federal level. It would put an immediate halt to executions and…

Christopher J. Dodd
Sen. Christopher J. DoddD-CT · Jan 31, 2007

Mr. President, I rise today to introduce the Fair Access to Clinical Trials (FACT) Act. I want to begin by thanking Senators Grassley, Wyden, Bingaman, Durbin, and Harkin for joining me in…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Jan 31, 2007

Mr. President, I am pleased to join Senator Hatch and a bipartisan group of at least 15 original cosponsors in introducing comprehensive antiaging legislation--the Gang Abatement and Prevention Act…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jan 31, 2007

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record. Mr. President, I rise today to introduce the John R. Justice Prosecutors and Defenders Incentive Act of…

Harry Reid
Sen. Harry ReidD-NV · Jan 31, 2007

Mr. President, we are going to have a debate on Iraq, and it will be a historic debate about that war, a war that has demanded unparalleled sacrifices from our men and women in uniform. While we have…

Show 8 more
Chuck Grassley
Sen. Chuck GrassleyR-IA · Jan 31, 2007

Mr. President, I ask unanimous consent that the text of this bill be printed in the Record. Madam President, I am pleased to have bipartisan sponsorship of two very important bills with Senator Dodd…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jan 31, 2007

Mr. President, I rise today to introduce the Improving Access to Higher Education Act. This legislation would provide an increase in the maximum Pell grant award to $5,100, as well as additional…

Olympia J. Snowe
Sen. Olympia J. SnoweR-ME · Jan 31, 2007

Mr. President, when reflecting on the attributes that have made our great country prosperous--its free market system, its hard- working and enterprising people, its treasured natural resources--we…

John F. Kerry
Sen. John F. KerryD-MA · Jan 31, 2007

Mr. President, today Senator Smith and I are introducing the Active Duty Military Tax Relief Act of 2007. This legislation will help those who are valiantly serving their country and the families…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Jan 31, 2007

Mr. President, I rise today to join with Senator Obama in introducing landmark legislation to protect the most sacred right of our democracy: the right to vote. The Obama-Schumer Deceptive Practices…

John D. Rockefeller IV
Sen. John D. Rockefeller IVD-WV · Jan 31, 2007

Mr. President, death is by no means an easy subject to talk about; nonetheless, end-of-life care continues to be a controversial topic that must be addressed. Today, I am introducing three bills that…

Daniel K. Akaka
Sen. Daniel K. AkakaD-HI · Jan 31, 2007

Mr. President, I am pleased to reintroduce the National Foreign Language Coordination Act with my colleagues Senators Thad Cochran, Christopher Dodd, and Russell Feingold. We are joined by…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Jan 31, 2007

Mr. President, today, I join Senators Obama, Schumer, Cardin, Feinstein, Feingold, Clinton, and Kerry to introduce the Deceptive Practices and Voter Intimidation Prevention Act of 2007, a measure…

Show 7 more
Joseph R. Biden Jr.
Sen. Joseph R. Biden Jr.D-DE · Jan 31, 2007

Mr. President, I rise to introduce the State and Local Law Enforcement Discipline Accountability, and Due Process Act of 2007. These are trying times for the men and women on our front lines who…

Bill Nelson
Sen. Bill NelsonD-FL · Jan 31, 2007

Mr. President, I am pleased to be joined by my colleagues and cosponsors Senators Jay Rockefeller and Richard Lugar as we introduce the Advance Directives Improvement and Education Act of 2007. The…

John McCain
Sen. John McCainR-AZ · Jan 31, 2007

Mr. President, once again I am pleased to be joined by my good friend and colleague Senator Feingold from Wisconsin in introducing a bill to end the illegal practice of 527 groups spending soft money…

Barack Obama
Sen. Barack ObamaD-IL · Jan 31, 2007

Mr. President, I am pleased to introduce a bill today that seeks to address the all-too-common efforts to deceive voters in order to keep them away from the polls. It's hard to imagine that we even…

Max Baucus
Sen. Max BaucusD-MT · Jan 31, 2007

Mr. President, I rise today to introduce the Rural Heritage Conservation Extension Act of 2007, along with my good friend Senator Grassley from Iowa. As we all know, the country, and my home State of…

Edward M. Kennedy
Sen. Edward M. KennedyD-MA · Jan 31, 2007

Mr. President, it's a privilege to join Senator Obama and our other colleagues in sponsoring the Deceptive Practices and Voter Intimidation Prevention Act, because it addresses an essential aspect of…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jan 31, 2007

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued January 31, 2007

II

110th CONGRESS

1st Session

S. 446

IN THE SENATE OF THE UNITED STATES

January 31, 2007

Mr. Durbin introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To amend the Public Health Service Act to authorize capitation grants to increase the number of nursing faculty and students, and for other purposes.

1.

Short title

This Act may be cited as the Nurse Education, Expansion, and Development Act of 2007.

2.

Findings

The Congress finds as follows:

(1)

While the Nurse Reinvestment Act (Public Law 107–205) helped to increase applications to schools of nursing by 125 percent, schools of nursing have been unable to accommodate the influx of interested students because they have an insufficient number of nurse educators. It is estimated that—

(A)

in the 2006–2007 school year—

(i)

66.6 percent of schools of nursing had from 1 to 18 vacant faculty positions; and

(ii)

an additional 16.7 percent of schools of nursing needed additional faculty, but lacked the resources needed to add more positions; and

(B)

41,683 eligible candidates were denied admission to schools of nursing in 2005, primarily due to an insufficient number of faculty members.

(2)

A growing number of nurses with doctoral degrees are choosing careers outside of education. Over the last few years, 22.5 percent of doctoral nursing graduates reported seeking employment outside the education profession.

(3)

In 2006 the average age of nurse faculty at retirement is 63.1 years. With the average age of doctorally-prepared nurse faculty at 54.7 years in 2005, a wave of retirements is expected within the next 10 years.

(4)

Master’s and doctoral programs in nursing are not producing a large enough pool of potential nurse educators to meet the projected demand for nurses over the next 10 years. While graduations from master’s and doctoral programs in nursing rose by 12.8 percent (or 1,369 graduates) and 13.1 percent (or 56 graduates), respectively, in the 2005–2006 school year, projections still demonstrate a shortage of nurse faculty. Given current trends, there will be at least 2,616 unfilled faculty positions in 2012.

(5)

According to the February 2004 Monthly Labor Review of the Bureau of Labor Statistics, more than 1,000,000 new and replacement nurses will be needed by 2012.

3.

Capitation grants to increase the number of nursing faculty and students

(a)

Grants

Part D of title VIII of the Public Health Service Act (42 U.S.C. 296p) is amended by adding at the end the following:

832.

Capitation grants

(a)

In General

For the purpose described in subsection (b), the Secretary, acting through the Health Resources and Services Administration, shall award a grant each fiscal year in an amount determined in accordance with subsection (c) to each eligible school of nursing that submits an application in accordance with this section.

(b)

Purpose

A funding agreement for a grant under this section is that the eligible school of nursing involved will expend the grant to increase the number of nursing faculty and students at the school, including by hiring new faculty, retaining current faculty, purchasing educational equipment and audiovisual laboratories, enhancing clinical laboratories, repairing and expanding infrastructure, or recruiting students.

(c)

Grant Computation

(1)

Amount per student

Subject to paragraph (2), the amount of a grant to an eligible school of nursing under this section for a fiscal year shall be the total of the following:

(A)

$1,800 for each full-time or part-time student who is enrolled at the school in a graduate program in nursing that—

(i)

leads to a master’s degree, a doctoral degree, or an equivalent degree; and

(ii)

prepares individuals to serve as faculty through additional course work in education and ensuring competency in an advanced practice area.

(B)

$1,405 for each full-time or part-time student who—

(i)

is enrolled at the school in a program in nursing leading to a bachelor of science degree, a bachelor of nursing degree, a graduate degree in nursing if such program does not meet the requirements of subparagraph (A), or an equivalent degree; and

(ii)

has not more than 3 years of academic credits remaining in the program.

(C)

$966 for each full-time or part-time student who is enrolled at the school in a program in nursing leading to an associate degree in nursing or an equivalent degree.

(2)

Limitation

In calculating the amount of a grant to a school under paragraph (1), the Secretary may not make a payment with respect to a particular student—

(A)

for more than 2 fiscal years in the case of a student described in paragraph (1)(A) who is enrolled in a graduate program in nursing leading to a master’s degree or an equivalent degree;

(B)

for more than 4 fiscal years in the case of a student described in paragraph (1)(A) who is enrolled in a graduate program in nursing leading to a doctoral degree or an equivalent degree;

(C)

for more than 3 fiscal years in the case of a student described in paragraph (1)(B); or

(D)

for more than 2 fiscal years in the case of a student described in paragraph (1)(C).

(d)

Eligibility

For purposes of this section, the term eligible school of nursing means a school of nursing that—

(1)

is accredited by a nursing accrediting agency recognized by the Secretary of Education;

(2)

has a passage rate on the National Council Licensure Examination for Registered Nurses of not less than 80 percent for each of the 3 school years preceding submission of the grant application; and

(3)

has a graduation rate (based on the number of students in a class who graduate relative to, for a baccalaureate program, the number of students who were enrolled in the class at the beginning of junior year or, for an associate degree program, the number of students who were enrolled in the class at the end of the first year) of not less than 80 percent for each of the 3 school years preceding submission of the grant application.

(e)

Requirements

The Secretary may award a grant under this section to an eligible school of nursing only if the school gives assurances satisfactory to the Secretary that, for each school year for which the grant is awarded, the school will comply with the following:

(1)

The school will maintain a passage rate on the National Council Licensure Examination for Registered Nurses of not less than 80 percent.

(2)

The school will maintain a graduation rate (as described in subsection (d)(3)) of not less than 80 percent.

(3)
(A)

Subject to subparagraphs (B) and (C), the first-year enrollment of full-time nursing students in the school will exceed such enrollment for the preceding school year by 5 percent or 5 students, whichever is greater.

(B)

Subparagraph (A) does not apply to the first school year for which a school receives a grant under this section.

(C)

With respect to any school year, the Secretary may waive application of subparagraph (A) if—

(i)

the physical facilities at the school involved limit the school from enrolling additional students; or

(ii)

the school has increased enrollment in the school (as described in subparagraph (A)) for each of the 2 preceding school years.

(4)

Not later than 1 year after receipt of the grant, the school will formulate and implement a plan to accomplish at least 2 of the following:

(A)

Establishing or significantly expanding an accelerated baccalaureate degree nursing program designed to graduate new nurses in 12 to 18 months.

(B)

Establishing cooperative intradisciplinary education among schools of nursing with a view toward shared use of technological resources, including information technology.

(C)

Establishing cooperative interdisciplinary training between schools of nursing and schools of allied health, medicine, dentistry, osteopathy, optometry, podiatry, pharmacy, public health, or veterinary medicine, including training for the use of the interdisciplinary team approach to the delivery of health services.

(D)

Integrating core competencies on evidence-based practice, quality improvements, and patient-centered care.

(E)

Increasing admissions, enrollment, and retention of qualified individuals who are financially disadvantaged.

(F)

Increasing enrollment of minority and diverse student populations.

(G)

Increasing enrollment of new graduate baccalaureate nursing students in graduate programs that educate nurse faculty members.

(H)

Developing post-baccalaureate residency programs to prepare nurses for practice in specialty areas where nursing shortages are most severe.

(I)

Increasing integration of geriatric content into the core curriculum.

(J)

Partnering with economically disadvantaged communities to provide nursing education.

(K)

Expanding the ability of nurse managed health centers to provide clinical education training sites to nursing students.

(5)

The school will submit an annual report to the Secretary that includes updated information on the school with respect to student enrollment, student retention, graduation rates, passage rates on the National Council Licensure Examination for Registered Nurses, the number of graduates employed as nursing faculty or nursing care providers within 12 months of graduation, and the number of students who are accepted into graduate programs for further nursing education.

(6)

The school will allow the Secretary to make on-site inspections, and will comply with the Secretary’s requests for information, to determine the extent to which the school is complying with the requirements of this section.

(f)

Reports to Congress

The Secretary shall evaluate the results of grants under this section and submit to the Congress—

(1)

not later than 18 months after the date of the enactment of this section, an interim report on such results; and

(2)

not later than the end of fiscal year 2010, a final report on such results.

(g)

Application

To seek a grant under this section, a school nursing shall submit an application to the Secretary at such time, in such manner, and containing such information and assurances as the Secretary may require.

(h)

Authorization of Appropriations

(1)

In general

For the costs of carrying out this section (except the costs described in paragraph (2)), there are authorized to be appropriated $75,000,000 for fiscal year 2008, $85,000,000 for fiscal year 2009, and $95,000,000 for fiscal year 2010.

(2)

Administrative costs

For the costs of administering this section, including the costs of evaluating the results of grants and submitting reports to the Congress, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2008, 2009, and 2010.

.

(b)

GAO Study

(1)

In general

Not later than 1 year after the date of the enactment of this Act, the Comptroller General of the United States shall conduct a study and submit a report to the Congress on ways to increase participation in the nurse faculty profession.

(2)

Contents of report

The report required by paragraph (1) shall include the following:

(A)

A discussion of the master’s degree and doctoral degree programs that are successful in placing graduates as faculty in schools of nursing.

(B)

An examination of compensation disparities throughout the nursing profession and compensation disparities between higher education instructional faculty generally and higher education instructional nursing faculty.