This bill reauthorizes the Title VIII Nursing Workforce programs under the Public Health Service Act, updating eligibility and funding to support advanced nursing education. It expands grant coverage to include additional advanced nursing roles and modernizes training delivery.
It also strengthens capacity by enabling more faculty and introducing partnerships with health care facilities for clinical education. Finally, it raises authorized funding for 2026–2030 to sustain and grow the nursing workforce pipeline.
At a Glance
What It Does
Expands Advanced Nursing Education Grants to cover nurse practitioners, nurse-midwives, nurse anesthetists, and clinical nurse specialists. It also broadens eligible activities and support mechanisms (including clinical education costs).
Who It Affects
Nursing schools, faculty, and students; NP, CNM, CRNA, and CNS training programs; and clinical sites that will host student learners.
Why It Matters
Addresses looming nursing shortages by expanding both the pool of eligible programs and the resources to train more nurses, with modern education tools to improve training quality.
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What This Bill Actually Does
HB3593 reauthorizes the Title VIII Nursing Workforce programs and makes several substantive updates to strengthen the nursing education pipeline. Section 811 broadens Advanced Nursing Education Grants so that students enrolled in nurse practitioner programs, nurse-midwifery programs, nurse anesthesia programs, and clinical nurse specialist programs are eligible for funding.
It also removes an outdated reference and updates the fees provision to cover clinical education and preceptors, ensuring that training costs are actively supported.
Section 831 expands capacity at schools of nursing by updating the allowed instructional modalities and tools. It adds audiovisual equipment, simulation and augmented reality resources, telehealth technologies, and both virtual and physical laboratories as supported educational resources.
It also requires increasing the number of faculty and students to address shortages and broadens the scope of survivor-related services that the program supports. Importantly, the bill adds a requirement to partner with health care facilities, nurse-managed clinics, or community health centers to provide clinical education opportunities, aligning training with real-world practice.
Section 806(f)(2)(C) is amended for a conforming change removing the word “basic,” reflecting updated program terminology. Section 871 raises the authorized appropriations for the Title VIII programs for 2026–2030, setting higher baseline funding to expand capacity and support for nursing education and clinical placement activities.
Overall, HB3593 signals a push to grow the nursing workforce through broader program eligibility, modernized training infrastructure, and a more robust funding envelope.
The Five Things You Need to Know
The bill expands eligibility for Advanced Nursing Education Grants to include NP, nurse-midwife, nurse-anesthesia, and clinical nurse specialist programs.
It authorizes modern education tools and methods—simulation, AR, telehealth, and advanced labs—within grant-supported training.
It directs an explicit push to increase nursing school faculty and student numbers to address shortages.
It permits and encourages partnerships with health care facilities to provide clinical education opportunities.
Funding for 2026–2030 is increased to 184.337M for program support and 121.135M for other programmatic needs.
Section-by-Section Breakdown
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Expanded Advanced Nursing Education Grants
Section 811 broadens who qualifies for Advanced Nursing Education Grants. It adds authorization for individuals enrolled in nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs. It also revises the cost rules to include clinical education and preceptors, ensuring training costs are funded. This expands the pipeline by bringing more advanced nursing tracks into grant support and aligns funding with modern training needs.
Strengthening Capacity for Nursing Education and Practice
Section 831 modernizes the toolkit schools of nursing can use with grant support. It explicitly authorizes audiovisual or other equipment, simulation and augmented reality resources, telehealth technologies, and virtual/physical laboratories. It also adds a new policy goal to increase the number of faculty and students to address shortages and expands eligible partnerships with health care facilities, nurse-managed clinics, and community health centers to provide practical clinical education opportunities. Additionally, it broadens survivor-support language to include survivors of sexual assault in related provisions.
Conforming Amendment to Terminology
This provision removes the word “basic” from a related statutory reference, aligning terminology with the updated scope of the Title VIII programs and ensuring consistency across provisions addressing nursing education and workforce development.
Authorization of Appropriations
Section 871 updates the funding trajectory for 2026–2030, raising the baseline appropriations to 184.337 million for each year of 2026–2030 (up from 137.837 million) and 121.135 million for each year of 2026–2030 (up from 117.135 million). This signals a deliberate funding expansion to support the broader program reach, capacity increases, and clinical education activities contemplated in the bill.
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Explore Healthcare in Codify Search →Who Benefits and Who Bears the Cost
Every bill creates winners and losers. Here's who stands to gain and who bears the cost.
Who Benefits
- Nursing schools and program administrators receive expanded grants and clearer authority to invest in faculty, facilities, and equipment.
- Nursing students pursuing NP, CNM, CNS, and nurse anesthetist tracks gain access to more robust programs and updated training modalities.
- Partner health care facilities (including nurse-managed clinics and community health centers) gain opportunities to host clinical nursing education, improving workforce pipelines.
- Communities served by expanded clinical education and training capacity stand to benefit from a larger, better-prepared nursing workforce.
- Federal and state health systems gain a stronger pipeline to meet public health needs with a more versatile nursing workforce.
Who Bears the Cost
- The federal government (via appropriations) bears higher upfront and ongoing costs through 2026–2030.
- Nursing schools must invest in faculty recruitment, facility expansion, and technology to meet expanded program requirements.
- Clinical sites hosting learners may face administrative overhead and supervision costs associated with intensified clinical education programs.
Key Issues
The Core Tension
Balancing rapid expansion of nursing education capacity with rigorous quality controls and sustainable funding remains the bill’s central dilemma: can broader eligibility and higher upfront spending deliver durable improvements in the nursing workforce without compromising training quality or creating unfunded mandates for schools and health facilities?
The bill’s expansion hinges on effective implementation. While modern tools and expanded programs promise faster capacity growth, performance measurement and accountability will be crucial to ensure funds translate into improved training and patient care.
The added survivor-support language expands scope with social services implications, which may require coordination with other federal programs. Overall, the central implementation questions revolve around ensuring quality outcomes, robust evaluation, and sustainable funding across multiple fiscal years.
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