S To fund comprehensive programs to ensure an adequate supply of nurses. IN THE SENATE OF THE UNITED STATES
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1 II 1TH CONGRESS 1ST SESSION S. 0 To fund comprehensive programs to ensure an adequate supply of nurses. IN THE SENATE OF THE UNITED STATES SEPTEMBER 1, 00 Mr. DURBIN introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To fund comprehensive programs to ensure an adequate supply of nurses. 1 Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the Nurse Training and Retention Act of 00. SEC.. FINDINGS. Congress makes the following findings: (1) America s healthcare system depends on an adequate supply of trained nurses to deliver quality cnoel on PRODPC0 with BILLS patient care. VerDate Aug : Sep, 00 Jkt 000 PO Frm Fmt Sfmt 01 E:\BILLS\S0.IS S0
2 () Over the next 1 years, this shortage is expected to grow significantly. The Health Resources and Services Administration has projected that by 00, there will be a shortage of nurses in every State and that overall only percent of the demand for nurses will be satisfied, with a shortage of 1,01,00 nurses nationally. () To avert such a shortage, today s network of healthcare workers should have access to education and support from their employers to participate in educational and training opportunities. () With the appropriate education and support, incumbent healthcare workers and incumbent bedside nurses are untapped sources which can meet these needs and address the nursing shortage and provide quality care as the American population ages. SEC.. ESTABLISHMENT OF GRANT PROGRAM. (a) PURPOSES. It is the purpose of this section to authorize grants to (1) address the projected shortage of nurses by funding comprehensive programs to create a career ladder to nursing (including Certified Nurse Assistants, Licensed Practical Nurses, Licensed Vocational cnoel on PRODPC0 with BILLS VerDate Aug : Sep, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
3 cnoel on PRODPC0 with BILLS 1 Nurses, and Registered Nurses) for incumbent ancil- lary healthcare workers; () increase the capacity for educating nurses by increasing both nurse faculty and clinical oppor- tunities through collaborative programs between staff nurse organizations, healthcare providers, and accredited schools of nursing; and () provide training programs through edu- cation and training organizations jointly adminis- tered by healthcare providers and healthcare labor organizations or other organizations representing 1 staff nurses and frontline healthcare workers, work- 1 ing in collaboration with accredited schools of nurs- 1 ing and academic institutions. 1 (b) GRANTS. Not later than months after the date 1 of enactment of this Act, the Secretary of Labor (referred 1 to in this section as the Secretary ) shall establish a 1 partnership grant program to award grants to eligible en- tities to carry out comprehensive programs to provide edu- 0 cation to nurses and create a pipeline to nursing for in- 1 cumbent ancillary healthcare workers who wish to advance their careers, and to otherwise carry out the purposes of this section. (c) ELIGIBLE ENTITIES. To be eligible to receive a grant under this section an entity shall VerDate Aug : Sep, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
4 cnoel on PRODPC0 with BILLS 1 (1) be (A) a healthcare entity that is jointly ad- ministered by a healthcare employer and a labor union representing the healthcare employees of the employer and that carries out activities using labor management training funds as pro- vided for under section 0 of the Labor-Man- agement Relations Act, (1 U.S.C. 1(c)()); (B) an entity that operates a training pro- gram that is jointly administered by 1 (i) one or more healthcare providers 1 or facilities, or a trade association of 1 healthcare providers; and 1 (ii) one or more organizations which 1 represent the interests of direct care 1 healthcare workers or staff nurses and in 1 which the direct care healthcare workers or staff nurses have direct input as to the 0 leadership of the organization; or 1 (C) a State training partnership program that consists of non-profit organizations that include equal participation from industry, in- cluding public or private employers, and labor organizations including joint labor-management VerDate Aug : Sep 0, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
5 training programs, and which may include representatives from local governments, worker investment agency one-stop career centers, community based organizations, community colleges, and accredited schools of nursing; and () submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (d) ADDITIONAL REQUIREMENTS FOR HEALTHCARE EMPLOYER DESCRIBED IN SUBSECTION (c). To be eligible for a grant under this section, a healthcare employer described in subsection (c) shall demonstrate (1) an established program within their facility to encourage the retention of existing nurses; () it provides wages and benefits to its nurses that are competitive for its market or that have been collectively bargained with a labor organization; and () support for programs funded under this section through 1 or more of the following: (A) The provision of paid leave time and continued health coverage to incumbent healthcare workers to allow their participation in nursing career ladder programs, including Certified Nurse Assistants, Licensed Practical cnoel on PRODPC0 with BILLS VerDate Aug : Sep, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
6 cnoel on PRODPC0 with BILLS 1 Nurses, Licensed Vocational Nurses, and Reg- istered Nurses. (B) Contributions to a joint labor-manage- ment training fund which administers the pro- gram involved. (C) The provision of paid release time, in- centive compensation, or continued health cov- erage to staff nurses who desire to work full- or part-time in a faculty position. (D) The provision of paid release time for staff nurses to enable them to obtain a Bach- 1 elor of Science in Nursing degree, other ad- 1 vanced nursing degrees, specialty training, or 1 certification program. 1 (E) The payment of tuition assistance 1 which is managed by a joint labor-management 1 training fund or other jointly administered pro- 1 gram. 0 1 (e) OTHER REQUIREMENTS. (1) MATCHING REQUIREMENT. (A) IN GENERAL. The Secretary may not make a grant under this section unless the applicant involved agrees, with respect to the costs to be incurred by the applicant in carrying out the program under the grant, to make available VerDate Aug : Sep, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
7 cnoel on PRODPC0 with BILLS 1 non-federal contributions (in cash or in kind under subparagraph (B)) toward such costs in an amount equal to not less than $1 for each $1 of Federal funds provided in the grant. Such contributions may be made directly or through donations from public or private entities, or may be provided through the cash equivalent of paid release time provided to incumbent worker students FEDERAL (B) DETERMINATION OF AMOUNT OF NON- CONTRIBUTION. Non-Federal con- tributions required in subparagraph (A) may be in cash or in kind (including paid release time), fairly evaluated, including equipment or services (and excluding indirect or overhead costs). Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-federal contributions. () REQUIRED COLLABORATION. Entities carrying out or overseeing programs carried out with assistance provided under this section shall demonstrate collaboration with accredited schools of nursing which may include community colleges and VerDate Aug : Sep, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
8 other academic institutions providing Associate, Bachelor s, or advanced nursing degree programs or specialty training or certification programs. (f) ACTIVITIES. Amounts awarded to an entity under a grant under this section shall be used for the following: (1) To carry out programs that provide education and training to establish nursing career ladders to educate incumbent healthcare workers to become nurses (including Certified Nurse Assistants, Licensed Practical Nurses, Licensed Vocational Nurses, and Registered Nurses). Such programs shall include one or more of the following: (A) Preparing incumbent workers to return to the classroom through English as a second language education, GED education, pre-college counseling, college preparation classes, and support with entry level college classes that are a prerequisite to nursing. (B) Providing tuition assistance with preference for dedicated cohort classes in community colleges, universities, accredited schools of nursing with supportive services including tutoring and counseling. cnoel on PRODPC0 with BILLS VerDate Aug : Sep, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
9 cnoel on PRODPC0 with BILLS 1 (C) Providing assistance in preparing for and meeting all nursing licensure tests and re- quirements. (D) Carrying out orientation and mentorship programs that assist newly grad- uated nurses in adjusting to working at the bedside to ensure their retention post gradua- tion, and ongoing programs to support nurse retention. (E) Providing stipends for release time and continued healthcare coverage to enable incum- 1 bent healthcare workers to participate in these 1 programs. 1 () To carry out programs that assist nurses in 1 obtaining advanced degrees and completing specialty 1 training or certification programs and to establish 1 incentives for nurses to assume nurse faculty posi- 1 tions on a part-time or full-time basis. Such pro- grams shall include one or more of the following: 0 (A) Increasing the pool of nurses with ad- 1 vanced degrees who are interested in teaching by funding programs that enable incumbent nurses to return to school. (B) Establishing incentives for advanced degree bedside nurses who wish to teach in VerDate Aug : Sep, 00 Jkt 000 PO Frm 0000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
10 cnoel on PRODPC0 with BILLS 1 nursing programs so they can obtain a leave from their bedside position to assume a full- or part-time position as adjunct or full time fac- ulty without the loss of salary or benefits. (C) Collaboration with accredited schools of nursing which may include community col- leges and other academic institutions providing Associate, Bachelor s, or advanced nursing de- gree programs, or specialty training or certifi- cation programs, for nurses to carry out innova- tive nursing programs which meet the needs of 1 bedside nursing and healthcare providers. 1 (g) PREFERENCE. In awarding grants under this 1 section the Secretary shall give preference to programs 1 that 1 (1) provide for improving nurse retention; 1 () provide for improving the diversity of the 1 new nurse graduates to reflect changes in the demo- graphics of the patient population; 0 () provide for improving the quality of nursing 1 education to improve patient care and safety; () have demonstrated success in upgrading in- cumbent healthcare workers to become nurses or which have established effective programs or pilots to increase nurse faculty; or VerDate Aug : Sep 0, 00 Jkt 000 PO Frm 000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
11 () are modeled after or affiliated with such programs described in paragraph (). (h) EVALUATION. (1) PROGRAM EVALUATIONS. An entity that receives a grant under this section shall annually evaluate, and submit to the Secretary a report on, the activities carried out under the grant and the outcomes of such activities. Such outcomes may include (A) an increased number of incumbent workers entering an accredited school of nursing and in the pipeline for nursing programs; (B) an increasing number of graduating nurses and improved nurse graduation and licensure rates; (C) improved nurse retention; (D) an increase in the number of staff nurses at the healthcare facility involved; (E) an increase in the number of nurses with advanced degrees in nursing; (F) an increase in the number of nurse faculty; (G) improved measures of patient quality (which may include staffing ratios of nurses, cnoel on PRODPC0 with BILLS VerDate Aug : Sep, 00 Jkt 000 PO Frm 000 Fmt Sfmt 01 E:\BILLS\S0.IS S0
12 patient satisfaction rates, patient safety measures); and (H) an increase in the diversity of new nurse graduates relative to the patient population. () GENERAL REPORT. Not later than years after the date of enactment of this Act, and annually thereafter, the Secretary of Labor shall, using data and information from the reports received under paragraph (1), submit to Congress a report concerning the overall effectiveness of the grant program carried out under this section. (i) AUTHORIZATION OF APPROPRIATIONS. There are authorized to be appropriated to carry out this section, such sums as may be necessary. Æ cnoel on PRODPC0 with BILLS VerDate Aug : Sep, 00 Jkt 000 PO Frm 0001 Fmt Sfmt 01 E:\BILLS\S0.IS S0
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H. R. 497. To require training for teachers in social and emotional learning programming, and for other purposes. IN THE HOUSE OF REPRESENTATIVES
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S. 1372. To repeal the crude oil export ban, and for other purposes. IN THE SENATE OF THE UNITED STATES
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S. 217 IN THE SENATE OF THE UNITED STATES
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