The FAAN Act (HR 6607) creates a $1 billion grant program to support nursing schools in underserved areas. It provides funding to increase faculty and student enrollment, modernize facilities (like simulation labs), expand clinical partnerships, and prioritize recruitment of underrepresented students and faculty. The bill directly affects nursing schools located in medically underserved areas, health professional shortage areas, rural communities, or those serving historically underrepresented populations. Grants must focus on addressing nursing workforce shortages and improving readiness for public health emergencies, with schools required to report on outcomes like student diversity and infrastructure upgrades.
S 2225, the Prevent Interruptions in Physical Therapy Act of 2025, allows physical therapists to use temporary replacement therapists (locum tenens) under Medicare for outpatient physical therapy services. The bill amends Medicare rules to apply the same provisions currently used for physicians' services to physical therapy services, meaning therapists can now fill in gaps during staff shortages without disrupting patient care. This directly affects physical therapists providing Medicare-covered outpatient therapy and Medicare beneficiaries receiving those services. The change takes effect after the bill is enacted, ensuring continuity of care when therapists are unavailable.
HR 305, the One School, One Nurse Act of 2025, authorizes federal grants to help schools recruit, hire, and retain full-time registered nurses. It targets public elementary and secondary schools - especially those in high-need districts with current shortages - to ensure every school has at least one full-time nurse and maintains recommended nurse-to-student ratios. Grant funds can be used for recruitment, converting part-time to full-time roles, increasing salaries for retention, and meeting ratio standards. Schools receiving grants must report annually on nurse staffing, diversity, and progress in addressing student health needs.
The Conrad State 30 and Physician Access Reauthorization Act extends the Conrad State 30 program, which allows foreign physicians to work in U.S. areas with doctor shortages for up to three years in exchange for a waiver of the two-year foreign residency requirement. The bill creates clearer pathways for physicians to adjust their immigration status to permanent residency after completing service requirements in medically underserved areas, while adding protections like banning non-compete clauses in employment agreements. It also establishes annual reporting requirements to track how many physicians are placed in underserved communities. The bill primarily affects foreign physicians seeking to work in the U.S. and health facilities in medically underserved communities.
HR 6592 redefines Medicaid-covered "private duty nursing" as "continuous skilled nursing services" for complex-care patients requiring multiple hours of daily nursing care (as determined by states), mandating these services be provided by licensed nurses (RNs or LPNs). It requires the Secretary to develop national quality standards for these services through a stakeholder working group, to be published within one year. The bill also updates Medicaid waiver services and quality measures to include continuous skilled nursing services, with standards reviewed every eight years. This directly affects complex-care Medicaid beneficiaries and their nursing providers across all states.
Rebuild America’s Health Care Schools Act of 2025 This bill allows hospitals to receive reimbursement under Medicare for certain costs associated with training nursing and allied health students in settings other than the hospital itself. Currently, hospitals may receive reimbursement under Medicare for the reasonable costs associated with training nursing and allied health students if certain conditions are met; the criteria vary depending on whether the students are enrolled in an educational program that is operated by the hospital or another entity. If the students are part of a program that is operated by another entity, the training must occur at the hospital itself or in areas immediately surrounding the hospital in order to qualify for reimbursement (among other requirements). The bill allows hospitals to receive reimbursement for these costs if the training is conducted at an entity that is related to the hospital (i.e., common ownership or control). The bill requires the Centers for Medicare & Medicaid Services (CMS) to update regulations to reflect these changes. Additionally, the CMS may not recoup or reduce payments to hospitals with respect to costs that are allowed under the bill and must refund any such recoupments or reductions that occurred during the six-year period prior to the bill's enactment.
The Title VIII Nursing Workforce Reauthorization Act of 2025 reauthorizes federal funding for nursing education programs through 2030, increasing annual appropriations to support nurse training and workforce development. It expands grant eligibility to include nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs, while requiring funds to cover clinical education costs like preceptor fees. The bill directs grants toward technology such as simulation labs, telehealth, and virtual training to modernize nursing education, and mandates partnerships with healthcare facilities to create clinical training opportunities. Additionally, it updates program requirements to include support for survivors of sexual assault and focuses on increasing nursing faculty and student enrollment to address nationwide nursing shortages.
HR 3593, the Title VIII Nursing Workforce Reauthorization Act of 2025, reauthorizes and expands federal funding for nursing education programs to address workforce shortages. It directly affects nursing schools, nurse practitioner, nurse-midwifery, nurse anesthesia, and clinical nurse specialist programs by expanding grant eligibility to include these specific training pathways. Key provisions include increasing annual funding from $137 million to $184 million (2026-2030), requiring schools to use funds for simulation/technology resources and faculty/student expansion, and adding clinical partnerships with healthcare facilities. The bill also updates terminology and adds protections for survivors of domestic violence and sexual assault in nursing education settings.
Rural Hospital Closure Relief Act of 2025 This bill temporarily allows additional hospitals to qualify as critical access hospitals (CAHs) that receive special payment under Medicare. Currently, in order to qualify as a CAH under Medicare, a hospital must either (1) be located more than 35 miles (or 15 miles in mountainous regions or areas with only secondary roads) from another hospital, or (2) have been certified prior to January 1, 2006, by the state as a necessary provider of services in the area. The bill allows a hospital to also qualify if the hospital is a small, rural hospital that (1) serves a health professional shortage area, or a high number of low-income individuals or Medicare beneficiaries; (2) has experienced financial losses for two consecutive years; and (3) attests to having a strategic plan to address financial solvency and to committing to provide a service that is in high demand in the hospital's service area. This authority expires nine years after the bill's enactment. The Government Accountability Office must study the effects of the bill's implementation. In addition, the Medicare Payment Advisory Commission must study and recommend payment systems for rural hospitals under Medicare. The Centers for Medicare & Medicaid Services must subsequently establish a mechanism and issue guidance on how newly designated CAHs may transition to different payment models under Medicare, including any new payment models recommended by the commission.
This bill prioritizes rural health workforce development by requiring federal grants for training programs to give preference to projects serving rural communities (where participants live, projects are held, or employer partners are located). It mandates that all funded projects include a transportation assistance plan, offering referrals to subsidized programs or direct payments for transit or vehicle costs when public transit isn't accessible. The bill also requires annual reports to Congress assessing how effectively these programs address rural health workforce shortages. These changes aim to improve access to health careers in underserved rural areas starting October 1, 2025.
