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.
This bill redefines certain medical care arrangements for tax purposes. It creates a new category called "direct medical care service arrangements," which are fixed-fee payments (like a monthly subscription) for primary or specialty care directly from doctors, nurse practitioners, or physician assistants - bypassing traditional insurance. These arrangements will no longer be treated as "health plans" under tax law, and their fees will qualify as deductible medical expenses. Employers must also report these fees on employees' W-2 forms. The changes apply to tax years starting after December 2024.
This bill establishes a 2-year pilot program to create or strengthen state-based nursing workforce centers, funded with $1.5 million annually for 2026-2027. It requires states to match federal funds at a 1:4 ratio (e.g., $1 state funding for every $4 federal) and directs centers to analyze nursing data, address shortages, and develop retention strategies for nurses across all practice settings. Centers must report annually on initiatives like workforce planning, scholarship programs, and efforts to improve rural recruitment, with the goal of reducing nursing shortages and improving geographic distribution. The program targets state agencies, nursing boards, schools of nursing, and community organizations working directly with nursing workforce data and education.
The PRECEPT Nurses Act creates a $2,000 annual tax credit for registered nurses who mentor nursing students or newly hired nurses (within their first six months of employment) in designated health professional shortage areas. To qualify, preceptors must complete at least 200 hours of mentoring annually, verified by certification from either the nursing school or clinical site. The credit applies to tax years beginning after December 31, 2025, and expires after 2032, requiring annual reports to Congress and an evaluation of its effectiveness by 2033.
This bill requires VA-employed physicians or nurse practitioners to sign a veteran's death certificate within 48 hours of learning of their death (for natural causes), addressing delays that have lasted up to eight weeks. It directly affects veterans' families and survivors who face blocked burial arrangements and delayed access to benefits due to these certification delays. The bill also mandates annual VA reports to Congress on compliance, including the percentage of timely certifications and reasons for delays. Key provisions focus on setting a clear 48-hour deadline for VA providers and creating transparency through mandatory reporting. It does not override state medical certification laws or require VA staff to violate their licensing requirements.
HR 6739, the Clarity in Professional Degree Act, amends the Higher Education Act to restore federal student aid eligibility for specific professional degree programs that were excluded under a recent Department of Education rule change. It directly affects students pursuing degrees in nursing (ADN, RN, BSN), occupational therapy, physical therapy, social work, accounting, architecture, education specialties, and public health. The bill adds these 10 degree types to the official definition of "professional degree" under federal aid rules, reversing a policy expected to take effect July 1, 2026, which would have removed their aid eligibility. This change ensures students in these critical fields can continue accessing federal loans and grants.
This bill directs the Health Resources and Services Administration (HRSA) to create a real-time online dashboard tracking graduate medical education residency programs. It requires the dashboard to show residency application numbers, geographic applicant distribution, match rates, training completion, and physician placement in rural/underserved areas - all using de-identified data to protect privacy. The dashboard will be developed with collaboration from agencies like Medicare (CMS) and the VA, and must integrate with existing systems to avoid duplication. HRSA must report annually to Congress on the dashboard's operation and findings related to physician workforce distribution.
HR 5384, the MORE Act, changes rules for health profession opportunity grants under the Social Security Act. It requires the Secretary to give preference to grant applicants who partner with specific entities: state/local government/social service providers, colleges/apprenticeship programs, and healthcare employers/unions. This directly affects applicants seeking federal grants to support health workforce training programs. The policy change takes effect on October 1, 2025. The bill modifies selection criteria without altering grant funding levels or creating new programs.
