YourVoice.Now Summary
Workers & JobsTransparency & AccountabilityMedicare would pay hospitals to train more nurse practitioners and midwives, at least half in community clinics
Workers & Jobs
Hospitals working with nursing schools and clinics would get a set amount for each advanced nurse they train. Medicare's trust funds would pay, but only for growth beyond 2024–2025 graduate numbers.
Transparency & Accountability
Each hospital must report yearly on its training, patients seen, and how many grads work in rural or short-staffed areas. Pay drops 25% for a missing report, or for gaps not fixed within 30 days of notice.
More about this bill
Over time, more nurse practitioners, nurse-midwives, and nurse anesthetists could be trained to care for Medicare patients. Medicare would pay hospitals a set amount for each of these advanced nurses they help train. The amount would rise or fall with inflation each year. It would pay only for growth above each nursing school's average yearly graduates in 2024 and 2025. The money would come from Medicare's two trust funds, with no dollar limit in the bill. An earlier trial run was limited to $50 million a year for 2012 through 2015. Each paid hospital must lead a regional team with at least one nursing school and two or more community care sites. These sites include health centers, rural clinics, schools, and nursing homes. Only one team is allowed in each region. At least half of each nurse's training must happen outside the hospital. Rural and underserved areas can get a waiver from that rule. Hospitals must report each year on their training and where their graduates go to work. Most people would see no change right away, since the health secretary must first set up the program.
Congressional Summary
Educating Future Nurses Act This bill establishes a permanent National Graduate Nurse Education Program to provide clinical training to advanced practice registered nurses (APRNs), particularly with respect to services for Medicare beneficiaries. (The Centers for Medicare & Medicaid Services conducted a similar demonstration program from 2012-2016.) Under the program, hospitals may receive payments for the costs associated with providing clinical education to APRNs. Hospitals must partner with nursing schools, regional hospitals or health systems, or non-hospital community providers (e.g., nursing homes) to provide qualifying clinical education. Such education must consist of clinical experience in primary, preventive, transitional, acute, and chronic care, as well as other services that are appropriate for Medicare beneficiaries; at least half of this education must be provided in non-hospital, community-based settings. Participating hospitals must report annually on their programs, subject to payment reductions.
Details
- Congress
- 119th
- Chamber
- House
- Status
- summarized
- Action
- Introduced in House
- Action Date
- 2026-09-16
- Date Added
- 2026-10-08
- Source
- Congress.gov →
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