Though Congress did not expressly delineate separate appropriations to fund these grants, HRSA has allocated funds to carry out activities in accordance with this provision (e.g., see here). To view the HRSA webpage for this initiative, visit here.
On July 29, 2013, HRSA posted an information collection pertaining to the Advanced Education Nursing Traineeship (AENT) program application, which was amended by this provision of the ACA. Comments on the underlying information collection are due within 60 days of publication, i.e., on or around September 26.
Also, on July 29, 2013, HRSA posted an information collection pertaining to the ACA-authorized advanced education nursing training grants, specifically aimed at increasing nurse anesthetists under the Nurse Anesthetist Traineeship (NAT) Program. Comments are due within 60-days of publication,putting the date somewhere around September 29, 2013 for comments.
On October 3, 2013, HRSA submitted for review a new information collection pertaining to the ACA-amended Nurse Anesthetist Traineeship (NAT) Program. Comments on the underlying survey collection are due within 30 days of the notice’s promulgation, putting the deadline for comments on or around November 3.
On December 5, 2013, HHS announced the award of $55.5 million to support 270 grants in FY13 to enhance workforce training/development and address professional shortage areas. Grants awarded – a detailed listing by state are available here – are intended to bolster the nursing, public health, behavioral health, and dental workforce, with the vast majority of the total funding ($45.4 million) allotted to nursing workforce development. $9.2 million was allotted to support advanced nursing education. Additional details are available here.
On December 9, HRSA announced the Nurse Anesthetist Traineeship Program (NAT) grant program for which applications were due January 16, 2014. Solicitations were separately sought under the Advanced Education Nursing Traineeship (AENT) Program for which applications were also due January 16, 2014.
On July 14, HRSA announced the award of roughly $94 million to support a number of programs, many of which buttressed by the ACA, to strengthen and expand the health care workforce.
On July 20, HRSA awarded $11.3 million in funds for 19 projects that develop and test innovative academic-practice partnership models for clinical training and prepare primary care advanced practice nursing students to provide quality care.
SEC. 5308. ADVANCED NURSING EDUCATION GRANTS. Section 811 of the Public Health Service Act (42 U.S.C. 296j) is amended— (1) in subsection (c)— (A) in the subsection heading, by striking ‘‘AND NURSE MIDWIFERY PROGRAMS’’; and (B) by striking ‘‘and nurse midwifery’’; (2) in subsection (f)— (A) by striking paragraph (2); and (B) by redesignating paragraph (3) as paragraph (2); and (3) by redesignating subsections (d), (e), and (f) as subsections (e), (f), and (g), respectively; and (4) by inserting after subsection (c), the following: ‘‘(d) AUTHORIZED NURSE-MIDWIFERY PROGRAMS.—Midwifery programs that are eligible for support under this section are educational programs that— ‘‘(1) have as their objective the education of midwives; and ‘‘(2) are accredited by the American College of Nurse-Midwives Accreditation Commission for Midwifery Education.’’. SEC. 5309. NURSE EDUCATION, PRACTICE, AND RETENTION GRANTS. (a) IN GENERAL.—Section 831 of the Public Health Service Act (42 U.S.C. 296p) is amended— (1) in the section heading, by striking ‘‘RETENTION’’ and inserting ‘‘QUALITY’’; (2) in subsection (a)— (A) in paragraph (1), by adding ‘‘or’’ after the semicolon; (B) by striking paragraph (2); and (C) by redesignating paragraph (3) as paragraph (2); (3) in subsection (b)(3), by striking ‘‘managed care, quality improvement’’ and inserting ‘‘coordinated care’’; (4) in subsection (g), by inserting ‘‘, as defined in section 801(2),’’ after ‘‘school of nursing’’; and (5) in subsection (h), by striking ‘‘2003 through 2007’’ and inserting ‘‘2010 through 2014’’. (b) NURSE RETENTION GRANTS.—Title VIII of the Public Health Service Act is amended by inserting after section 831 (42 U.S.C. 296b) the following: ‘‘SEC. 831A ø42 U.S.C. 296p–1¿. NURSE RETENTION GRANTS. ‘‘(a) RETENTION PRIORITY AREAS.—The Secretary may award grants to, and enter into contracts with, eligible entities to enhance the nursing workforce by initiating and maintaining nurse retention programs pursuant to subsection (b) or (c). ‘‘(b) GRANTS FOR CAREER LADDER PROGRAM.—The Secretary may award grants to, and enter into contracts with, eligible entities for programs— ‘‘(1) to promote career advancement for individuals including licensed practical nurses, licensed vocational nurses, certified nurse assistants, home health aides, diploma degree or associate degree nurses, to become baccalaureate prepared registered nurses or advanced education nurses in order to meet the needs of the registered nurse workforce; ‘‘(2) developing and implementing internships and residency programs in collaboration with an accredited school of nursing, as defined by section 801(2), to encourage mentoring and the development of specialties; or ‘‘(3) to assist individuals in obtaining education and training required to enter the nursing profession and advance within such profession. ‘‘(c) ENHANCING PATIENT CARE DELIVERY SYSTEMS.— ‘‘(1) GRANTS.—The Secretary may award grants to eligible entities to improve the retention of nurses and enhance patient care that is directly related to nursing activities by enhancing collaboration and communication among nurses and other health care professionals, and by promoting nurse involvement in the organizational and clinical decision-making processes of a health care facility. ‘‘(2) PRIORITY.—In making awards of grants under this subsection, the Secretary shall give preference to applicants that have not previously received an award under this subsection (or section 831(c) as such section existed on the day before the date of enactment of this section). ‘‘(3) CONTINUATION OF AN AWARD.—The Secretary shall make continuation of any award under this subsection beyond the second year of such award contingent on the recipient of such award having demonstrated to the Secretary measurable and substantive improvement in nurse retention or patient care. ‘‘(d) OTHER PRIORITY AREAS.—The Secretary may award grants to, or enter into contracts with, eligible entities to address other areas that are of high priority to nurse retention, as determined by the Secretary. ‘‘(e) REPORT.—The Secretary shall submit to the Congress before the end of each fiscal year a report on the grants awarded and the contracts entered into under this section. Each such report shall identify the overall number of such grants and contracts and provide an explanation of why each such grant or contract will meet the priority need of the nursing workforce. ‘‘(f) ELIGIBLE ENTITY.—For purposes of this section, the term ‘eligible entity’ includes an accredited school of nursing, as defined by section 801(2), a health care facility, or a partnership of such a school and facility. ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years 2010 through 2012.’’.