- SchoolsIncreased access to school-based healthcare could improve chronic disease management and emergency care.
- StudentsFewer student absences and more instructional time due to on-site nursing care.
- Federal agenciesCreates and preserves school nursing jobs through federally supported hiring and retention activities.
One School, One Nurse Act of 2025
Referred to the Committee on Education and Workforce, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each c…
Authorizes the Secretary of Education to establish a competitive five-year grant program to help local educational agencies ensure every elementary and secondary school has at least one full-time registered nurse and maintain recommended nurse-to-student ratios. Grants may be used for recruiting, converting part-time to full-time positions, retention (including salary increases), and maintaining ratios; priority is given to high-need LEAs and efforts to recruit underrepresented public health professionals.
Federal role and potential overreach versus local control and subsidiarity
Relative to its intended legislative type, this bill establishes a clearly stated federal grant program framework to address school nurse shortages, with moderate specificity on eligible uses, application content, priorities, and reporting, but it omits key fiscal and operational details needed to execute a program of the scale implied.
Authorizes the Secretary of Education to establish a competitive five-year grant program to help local educational agencies ensure every elementary and secondary school has at least one full-time registered nurse and maintain recommended nurse-to-student ratios.
Grants may be used for recruiting, converting part-time to full-time positions, retention (including salary increases), and maintaining ratios; priority is given to high-need LEAs and efforts to recruit underrepresented public health professionals.
The Secretary must issue regulations (in consultation with HHS and Labor) defining ratios, full-time status, and related guidance, and grantees must submit annual reports disaggregated by race, ethnicity, and gender.
Content is broadly popular and administrable, but lack of authorized funding and legislative calendar/priority constraints reduce near‑term odds.
Relative to its intended legislative type, this bill establishes a clearly stated federal grant program framework to address school nurse shortages, with moderate specificity on eligible uses, application content, priorities, and reporting, but it omits key fiscal and operational details needed to execute a program of the scale implied.
Federal role and potential overreach versus local control and subsidiarity
Who stands to gain, and who may push back.
These are examples from the analysis, not a ranked list of the most-affected groups.
- Federal agenciesRequires federal appropriations not specified, increasing potential federal spending obligations.
- Potential burdenFive-year grants may create sustainability challenges when funding ends, risking staff reductions.
- Local governmentsAdministrative application and annual reporting requirements could increase compliance burdens on local agencies.
Why the argument around this bill splits.
Federal role and potential overreach versus local control and subsidiarity
Generally strongly supportive because the bill expands access to health services in schools, addresses inequities, and prioritizes high-need communities.
Values the focus on nurse retention, hiring from underrepresented communities, and data collection to monitor equity and outcomes.
Would want adequate, sustained funding and strong implementation to ensure long-term impacts.
Generally favorable but pragmatic: supports school nurses for student health and attendance benefits while seeking clear cost estimates and accountability.
Wants demonstrated cost-effectiveness, measurable outcomes, and safeguards against unfunded mandates.
Likely to back the program if funding, oversight, and regulatory clarity are included.
Mixed to somewhat opposed: some support school nurses in principle, but concern over new federal programs, regulatory definitions, and ongoing costs.
Worried about federal overreach, hiring-priority language tied to underrepresented groups, and potential mandates or unsustainable obligations for districts after grants expire.
May prefer state or local solutions instead of federal grants.
The path through Congress.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Content is broadly popular and administrable, but lack of authorized funding and legislative calendar/priority constraints reduce near‑term odds.
- No appropriation or authorization of funding specified
- Availability of sufficient nurse workforce in some regions
Recent votes on the bill.
No vote history yet
The bill has not accumulated any surfaced votes yet.
Go deeper than the headline read.
Federal role and potential overreach versus local control and subsidiarity
Content is broadly popular and administrable, but lack of authorized funding and legislative calendar/priority constraints reduce near‑term…
Relative to its intended legislative type, this bill establishes a clearly stated federal grant program framework to address school nurse shortages, with moderate specificity on eligible uses, application content, prior…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.