H.R. 3593 (119th)Bill Overview

Title VIII Nursing Workforce Reauthorization Act of 2025

Health|Employment and training programsHealth
Cosponsors
Support
Lean Republican
Introduced
May 23, 2025
Discussions
Bill Text
Current stageCommittee

Forwarded by Subcommittee to Full Committee by Voice Vote.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill reauthorizes and updates Title VIII nursing workforce programs in the Public Health Service Act. It clarifies eligible advanced nursing education programs (NP, nurse‑midwife, nurse anesthesia, clinical nurse specialist), expands allowable uses for grants (simulation, telehealth, preceptor costs, clinical partnerships), adds capacity-building for faculty and students, includes survivors of domestic and sexual violence in certain provisions, and raises authorized funding levels for fiscal years 2026–2030.

Why people may split

Liberals emphasize workforce expansion, equity, and modern training tools.

Watch point

Relative to its intended legislative type, this bill functions as a typical statutory reauthorization: it amends specific Title VIII provisions, clarifies allowable uses, and sets multi‑year funding authorizations while relying on existing program authorities for execution.

The bill reauthorizes and updates Title VIII nursing workforce programs in the Public Health Service Act.

It clarifies eligible advanced nursing education programs (NP, nurse‑midwife, nurse anesthesia, clinical nurse specialist), expands allowable uses for grants (simulation, telehealth, preceptor costs, clinical partnerships), adds capacity-building for faculty and students, includes survivors of domestic and sexual violence in certain provisions, and raises authorized funding levels for fiscal years 2026–2030.

Passage45/100

Content is low-controversy and technical, improving chances; but authorization increases require separate appropriations and must survive procedural hurdles.

CredibilityPartially aligned

Relative to its intended legislative type, this bill functions as a typical statutory reauthorization: it amends specific Title VIII provisions, clarifies allowable uses, and sets multi‑year funding authorizations while relying on existing program authorities for execution.

Contention58/100

Liberals emphasize workforce expansion, equity, and modern training tools.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Cities · WorkersFederal agencies · Schools

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • CitiesProvides additional funding and program support to expand nursing education capacity nationwide.
  • Potential benefitAuthorizes advanced practice training for nurse practitioners, midwives, anesthetists, and clinical nurse specialists.
  • WorkersFunds may enable more simulation, augmented reality, telehealth, and virtual laboratories in curricula.
Likely burdened
  • Federal agenciesIncreases federal spending by about $184 million and $121 million annually in authorized years.
  • SchoolsAdministrative requirements may impose regulatory burden on schools to comply with grant conditions.
  • Potential burdenFunding may not ensure equitable nurse distribution to rural or underserved communities.
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize workforce expansion, equity, and modern training tools.
Progressive90%

Generally supportive; views this as a needed federal investment to expand nursing workforce capacity and modernize training.

Appreciates inclusion of clinical-preceptor costs, simulation and telehealth resources, and funding increases to address shortages.

Leans supportive
Centrist70%

Generally favorable but pragmatic; supports workforce strengthening and updated training uses, while wanting measurable outcomes and fiscal accountability.

Sees value in partnerships with clinical sites but wants clarity on performance and funding offsets.

Leans supportive
Conservative45%

Cautious to skeptical; supports training and workforce development in principle but concerned about increased federal spending, possible expansion of advanced practice scopes, and federal micromanagement of health education.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood45/100

Content is low-controversy and technical, improving chances; but authorization increases require separate appropriations and must survive procedural hurdles.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • No CBO cost estimate included
  • Whether appropriations will follow authorizations
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberals emphasize workforce expansion, equity, and modern training tools.

Content is low-controversy and technical, improving chances; but authorization increases require separate appropriations and must survive p…

Unlocked analysis

Relative to its intended legislative type, this bill functions as a typical statutory reauthorization: it amends specific Title VIII provisions, clarifies allowable uses, and sets multi‑year funding authorizations while…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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