H.R. 392 (119th)Bill Overview

PRECEPT Nurses Act

Taxation|Taxation
Cosponsors
Support
Republican
Introduced
Jan 14, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Ways and Means.

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

Creates a new nonrefundable tax credit of $2,000 for individual nurse preceptors who serve at least 200 hours in a Health Professional Shortage Area (HPSA) during a taxable year. Eligibility covers licensed RNs or defined health care providers who mentor nursing students or newly hired nurses (first six months).

Why people may split

Lib-left wants stronger, refundable, permanent support; conservatives prefer limited federal role.

Watch point

Relative to its intended legislative type, this bill establishes a clear, narrowly targeted tax credit with defined eligibility and reporting requirements but omits several standard tax-technical and fiscal details that would be necessary for full operational clarity.

Creates a new nonrefundable tax credit of $2,000 for individual nurse preceptors who serve at least 200 hours in a Health Professional Shortage Area (HPSA) during a taxable year.

Eligibility covers licensed RNs or defined health care providers who mentor nursing students or newly hired nurses (first six months).

Requires certification of hours by academic institutions or clinical sites, an annual IRS list of HPSAs, and annual Treasury reporting through 2032, with an evaluation due by June 30, 2033.

Passage40/100

Modest, non-ideological measure with sunset improves acceptability, but fiscal impact and need to include it in a larger package reduce chances.

CredibilityPartially aligned

Relative to its intended legislative type, this bill establishes a clear, narrowly targeted tax credit with defined eligibility and reporting requirements but omits several standard tax-technical and fiscal details that would be necessary for full operational clarity.

Contention48/100

Lib-left wants stronger, refundable, permanent support; conservatives prefer limited federal role.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Students · Federal agenciesFederal agencies

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

Likely helped
  • Potential benefitProvides a direct financial incentive for nurses to serve as preceptors in shortage areas.
  • StudentsMay expand clinical training capacity by increasing available precepting hours for nursing students.
  • Federal agenciesTargets incentives to federally designated shortage areas, potentially improving training access where needed most.
Likely burdened
  • Federal agenciesReduces federal tax receipts, imposing a cost to the Treasury over the program period.
  • Potential burdenThe $2,000 credit may be insufficient to materially change precepting behavior for many nurses.
  • Federal agenciesRequirement to serve in designated shortage areas excludes preceptors outside those federally defined zones.
03 · Why people split

Why the argument around this bill splits.

Lib-left wants stronger, refundable, permanent support; conservatives prefer limited federal role.
Progressive80%

Likely supportive of the bill's aim to expand clinical training capacity in underserved areas, but views the credit as modest and temporary.

Would favor stronger, longer-term investments in nurse pay, loan forgiveness, and institutional funding to expand precepting capacity.

Sees reporting and evaluation as useful but insufficient without higher, refundable support for low-income providers.

Leans supportive
Centrist75%

Generally favorable as a targeted, time-limited incentive to address clinical training shortages in HPSAs, contingent on cost-effectiveness.

Values the built-in reporting and evaluation requirements.

Worries about administrative complexity and whether the $2,000 credit will produce measurable increases in precepting.

Leans supportive
Conservative40%

Mixed to somewhat skeptical: supports addressing workforce shortages but objects to adding a federal tax expenditure.

Prefers state or market-based solutions and questions long-run federal role.

Concerned about fiscal impact, federal overreach, and administrative complexity within the IRS.

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 likelihood40/100

Modest, non-ideological measure with sunset improves acceptability, but fiscal impact and need to include it in a larger package reduce chances.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No cost estimate or estimated enrollment provided
  • Whether committees will require offsets or pay‑fors
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

Lib-left wants stronger, refundable, permanent support; conservatives prefer limited federal role.

Modest, non-ideological measure with sunset improves acceptability, but fiscal impact and need to include it in a larger package reduce cha…

Unlocked analysis

Relative to its intended legislative type, this bill establishes a clear, narrowly targeted tax credit with defined eligibility and reporting requirements but omits several standard tax-technical and fiscal details that…

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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