- StudentsIncreases student access to registered nurses, improving direct health care availability during the school day.
- Targeted stakeholdersBetter chronic disease management could reduce absenteeism and support more classroom learning time.
- Local governmentsCreates demand for additional registered nurse positions, potentially generating local healthcare and education jobs.
NURSE Act
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…
Creates a competitive demonstration grant program at the Department of Education to increase the number of registered school nurses in public elementary and secondary schools.
Grants target eligible local educational agencies (LEAs) and consortia serving high proportions of low-income students, give priority to high-need LEAs or those without any nurse, fund up to 75 percent of costs (phasing down in later years), allow non-Federal matches with waiver authority for hardship, require a 2-year program report to Congress, and authorizes “such sums as may be necessary” for FY2026–2030.
Substantive but narrow, non-controversial grant program with usual barrier of securing appropriations and fitting into larger budget vehicles.
Relative to its intended legislative type, this bill clearly defines the problem and establishes a statutory grant mechanism with key definitions, eligibility, priorities, cost‑sharing rules, and a required evaluation report. It is a well‑scoped authorization for a demonstration program but leaves significant operational, fiscal, and measurement details to be filled in (by regulation, guidance, or appropriations), which limits immediate implementability.
Federal role and funding scale versus local control
Who stands to gain, and who may push back.
- Local governmentsRequires ongoing state or local funding after grant end, risking program discontinuation without sustained resources.
- Targeted stakeholdersAdds administrative and reporting requirements for applicants and grantees, increasing district workload.
- SchoolsCompetitive grants may leave eligible schools without support if not selected.
Why the argument around this bill splits.
Federal role and funding scale versus local control
Likely strongly supportive.
The bill targets health equity by prioritizing under-resourced LEAs and aims to address chronic and mental health needs that impede learning.
Advocates would welcome federal assistance expanding school-based health care but may find funding authorization too vague.
Generally favorable but cautious.
The program addresses a clear service gap and includes evaluation requirements, but details on funding scale, sustainability, and workforce capacity matter.
Would seek clearer appropriation language and measurable performance indicators.
Skeptical or somewhat opposed.
While recognizing benefits of school nurses, this persona worries about federal intrusion into local education and health functions, open-ended federal spending, and the program’s long-term fiscal burden on states and districts once federal funds decline.
The path through Congress.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Substantive but narrow, non-controversial grant program with usual barrier of securing appropriations and fitting into larger budget vehicles.
- No cost estimate or appropriation amount specified
- State and local workforce capacity to hire nurses
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 funding scale versus local control
Substantive but narrow, non-controversial grant program with usual barrier of securing appropriations and fitting into larger budget vehicl…
Relative to its intended legislative type, this bill clearly defines the problem and establishes a statutory grant mechanism with key definitions, eligibility, priorities, cost‑sharing rules, and a required evaluation r…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.