H.R. 3262 (119th)Bill Overview

NURSE Act

Education|Education
Cosponsors
Support
Lean Republican
Introduced
May 7, 2025
Discussions
Bill Text
Current stageCommittee

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…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief

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.

Passage60/100

Substantive but narrow, non-controversial grant program with usual barrier of securing appropriations and fitting into larger budget vehicles.

CredibilityPartially aligned

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.

Contention55/100

Federal role and funding scale versus local control

02 · What it does

Who stands to gain, and who may push back.

Who this appears to help vs burden50% / 50%
Students · Local governmentsLocal governments · Schools
Likely helped
  • 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.
Likely burdened
  • 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.
03 · Why people split

Why the argument around this bill splits.

Federal role and funding scale versus local control
Progressive90%

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.

Leans supportive
Centrist70%

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.

Leans supportive
Conservative30%

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.

Likely resistant
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 likelihood60/100

Substantive but narrow, non-controversial grant program with usual barrier of securing appropriations and fitting into larger budget vehicles.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • No cost estimate or appropriation amount specified
  • State and local workforce capacity to hire nurses
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

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…

Unlocked analysis

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.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis