NURSE Act
Sponsored By: Representative Rep. Titus, Dina [D-NV-1]
Introduced
Summary
This bill would create a federal demonstration grant program to _increase the number of school nurses in under-resourced public elementary and secondary schools_. Grants would target districts with high shares of children eligible for the National School Lunch Program and fund nurses who can serve single or multiple districts.
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- Students and families: Students in high-poverty schools would gain greater access to registered nurses, and grantees must report on impacts like attendance and academic achievement.
- Local and state education agencies: Local educational agencies with at least 20 percent NSLP-eligible children, or "high-need" LEAs that serve 15,000 NSLP-eligible kids or have 40 percent eligibility, could compete for grants. The federal share may be up to 75 percent per year and declines in later years, and State educational agencies in consortium may reserve up to 10 percent for statewide health activities.
- Nurses and school health operations: The bill defines a nurse as a registered nurse under state law. Applications must include data on current nurse counts, student health acuity, and nurse workloads, and grants may fund nurses who serve multiple districts.
The Act authorizes such sums as may be necessary to carry out the program for fiscal years 2026 through 2030, and requires a report to Congress within two years after the first grant evaluating nurse numbers and effects on student health and learning outcomes.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More school nurses in high-need districts
This bill would create competitive grants to help public schools hire more registered nurses, including nurses shared across districts. Grants could cover up to 75% of costs each year, and the federal share would drop in later years; states or locals would fund the rest, with hardship waivers possible. Eligible applicants would be districts with at least 20% of students in the school lunch program, consortia of those districts, or a state agency partnering with them. Priority would go to high-need areas (serving 15,000 or more lunch-eligible students or with 40% eligible) and to schools with no nurse or the greatest need. Applications would include current nurse counts, student health acuity, and nurse workload; a state grantee would subgrant to districts and could use up to 10% for statewide training and help. Funding would be authorized for fiscal years 2026–2030 with no set amount, so awards would depend on later appropriations.
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Sponsors & CoSponsors
Sponsor
Rep. Titus, Dina [D-NV-1]
NV • D
Cosponsors
Rep. Kiggans, Jennifer A. [R-VA-2]
VA • R
Sponsored 5/7/2025
Rep. Fitzpatrick, Brian K. [R-PA-1]
PA • R
Sponsored 5/19/2025
Bresnahan
PA • R
Sponsored 12/18/2025
Rep. Bacon, Don [R-NE-2]
NE • R
Sponsored 11/7/2025
Roll Call Votes
No roll call votes available for this bill.
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