27 1 school affiliated with a hospital or university, or an independ ent school, which provides primarily or exclusively an 3 accredited program of education in professional nursing and 4 allied subjects leading to a diploma or to equivalent indicia 5 that such program has been satisfactorily completed. 6 "(f) The term 'accredited' when applied to any pro7 gram of nurse education means a program accredited by a 8 recognized body or bodies approved for such purpose by the 9 Commissioner of Education, except that a program which 10 is not, at the time of the application under this title by the 11 school which provides or will provide such program, eligible 12 for accreditation by such a recognized body or bodies, shall 13 be deemed accredited for purposes of this title in the follow14 ing cases if the Commissioner of Education finds, after con15 sultation with the appropriate accreditation body or bodies, 16 that there is reasonable assurance that the program will meet 17 the accreditation standards of such body or bodies (1) in the case of an applicant under part A for a grant for a project for 19 construction of a new school, prior to or upon completion of 20 the facility with respect to which the application is filed; 21 (2) in the case of a school applying for a grant under 22 section 805 for a project to strengthen, improve, or expand 23 its programs to teach and train nurses, prior to or upon 24 completion of the project with respect to which the applica25 tion is filed; and (3) in the case of a school seeking an 18 28 1 agreement under part B for establishment of a student loan 2 fund, prior to the beginning of the academic year following 3 the normal graduation date of students who are in their first 4 year of instruction at such school during the fiscal year in 5 which the agreement with such school is made under part 6 B; except that the provisions of this clause (3) shall not 7 apply for purposes of section 825. 8 "(g) The term 'nonprofit' as applied to any school, 9 agency, organization, or institution means one which is a 10 corporation or association, or is owned and operated by one 11 or more corporations or associations, no part of the net earn12 ings of which inures, or may lawfully inure, to the benefit of 13 any private shareholder or individual. 14 "(h) The term 'secondary school' means a school 15 which provides secondary education, as determined under 16 State law except that it does not include any education pro17 vided beyond grade 12. 18 "(i) The terms 'construction' and 'cost of construction' 19 include (1) the construction of new buildings, and the ac20 quisition, expansion, remodeling, replacement, and altera21 tion of existing buildings, including architects' fees, but not 22 including the cost of acquisition of land (except in the case 23 of acquisition of an existing building), off-site improvements, 24 living quarters, or patient-care facilities, and (2) equipping 36-435 64-5 29 new buildings and existing buildings, whether or not ac 2 quired, expanded, remodeled, or altered." 3 SEC. 3. (a) Effective with respect to appropriations for 4 fiscal years beginning after June 30, 1964, section 720 of 5 the Public Health Service Act is amended by striking out 6 "nurses," wherever it appears therein. 7 (b) Effective with respect to applications for grants 8 from appropriations for fiscal years beginning after June 30, 9 1964, subsections (b), (c), and (d) of section 721 of such 10 Act are amended by striking out "nursing," and "nurses," 11 wherever they appear therein, and section 631 (e) of such 12 Act is amended by striking out "nurses' home and training 13 facilities" and inserting in lieu thereof "nurses' home 14 facilities". 15 (c) Effective with respect to appointments to the Na16 tional Advisory Council on Education for Health Professions 17 made after enactment of this Act, section 725 (a) of such 18 Act is amended by striking out "nursing,". 19 (d) Effective July 1, 1964, section 728 of such Act is 20 amended by striking out "nursing,". 21 225 SEC. 4. (a) Section 1 of the Public Health Service Act 22 is amended to read as follows: 23 "SECTION 1. Titles I to VIII, inclusive, of this Act 24 may be cited as the 'Public Health Service Act'." 30 1 (b) The Act of July 1, 1944 (58 Stat. 682), as 2 amended, is further amended by renumbering title VIII 3 4 (as in effect prior to the enactment of this Act) as title IX, and by renumbering sections 801 through 814 (as in effect 5 prior to the enactment of this Act), and references thereto, Passed the House of Representatives July 21, 1964. Attest: RALPH R. ROBERTS, Clerk. EXECUTIVE OFFICE OF THE PRESIDENT, BUREAU OF the BUDGET, Washington, D.C., August 5, 1984. Hon. LISTER HILL, Chairman, Committee on Labor and Public Welfare, DEAR MR. CHAIRMAN: This is in reply to your letter of July 23, 1964, requesting the views of the Bureau of the Budget on H.R. 11241, a bill to amend the Publie Health Service Act to increase the opportunities for training professional nursing personnel, and for other purposes. The growing complexity of medical science and an ever-increasing population has created a great demand for well-trained medical practitioners to meet the present acute shortage of manpower in this area. The enactment of the Health Professions Educational Assistance Act of 1963 does much to stimulate medical education. The President has stated in his health message, however, that an increasing number of nurses are required if adequate medical care is to be provided. In fact, to insure enough professional nurses, nursing school enrollments must be raised by 75 percent. Passage of H.R. 11241 would greatly encourage an increase in both the quantity and quality of nursing training. Enactment of this legislation would be in accord with the program of the President. Sincerely yours, PHILLIP S. HUGHES. DEPARTMENT OF HEALTH, EDUCATION, AND Welfare, Hon. LISTER HILL, DEAR MR. CHAIRMAN: This letter is in response to your request of July 23, 1964, for a report on H.R. 11241 as passed by the House, an act to amend the Publit Health Service Act to increase the opportunities for training professional nursing personnel, and for other purposes. The purpose of this bill is to increase the supply of nurses in the United States through a variety of approaches. The major provisions of this bill would: (1) Authorize a 4-year program of construction grants for teaching facili ties to exapnd the training capacity of nursing schools. (2) Authorize a 5-year program of project grants to assist collegiate and associate degree schools of nursing to meet the additional costs of strengthening, improving, or expanding their training program; and a 5-year program of formula grants to diploma schools of nursing for partial reimbursement of costs of training students of nursing whose attendance may be attributable to this legislation. (3) Extend for 5 years and expand the existing program of tranineeships for advanced training of professional nurses. (4) Authorize a 5-year student loan program for students of nursing st collegiate, associate degree, and diploma schools of nursing. CONSTRUCTION GRANTS To help meet the urgent need for facilities to expand the Nation's capacity to train nurses, the bill would authorize a 4-year program of construction grants to accredited public or nonprofit private schools of nursing to assist in the construction of teaching facilities. This authorization would parallel the provisions of Public Law 88-129, the recently enacted Health Professions Educational Assistance Act of 1963. Eligible for grants would be schools providing collegiate, diploma, or associate degree programs. Grants would aid construction of new schools, or construction which would expand the training capacity of an existing school, or replacement or rehabilitation of facilities which are so obsolete as to require the school to curtail substantially either its enrollment or the quality of training provided. In considering grant applications, the Surgeon General would take into account effectiveness in expanding and maintaining enrollment, and in promoting an equitable geographic distribution of opportunities for such training. |