[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6989 Introduced in House (IH)]
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119th CONGRESS
2d Session
H. R. 6989
To amend the Public Health Service Act to require the Secretary of
Health and Human Services to carry out activities to establish, expand,
and sustain a public health nursing workforce, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
January 8, 2026
Ms. Stansbury (for herself and Ms. Moore of Wisconsin) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
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A BILL
To amend the Public Health Service Act to require the Secretary of
Health and Human Services to carry out activities to establish, expand,
and sustain a public health nursing workforce, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Public Health Nursing Act''.
SEC. 2. PUBLIC HEALTH NURSING WORKFORCE.
Part E of title VII of the Public Health Service Act (42 U.S.C.
294n et seq.) is amended by adding at the end the following:
``Subpart 4--Public Health Nursing Workforce
``SEC. 780. PUBLIC HEALTH NURSING WORKFORCE.
``(a) In General.--The Secretary shall carry out activities
relating to establishing, expanding, and sustaining a public health
nursing workforce, including by making grants to State, local, and
territorial public health departments.
``(b) Use of Funds for Public Health Departments.--
``(1) In general.--The recipient of a grant under
subsection (a) shall use the grant funds for the following:
``(A) Costs (including wages and benefits) relating
to the recruiting, hiring, and training of licensed
registered nurses to serve as public health nurses--
``(i) who are employed by the State,
territorial, or local public health department
involved, particularly in medically underserved
areas; and
``(ii) who work in public health
facilities, including mobile health clinics and
acute care hospitals, or who provide home
visitation.
``(B) Costs of medical supplies, including personal
protective equipment, necessary to carry out the
activities described in subparagraph (A).
``(C) Administrative costs and activities relating
to grant activities.
``(2) Subgrants.--The recipient of a grant under subsection
(a) may make subgrants to local health departments to be used
for the activities described in paragraph (1).
``(c) Priority.--In selecting recipients of grants under subsection
(a), the Secretary shall give priority to applicants that--
``(1) propose to serve--
``(A) areas with populations that have a high rate
of chronic disease, infant mortality, or maternal
morbidity and mortality;
``(B) low-income populations, including medically
underserved populations (as defined in section 330(b));
``(C) populations residing in health professional
shortage areas (as defined in section 332(a));
``(D) populations residing in maternity care health
professional target areas identified under section
332(k); or
``(E) rural or traditionally underserved
populations;
``(2) demonstrate a plan for providing services, to the
maximum extent practicable, in the language and cultural
context more appropriate to individuals expected to be served
by the program; and
``(3) have a documented collective bargaining agreement
with 1 or more labor organizations representing employees of
the applicant or have an explicit policy not to interfere with
the rights of employees of the applicant under section 7 of the
National Labor Relations Act.
``(d) Maintenance of Effort.--The recipient of a grant under
subsection (a) shall agree to maintain expenditures of non-Federal
amounts for activities described in subsection (b) at a level that is
not less than the level of such expenditures maintained by the
recipient for the fiscal year preceding the fiscal year for which the
recipient receives such a grant.
``(e) Public Health Nurse Defined.--In this section, the term
`public health nurse' means a nurse providing health care services and
education regarding preventive health, nutrition, infectious diseases,
chronic disease management, and maternal health, prenatal, and
postpartum care in order to improve maternal and infant health
outcomes.
``(f) Authorization of Appropriations.--There is authorized to be
appropriated to the Secretary to carry out this section $5,000,000,000
for each of fiscal years 2026 through 2035.''.
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