subpart i—traineeships

§297. Traineeships for advanced education of professional nurses

(a) In general

The Secretary may make grants to public and nonprofit private entities to meet the costs of—

(1) traineeships for individuals in advanced-degree programs in order to educate the individuals to serve in and prepare for practice as nurse practitioners, nurse midwives, nurse educators, public health nurses, or in other clinical nursing specialties determined by the Secretary to require advanced education; and

(2) traineeships for participation in certificate nurse midwifery programs that conform to guidelines established by the Secretary under section 296m(b) of this title.

(b) Special consideration in making grants

In making grants for traineeships under subsection (a) of this section, the Secretary shall give special consideration to applications for traineeship programs that conform to guidelines established by the Secretary under section 296m(b)(2) of this title.

(c) Preference in provision of traineeships

The Secretary may make a grant under subsection (a) of this section only if the applicant involved agrees that, in providing traineeships under such subsection, the applicant will give preference to individuals who are residents of health professional shortage areas designated under section 254e of this title.

(d) Eligibility of individuals in master's degree programs

The Secretary may make a grant under subsection (a) of this section only if the applicant involved agrees that the applicant will not provide a traineeship under such subsection to an individual enrolled in a masters of nursing program unless the individual has completed basic nursing preparation, as determined by the applicant.

(e) Use of grant

The Secretary may make a grant under subsection (a) of this section only if the applicant involved agrees that traineeships provided with the grant will pay all or part of the costs of—

(A) the tuition, books, and fees of the program of nursing with respect to which the traineeship is provided; and

(B) reasonable living expenses of the individual during the period for which the traineeship is provided.

(f) Funding

(1) Authorization of appropriations

For the purpose of carrying out this section, there is authorized to be appropriated $20,000,000 for each of the fiscal years 1993 and 1994.

(2) Limitation regarding certain traineeships

Of the amounts appropriated under paragraph (1) for a fiscal year, the Secretary may not obligate more than 10 percent for providing traineeships under subsection (a) of this section for individuals in doctoral degree programs.

(July 1, 1944, ch. 373, title VIII, §830, formerly §821, as added Sept. 4, 1964, Pub. L. 88–581, §2, 78 Stat. 913; amended Aug. 16, 1968, Pub. L. 90–490, title II, §221, 82 Stat. 783; July 9, 1971, Pub. L. 92–52, §5, 85 Stat. 145; Nov. 18, 1971, Pub. L. 92–158, §§5, 13, 85 Stat. 475, 480; renumbered §830 and amended July 29, 1975, Pub. L. 94–63, title IX, §§935, 941(g)(2), 89 Stat. 362, 365; Oct. 12, 1976, Pub. L. 94–484, title IX, §901, 90 Stat. 2323; Aug. 1, 1977, Pub. L. 95–83, title III, §307(o)(5)(B), 91 Stat. 394; Sept. 29, 1979, Pub. L. 96–76, title I, §108, 93 Stat. 579; Aug. 13, 1981, Pub. L. 97–35, title XXVII, §2756, 95 Stat. 931; Aug. 16, 1985, Pub. L. 99–92, §6, 99 Stat. 395; Nov. 4, 1988, Pub. L. 100–607, title VII, §711, 102 Stat. 3159; Oct. 13, 1992, Pub. L. 102–408, title II, §206, 106 Stat. 2073; June 10, 1993, Pub. L. 103–43, title XX, §2014(f), 107 Stat. 217.)

Amendments

1993—Subsec. (a). Pub. L. 103–43 substituted "meet the costs of—" for "meet the cost of", inserted "(1), and added par. (2).

1992—Pub. L. 102–408 amended section generally, substituting present provisions for provisions authorizing grants to cover costs of traineeships for education of professional nurses, including post-baccalaureate fellowships for faculty of schools of nursing and traineeships for certain part-time students in advanced nursing programs, and authorizing appropriations.

1988—Subsec. (c). Pub. L. 100–607, §711(a), added subsec. (c). Former subsec. (c) redesignated (d).

Subsec. (d). Pub. L. 100–607, §711, redesignated former subsec. (c) as (d) and amended it generally. Prior to amendment, such subsec. read as follows:

"(1) There are authorized to be appropriated for the purposes of subsection (a) of this section $11,500,000 for the fiscal year ending September 30, 1986, $12,250,000 for the fiscal year ending September 30, 1987, and $13,000,000 for the fiscal year ending September 30, 1988. Priority in the award of traineeships under subsection (a)(1)(A)(i) of this section shall go to nurse midwife trainees.

"(2) There are authorized to be appropriated for the purposes of subsection (b) of this section $1,100,000 for the fiscal year ending September 30, 1986, $1,100,000 for the fiscal year ending September 30, 1987, and $1,100,000 for the fiscal year ending September 30, 1988."

1985—Pub. L. 99–92, §6(b)(7), substituted "education" for "training" in section catchline.

Subsec. (a)(1). Pub. L. 99–92, §6(a), amended par. (1) generally, substituting provisions relating to costs of traineeships for nurses in masters' degree and doctoral degree programs and traineeships to educate nurses for practice as nurse midwives for provisions relating to costs of traineeships for the training of professional nurses for teaching and service.

Subsec. (b). Pub. L. 99–92, §6(b)(1), (6), added subsec. (b). Former subsec. (b) redesignated (c).

Subsec. (c). Pub. L. 99–92, §6(b)(1)–(5), redesignated former subsec. (b) as par. (1) and substituted provisions authorizing appropriations for fiscal years ending Sept. 30, 1986, 1987, and 1988, for provisions authorizing appropriations for fiscal year ending June 30, 1976, through fiscal year ending Sept. 30, 1984, and minimum amounts required to be obligated for traineeships, struck out provision relating to obligation of not less than 25 percent of the funds appropriated under subsec. (c) for traineeships described in subsec. (a)(1)(A), and added par. (2).

1981—Subsec. (b). Pub. L. 97–35 inserted provisions authorizing appropriations for fiscal years ending Sept. 30, 1982, 1983, and 1984, and relating to priorities for obligation of funds.

1979—Subsec. (b). Pub. L. 96–76 authorized appropriations of $15,000,000 for fiscal year ending Sept. 30, 1980.

1977—Subsec. (a)(2). Pub. L. 95–83, §307(o)(5)(B)(1), struck out "(A) for the training of nurse practitioners who will practice in health manpower shortage areas (designated under section 254e of this title), and (B) for traineeship programs" after "traineeship programs".

Subsec. (b). Pub. L. 95–83, §307(o)(5)(B)(2), (3), struck out subsec. (b) relating to grants and contracts for establishment and operation of traineeship programs for residents of health manpower shortage areas, amount of award, and service commitment in health manpower shortage areas and redesignated subsec. (c) as (b).

1976—Subsec. (a)(1). Pub. L. 94–484, §901(1), (2), designated existing provisions as par. (1), incorporated first sentence provisions of former subsec. (b) in introductory text reading "The Secretary may make grants to public or private nonprofit institutions", struck out former introductory appropriations authorization provision for $15,000,000; $20,000,000; and $25,000,000 for fiscal years 1976, 1977, and 1978, now incorporated in subsec. (c), and redesignated as subpars. (A) through (D) former pars. (1) through (4), respectively.

Subsec. (a)(2). Pub. L. 94–484, §901(3), added cl. (A) provisions and incorporated second sentence provisions of former subsec. (b) in provisions designated as cl. (B)

Subsec. (a)(3). Pub. L. 94–484, §901(4), (5), substituted "subsection" for "section" and redesignated such amended former subsec. (c) as par. (3).

Subsec. (b). Pub. L. 94–484, §901(6), added subsec. (b). Pub. L. 94–484, §901(3), struck out provisions of former subsec. (b), first sentence reading "Traineeships under this section shall be awarded by the Secretary through grants to public or nonprofit private institutions providing the training." and now covered in subsec. (a)(1), and second sentence reading "In making grants for traineeships under this section, the Secretary shall give special consideration to applications for traineeship programs which conform to guidelines established by the Secretary under section 296m(a)(2)(B) of this title." and now covered in subsec. (a)(2)(B) of this section.

Subsec. (c). Pub. L. 94–484, §901(6), incorporated introductory appropriations authorization provision of former subsec. (a) in provision designated as subsec. (c), substituted provision making appropriations available for fiscal years ending June 30, 1976, Sept. 30, 1977, and Sept. 30, 1978, for provision making appropriations available for fiscal years 1976, 1977, and 1978, respectively. Former subsec. (c) redesignated (a)(3).

1975—Subsec. (a). Pub. L. 94–63, §935(a), substituted provisions relating to authorization of appropriations for fiscal years 1976 through 1978, for provisions relating to authorization of appropriations for fiscal year ending June 30, 1965 through fiscal year ending June 30, 1975, and inserted provision authorizing use of funds for training nurses to serve as nurse practitioners.

Subsec. (b). Pub. L. 94–63, §935(b), inserted provision relating to preference to application conforming to guidelines under section 296m(a)(2)(B) of this title.

1971—Subsec. (a). Pub. L. 92–158, §§5, 13, authorized appropriations of $20,000,000, $22,000,000, and $24,000,000 for fiscal years ending June 3, 1972, 1973, and 1974, respectively and substituted "Secretary" for "Surgeon General".

Pub. L. 92–52 substituted "each for the fiscal year ending June 30, 1971, and the next fiscal year" for "for the fiscal year ending June 30, 1971".

Subsecs. (b), (c). Pub. L. 92–158, §13, substituted "Secretary" for "Surgeon General".

1968—Subsec. (a). Pub. L. 90–490 authorized appropriations of $15,000,000 and $19,000,000 for fiscal years ending June 30, 1970, and 1971, respectively.

Effective Date of 1985 Amendment

Amendment by Pub. L. 99–92 effective Oct. 1, 1985, see section 10(a) of Pub. L. 99–92, set out as a note under section 296k of this title.

Effective Date of 1975 Amendment

Amendment by section 935(a) of Pub. L. 94–63 effective July 1, 1975, see section 905 of Pub. L. 94–63, set out as a note under section 296 of this title.

Section 935(b) of Pub. L. 94–63 provided that the amendment made by that section is effective with respect to grants under this section from appropriations under this section for fiscal years beginning after June 30, 1975.

Section Referred to in Other Sections

This section is referred to in section 298b–7 of this title.

§297–1. Nurse anesthetists

(a) Authority of Secretary; program eligibility; payments; limitations

(1) The Secretary may make grants to public or private nonprofit institutions to cover the costs of traineeships for licensed registered nurses to become nurse anesthetists and to cover the costs of projects to develop and operate programs for the education of nurse anesthetists. In order to be eligible for such a grant, the program of an institution must be accredited by an entity or entities designated by the Secretary of Education and must meet such requirements as the Secretary shall by regulation prescribe.

(2)(A) In making grants under paragraph (1), the Secretary shall give preference to qualified applicants carrying out traineeship programs whose participants gain significant experience in providing health services at rural health facilities.

(B) The Secretary may make a grant under paragraph (1) only if the institution involved agrees that, in providing traineeships under such paragraph, the institution will give preference to individuals who are residents of health professional shortage areas designated under section 254e of this title.

(3) The Secretary may make a grant under paragraph (1) only if the applicant involved agrees that traineeships provided with the grant will pay all or part of the costs of—

(A) the tuition, books, and fees of the program of nursing with respect to which the traineeship is provided; and

(B) reasonable living expenses of the individual during the period for which the traineeship is provided.

(b) Additional granting authorities

The Secretary may make grants to public or private nonprofit institutions to cover the cost of projects to improve existing programs for the education of nurse anesthetists which are accredited by an entity or entities designated by the Secretary of Education. Such grants shall include grants to such institutions for the purpose of providing financial assistance and support to certified registered nurse anesthetists who are faculty members of accredited programs to enable such nurse anesthetists to obtain advanced education relevant to their teaching functions.

(c) Authorization of appropriations; limitations

For the purpose of making grants under this section, there is authorized to be appropriated $1,800,000 for each of the fiscal years 1989 through 1991, $3,000,000 for fiscal year 1993, and $4,000,000 for fiscal year 1994. Not more than 20 percent of the amount appropriated under this section for any fiscal year shall be obligated for grants under the second sentence of subsection (b) of this section.

(July 1, 1944, ch. 373, title VIII, §831, as added Sept. 29, 1979, Pub. L. 96–76, title I, §111, 93 Stat. 580; amended Jan. 4, 1983, Pub. L. 97–414, §8(l), 96 Stat. 2061; Aug. 16, 1985, Pub. L. 99–92, §7, 99 Stat. 396; Nov. 4, 1988, Pub. L. 100–607, title VII, §712, 102 Stat. 3160; Oct. 13, 1992, Pub. L. 102–408, title II, §207, 106 Stat. 2074.)

Amendments

1992—Subsec. (a)(2), (3). Pub. L. 102–408, §207(a), added pars. (2) and (3) and struck out former par. (2) which read as follows: "Payments to institutions under this subsection may be made in advance or by way of reimbursement, and at such intervals and on such conditions, as the Secretary finds necessary. Payments for traineeships shall be limited to such amounts as the Secretary determines to be necessary to cover the costs of tuition and fees and a stipend and allowances (including travel and subsistence expenses) for trainees."

Subsec. (c). Pub. L. 102–408, §207(b), inserted before period at end of first sentence ", $3,000,000 for fiscal year 1993, and $4,000,000 for fiscal year 1994".

1988—Subsec. (a)(1). Pub. L. 100–607, §712(a)(1), amended par. (1) generally. Prior to amendment, par. (1) read as follows: "The Secretary may make grants to public or private nonprofit institutions to cover the costs of traineeships for the training, in programs which meet such requirements as the Secretary shall by regulation prescribe and which are accredited by an entity or entities designated by the Secretary of Education, of licensed, registered nurses to be nurse anesthetists."

Subsec. (a)(2). Pub. L. 100–607, §712(a)(2), amended second sentence generally. Prior to amendment, sentence read as follows: "Such payments may be used only for traineeships and shall be limited to such amounts as the Secretary finds necessary to cover the costs of tuition and fees, and a stipend and allowances (including travel and subsistence expenses) for the trainees."

Subsec. (c). Pub. L. 100–607, §712(b), amended first sentence generally. Prior to amendment, sentence read as follows: "For the purpose of making grants under this section, there are authorized to be appropriated $800,000 for the fiscal year ending September 30, 1986, $800,000 for the fiscal year ending September 30, 1987, and $800,000 for the fiscal year ending September 30, 1988."

1985—Pub. L. 99–92, §7(d), struck out "traineeships for training of" in section catchline.

Subsec. (a)(1). Pub. L. 99–92, §7(a), substituted "Secretary of Education" for "Commissioner of Education".

Subsec. (b). Pub. L. 99–92, §7(b), added subsec. (b). Former subsec. (b) redesignated (c).

Subsec. (c). Pub. L. 99–92, §7(b), (c), redesignated former subsec. (b) as (c) and amended it generally, substituting provisions authorizing appropriations for fiscal years ending Sept. 30, 1986, 1987, and 1988, for provisions authorizing appropriations for fiscal years ending Sept. 30, 1980, 1983, and 1984, and inserting provision imposing 20 percent limitation on obligations for grants under second sentence of subsec. (b).

1983—Subsec. (b). Pub. L. 97–414 inserted provisions relating to fiscal years 1983 and 1984.

Effective Date of 1985 Amendment

Amendment by Pub. L. 99–92 effective Oct. 1, 1985, see section 10(a) of Pub. L. 99–92, set out as a note under section 296k of this title.

Section Referred to in Other Sections

This section is referred to in section 298b–7 of this title.