which provides education in professional nursing and allied subjects leading to the degree of bachelor of arts, bachelor of science, bachelor of nursing, or other baccalaureate degree of equivalent rank, approved or accredited by the State board of nursing in the State where such school is located, or by the governmental body or agency performing the accrediting functions of a State board of nursing in such State;

"(c) The term 'nursing student' means a student enrolled full time or an approved applicant for full-time study in a collegiate school of nursing as defined in subsection (b) of this section.

"EXPERT ADVISORY COMMITTEE

"SEC. 803. (a) The Surgeon General shall appoint an expert advisory committee, consisting of thirteen persons (not otherwise in the full-time employment of the United States), without regard to the civil service laws and with the approval of the Secretary of Health, Education, and Welfare. Four of such members shall be selected from the field of nursing education, three from the field of nursing service, one from the field of medicine, one from the field of hospital administration, one from the field of industry, one from the field of public health, and two from the general public. Members of such committee, while attending meetings of the committee or otherwise serving at the request of the Surgeon General, shall be entitled to receive compensation at a rate to be fixed by the Secretary of Health, Education, and Welfare, but not exceeding $50 per diem, including travel time, and while away from their homes or regular places of business they may be allowed travel expenses, including per diem in lieu of subsistence, as authorized by law (5 U.S.Č. 73b-2) for persons in the Government service employed intermittently.

"(b) The advisory committee shall advise, consult with and make recommendations to the Surgeon General in connection with the administration of this title, including the development of program standards and policies and the payments out of appropriations authorized by this title.

"GRANTS-IN-AID FOR CONSTRUCTION OF TEACHING FACILITIES

"SEC. 804. (a) There are hereby authorized to be appropriated for the fiscal year ending June 30, 1964, and for each of the four succeeding fiscal years, the sum of $20,000,000 to make the payments provided in this section. The sums appropriated pursuant to this section shall be used by the Surgeon General, upon recommendation of the expert advisory committee, to make grants-in-aid for the construction of teaching facilities (exclusive of residence facilities) of collegiate schools of nursing.

(b) No such grant for construction of teaching facilities shall be in excess of 50 per centum of the cost of construction with respect to which it is made, except that

"(1) in the case of new schools, grants may be made, upon recommendation of the State board of nursing or other State accrediting agency, in an amount not to exceed 66% per centum of such cost of construction; and

"(2) upon application of any collegiate school of nursing or new school, a grant of not to exceed $10,000 may be made for the purpose of preparing initial plans with estimates for the proposed new construction.

"(e) No grant or grants for construction shall be made to any one collegiate school of nursing in excess of $500,000 for the total five-year program authorized in this section, exclusive of amounts granted under subsection (b) (2) of this section.

"(d) Funds appropriated for construction of facilities pursuant to this section shall remain available for the fiscal year in which appropriated and the two succeeding fiscal years.

"(e) The Surgeon General shall take such action as may be necessary to insure that all laborers and mechanics employed by contractors or subcontractors on any construction project assisted under this title (1) shall be paid wages at rates not less than those prevailing for the corresponding classes of laborers and mechanics employed on projects of a character similar to the contract work, as determined by the Secretary of Labor in accordance with the Davis-Bacon Act, as amended (40 U.S.C. secs. 276a-276a-5), and (2) shall be paid not less than 11⁄2 times the basic hourly rate of pay for all hours worked in excess of eight hours in any one calendar day or in excess of forty hours in any workweek.

"GRANTS-IN-AID FOR COSTS OF INSTRUCTION

"SEC. 805. (a) There are hereby authorized to be appropriated for the fiscal year ending June 30, 1964, and for each of the four succeeding fiscal years, the sum of $10,000,000 to make the payments provided in this section. The sums appropriated pursuant to this section shall be used by the Surgeon General, upon recommendation of the expert advisory committee, to make grants-in-aid for the costs of instruction of collegiate schools of nursing.

"(b) No such grant for costs of instruction of a collegiate school of nursing shall be in excess of $25,000 in any one fiscal year for expansion and improvement, except that in the case of new schools, grants may be made, upon recommendation of the State board of nursing or other State accrediting agency, in an amount not to exceed 66% per centum of such costs of instruction. Such amount may be granted for each of the five years of the program authorized by this title. The term 'costs of instruction' as used in this section shall include such items of cost as shall be set forth in uniform definitions or regulations adopted and promulgated by the Surgeon General, except that such term shall not include the cost of residence facilities.

"APPLICATION BY COLLEGIATE SCHOOLS OF NURSING FOR GRANTS

"SEC. 806. (a) Any new or existing collegiate school of nursing desiring a grant under this title may at any time after the enactment hereof file an application therefor with the Surgeon General for any fiscal year or years for which such grant is desired. Such application shall contain such information as the Surgeon General may by regulation prescribe and shall contain adequate assurances that the school will comply with all provisions of this title and regulations promulgated pursuant thereto. Such application shall also contain adequate assurances that such school will, during the period in which it receives such payment, maintain its income for operating expenses from sources other than the United States at a level at least equal to that which it was received before such payments began (or, in the case of a new school, at the highest possible level).

"(b) Except as provided in subsections (b) (1) and (2) of section 804 and subsection (b) of section 805, payments from appropriations under sections 804 and 805 may be made only in the case of accredited schools of nursing.

"APPROPRIATIONS FOR SCHOLARSHIPS

"SEC. 807. (a) There are hereby authorized to be appropriated for the fiscal year ending June 30, 1964, and for each of the four succeeding fiscal years the sum of $10,000,000 to make the payments provided in this section. The sums appropriated pursuant to this section shall be used by the Surgeon General, upon recommendation of the expert advisory committee, to pay for the scholarships provided in this section.

"(b) An individual shall be eligible for a scholarship under this section only if such individual is an approved applicant, or is enrolled, in a collegiate school of nursing.

"(c) The selection of nursing students to be awarded scholarships under this section shall be made by the Surgeon General after consultation with the expert advisory committee, upon the basis of ability and the extent to which financial assistance is nececssary in order to enable a qualified individual (irrespective of whether such individual shall have previously studied nursing or shall have a diploma in nursing) to pursue a baccalaureate program in professional nursing (both the ability and the need of financial assistance to be attested by the school). "(d) Any student to whom a scholarship shall have been awarded shall be entitled to continue to receive the benefit of the amounts thereby provided only so long as his work shall continue to be satisfactory, according to the regularly prescribed standards and practices of the school which he is attending.

"(e) Any student to whom a scholarship shall have been awarded under this section shall be entitled to continue to receive the benefit of the amounts thereby provided until the completion of his regularly prescribed course of study of professional nursing at the school which he is attending, subject to subsection (d).

"(f) No scholarship shall be awarded to any individual for any period during which he is receiving education and training as a veteran or under any other law of the United States providing financial assistance to students.

"(g) Any scholarship awarded under this section to any individual shall be contingent upon acceptance and recommendation by a collegiate school of nursing of his choice.

"(h) Scholarships under this section shall be awarded by the Surgeon General through grants to collegiate schools of nursing providing the education. Payments to collegiate schools of nursing under this section may be made in advance or by way of reimbursement, and at such intervals and on such conditions as the Surgeon General finds necessary. Such payments shall be in the amount of $1,000 per student per school year. Each such scholarship shall be for a period of time not in excess of that customarily required for completion of the standard course offered by the school leading to a baccalaureate degree.

"GRANTS FOR CONSTRUCTION, COSTS OF INSTRUCTION AND SCHOLARSHIPS

"SEC. 808. The Surgeon General, in accordance with regulations, and upon the recommendation of the expert advisory committee, shall determine from time to time the amounts to be paid to each collegiate school of nursing from appropriations under this title and shall certify to the Secretary of the Treasury the amount so determined. Upon receipt of any such certification, the Secretary of the Treasury shall, prior to audit or settlement by the General Accounting Office, pay in accordance with such certification.

"WITHHOLDING OR RECAPTURE OF PAYMENTS

"SEC. 809. Whenever the Surgeon General, after reasonable notice and opportunity for hearing to a collegiate school of nursing, shall find, with respect to payments made from appropriations under this title to carry out any of the purposes of this title, that there is a failure by such school to comply with the provisions of this title or the regulations promulgated pursuant thereto, the Surgeon General shall notify such school that further payments will not be made to it from such appropriations until he is satisfied that there is no longer any such failure. Until he is so satisfied, the Surgeon General shall make no further certification for payments to such school from such appropriations.

"REGULATIONS

"SEC. 810. All regulations under this title with respect to payments to collegiate schools of nursing shall be made only after obtaining the advice and recommendation of the expert advisory committee.

"GENERAL PROVISIONS

"SEC. 811. (a) Nothing in this title shall be construed as authorizing any department, agency, officer, or employee of the United States to exercise any direction, supervision, or control over, or prescribe any requirements with respect to, the personnel, curriculum, or administration of any collegiate school of nursing, or the admission of applicants thereto.

"(b) Nothing in this title shall be construed to authorize the Surgeon General to exercise any influence upon the choice, by an applicant for or recipient of a scholarship under this title, of a course of training or study, or of the collegiate school of nursing at which such course is to be pursued."

TECHNICAL AMENDMENTS TO ACT OF JULY 1, 1944

SEC. 3. (a) The Act of July 1, 1944 (58 Stat. 682), as amended, is hereby further amended by changing the number of title VIII to title IX and by changing the numbers of sections 801 to 814, inclusive, and references thereto, to sections 901 to 914, respectively.

(b) Section 1 of the Public Health Service Act is amended to read as follows: "SECTION 1. Titles I to VIII, inclusive, of this Act may be cited as the 'Public Health Services Act"."

[H.R. 8922, 88th Cong., 1st sess.]

A BILL To authorize grants to assist the States in strengthening professional nurse education, in order to relieve the shortage of well-trained professional nurses and to meet the requirements of Federal, State, and local governmental hospitals and health agencies, as well as of nongovernmental hospitals and other employers

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the "Professional Nurse Training Act of 1963”.

SEC. 2. Title III of the Public Health Service Act is amended by inserting at the end of part B thereof (42 U.S.C. 243-247) the following new section:

"SEC. 316. (a) To enable the Surgeon General to assist the States and their political subdivisions to strengthen professional nurse training and to meet that portion of the cost thereof estimated to be a proper charge on Government, there is authorized to be appropriated for the fiscal year ending June 30, 1963, and for each fiscal year thereafter, a sum sufficient to carry out the purposes of this section.

"(b) Moneys paid to any State under this section shall be expended by or under the supervision of a State agency, in accordance with a plan approved by the Surgeon General for strengthening public and other nonprofit schools of professional nursing by such means as the State may determine, including (but not limited to) grants to or contracts with the schools, the provision of instructional services or other assistance in kind, or tuition grants to students. A plan may provide that it will operate in the whole or a portion of the State, but shall not be approved unless the Surgeon General finds that it is equitable, so far as conditions in the State permit, to all the public and other nonprofit schools of professional nursing within its area of operation.

"(c) The amount to be paid to each State under this section for each fiscal year shall be equal to $200 multiplied by the number of students enrolled, throughout the corresponding academic year, in schools of professional nursing to which the State plan is applicable, but shall be paid upon the condition that there shall be spent under the State plan, from funds of such State or its political subdivisions or both, an amount determined in accordance with regulations, which shall be not less than $50 and not more than $100 multiplied by the number of such students, and shall be varied in accordance with the per capita income of the respective States. If in any State the expenditures from State and local funds are less than the amount so determined, the payment to the State shall be reduced proportionately.

"(d) The provisions of this section shall not apply to the further training of persons who are already professional nurses, or to any school which is not licensed (or approved in equivalent manner) by the State as a school of professional nursing."

[H.R. 10042, 88th Cong., 2d sess.]

A BILL To amend the Public Health Service Act to increase the opportunities for training professional nursing personnel, and for other purposes

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the "Nurse Training Act of 1964."

SEC. 2. The Public Health Service Act (42 U.S.C., ch. 6A) is amended by adding at the end thereof the following new title:

"TITLE VIII-NURSE TRAINING

"PART A-GRANTS FOR EXPANSION AND IMPROVEMENT OF NURSE TRAINING "AUTHORIZATION OF APPROPRIATIONS FOR CONSTRUCTION GRANTS

"SEC. 801. (a) There are authorized to be appropriated

"(1) for grants to assist in the construction of new facilities for collegiate schools of nursing, or replacement or rehabilitation of existing facilities for such schools, $5,000,000 for the fiscal year ending June 30, 1966, and $10,000,000 for each of the next three fiscal years;

"(2) for grants to assist in the construction of new facilities for asSOciate degree or diploma schools of nursing, or replacement or rehabilitation of existing facilities for such schools, $15,000,000 for the fiscal year ending June 30, 1966, and $20,000,000 for each of the next three fiscal years. There are also authorized to be appropriated for each of such fiscal years ending after June 30, 1966, for grants specified in clause (1) or (2) of the preceding sentence, the amount by which the total of the sums authorized to be appropriated under such clause for previous years exceeds the aggregate of the appropriations thereunder for such years.

"(b) Sums appropriated pursuant to clause (1) or (2) of subsection (a) for a fiscal year shall remain available for grants specified in such clause until the close of the next fiscal year.

"APPROVAL OF APPLICATIONS FOR CONSTRUCTION GRANTS

"SEC. 802. (a) No application for a grant for a construction project under this part may be approved unless it is submitted to the Surgeon General prior to July 1, 1968.

"(b) A grant for a construction project under this part may be made only if the application therefor is approved by the Surgeon General upon his determination that—

"(1) the applicant is a public or nonprofit private school of nursing providing an accredited program of nursing education;

"(2) the application contains or is supported by reasonable assurances that (A) for not less than ten years after completion of construction, the facility will be used for the purposes of the training for which it is to be constructed, and will not be used for sectarian instruction or as a place for religious worship, (B) sufficient funds will be available to meet the nonFederal share of the cost of constructing the facility, and (C) sufficient funds will be available, when construction is completed, for effective use of the facility for the training for which it is being constructed;

"(3) (A) in the case of an application for a grant for construction of a new facility, such application is for aid in the construction of a new school of nursing, or construction which will expand substantially the training capacity of an existing school of nursing, or (B) in the case of an application for a grant for replacement or rehabilitation of existing facilities, such application is for aid in construction which will replace or rehabilitate facilities of an existing school of nursing which are so obsolete as to require the school to curtail substantially either its enrollment or the quality of the training provided;

"(4) the plans and specifications are in accordance with regulations relating to minimum standards of construction and equipment; and

"(5) the application contains or is supported by adequate assurance that any laborer or mechanic employed by any contractor or subcontractor in the performance of work on the construction of the facility will be paid wages at rates not less than those prevailing on similar construction in the locality as determined by the Secretary of Labor in accordance with the DavisBacon Act, as amended (40 U.S.C. 276a-276a5). The Secretary of Labor shall have, with respect to the labor standards specified in this paragraph, the authority and functions set forth in Reorganization Plan Numbered 14 of 1950 (15 F.R. 3176; 64 Stat. 1267), and section 2 of the Act of June 13, 1934, as amended (40 U.S.C. 276c).

Before approving or disapproving an application for a construction project under this part, the Surgeon General shall secure the advice of the National Advisory Council on Nurse Training established by section 841 (hereinafter in this part referred to as the 'Council').

"(c) In considering applications for grants, the Council and the Surgeon General shall take into account

"(1)(A) in the case of a project for a new school or for expansion of the facilities of an existing school, the relative effectiveness of the proposed facilities in expanding the capacity for the training of first-year students of nursing in the field involving and in promoting an equitable geographical distribution of opportunities for such training (giving due consideration to population, relative unavailability of nurses of the kind to be trained by such school, and available resources in various areas of the Nation for training such nurses); or

"(B) in the case of a project for replacement or rehabilitation of existing facilities of a school, the relative need for such replacement or rehabilitation to prevent curtailment of the school's enrollment or deterioration of the quality of the training provided by the school, and the relative size of any such curtailment and its effect on the geographical distribution of onportunities for training in the field of nursing involved (giving consideration to the factors mentioned above in paragraph (A)): and

"(2) in the case of an applicant in a State which has in existence a State or local area planning agency, or which participates in a regional or other interstate planning agency, described in section 805, the relationship of the application to the construction or training program which is being developed by such agency or agencies and, if such agency or agencies have reviewed such application, any comment thereon submitted by them.