COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE OREN HARRIS, JOHN BELL WILLIAMS, Mississippi SAMUEL N. FRIEDEL, Maryland TORBERT H. MACDONALD, Massachusetts LEO W. O'BRIEN, New York JOHN E. MOSS, California JOHN D. DINGELL, Michigan ROBERT W. HEMPHILL, South Carolina LIONEL VAN DEERLIN, California Arkansas, Chairman JOHN B. BENNETT, Michigan J. ARTHUR YOUNGER, California Austin, Lois M., president, National League for Nursing, Inc. - Bolton, Hon. Frances P., a Representative in Congress from the Boyle, Dr. Rena, director, department of baccalaureate and higher Brim, Katherine, associate director, department of baccalaureate Connor, Helen, director, legislative program, American Nurses' Cox, Carol, Office of Solicitor, U.S. Department of Labor... Henning, Hon. John F., Under Secretary, U.S. Department of Labor. Jones, Boisfeuillet, Special Assistant to the Secretary, Department of Mullane, Mary Kellane, dean, College of Nursing, University of Peabody, Sylvia, representing American Public Health Association....... Pepper, Hon. Claude, a Representative in Congress from the State of Schwier, Mildred E., director of nursing, Rhode Island Hospital School Scott, Jessie M., Chief, Division of Nursing, Public Health Service, 27, 52 Sleeper, Ruth, director, nursing service, Massachusetts General 69, 77 Terry, Dr. Luther L., Surgeon General, Public Health Service, De- 27, 52 Walker, Mrs. Walter W., Minneapolis, Minn.. 133 Additional information submitted for the record by American Medical Association: Educational programs in nursing and related career opportuni- Page 150 147 Objectives and program of AMA Committee on Nursing, re- 149 Bell, Rev. Grover E., assistant procurator, Catholic University of 144 Case, Harold C., letter from.. 153 Clark, Eloise, assistant professor, University of Alabama School of 142 Dolan, Margaret B., professor, public health nursing, University of 154 Ellis, Elmer, letter from... 155 Emerson, Faith G., assistant professor of nursing, University of 160 Eurich, Alvin C., Chairman, Surgeon General's Consultant Group on 140 Evans, Dr. Lester J., statement of 121 Florida Nurses Association, Inc., letter from Marion E. McKenna, president 155 Health, Education, and Welfare Department: Annual earnings of nurses in hospitals and schoolteachers in Annual salaries of nurses in Federal general hospitals, by posi- Appropriations for the professional nurse training program. Hemphill, Hon. Robert W.: Who Will Take Care of the Sick? A Look at Our Hospitals' Biggest Problem," from McCall's, March 1964Henle, R. J., academic vice president, St. Louis University, letter from Illinois Nurses' Association, letter from Sister M. Stephen, chairman, committee on legislation... 143 159 Labor Department: Practical nurse training programs. 142, 143 National Association for Retarded Children, Inc., letter from John G. 156 152 National League for Nursing, Inc., letter from Mary Kelly Mullane, council of member agencies, department of baccalaureate and higher degree programs, letter from... 145 North Carolina State Nurses' Association, letter from Marie Noell, executive secretary 154 O'Brien, Hon. Leo W.: Excerpts from report of New York State Committee on Medical Education__ 113-117 Ohio State Nurses Association, letter from Dorothy A. Cornelius, executive director.. 158 Sommermeyer, Lucille, assistant dean, Boston University School of 153 Zimmerman, Verna M., acting director, Goshen College School of 157 NURSE TRAINING ACT OF 1964 WEDNESDAY, APRIL 8, 1964 HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON PUBLIC HEALTH AND SAFETY OF THE COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE, Washington, D.C. The subcommittee met at 10:25 a.m., pursuant to call, in room 1334, Longworth Building, Hon. Paul G. Rogers, of Florida, presiding. Mr. ROGERS of Florida. The subcommittee will please be in order. We are meeting today for the purpose of conducting hearings on H.R. 2110, H.R. 5062, H.R. 5248, and H.R. 8922. The administration's bill, H.R. 10042 was submitted for the purpose of carrying out improvement of nursing services proposed by President Kennedy in three special health messages to the Congress, and by President Johnson in his 1964 health message. This bill authorizes a new 4-year program of construction grants for teaching facilities for nurses, establishes a scholarship and loan program for assistance to students of nursing; provides planning grants for development and improvement of nursing education and services, and authorizes grants for developing methods of training and recruiting students and improving the utilization of nursing personnel. The program set out in H.R. 10042 is based on recommendations of the Surgeon General's Consultant Group on Nursing, as contained in their report, toward quality in nursing, needs, and goals. (The bills mentioned and agency reports follow :) [H.R. 2110, 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. 5062, H.R. 5248, 88th Cong., 1st sess.] A BILL To authorize a five-year program of grants and scholarships for collegiate education in the field of nursing, and for other purposes Be it enacted by the Senate and House of Representatives of the United of America in Congress assembled, That this Act may be cited as the "Collegiate Nursing Education Act of 1963.” SEC. 2. The Public Health Service Act, as amended, is amended by adding at the end thereof the following new title: "TITLE VIII-ASSISTANCE FOR THE COLLEGIATE EDUCATION OF NURSES "SEC. 801. The Congress hereby finds and declares that "(a) there is a shortage of professional nurses with collegiate training essential to maintaining and improving the Nation's health and there is an increasing need for such nurses: such shortage will therefore increase unless present facilities and opportunities for the education of such nurses are strengthened and expanded; "(b) the cost of providing adequate collegiate nursing education and facilities therefor is so high and the sources of income for institutions providing such education are so limited as to render it impossible for such institutions to provide the necessary funds for such strengthening and expansion, and to discourage the construction of new facilities for such education: "(c) it is, therefore, the policy of the Congress (1) to provide funds for the construction of educational facilities and the cost of instruction of institions offering collegiate nursing education, in order to assist such institutions in improving and expanding their programs of such education and to provide opportunities for qualified individuals to obtain such education, and (2) to provide scholarships to induce and enable greater numbers of qualified students to study professional nursing, and to induce and enable graduates of diploma schools of nursing to obtain baccalaureate degrees in nursing. "SEC. 802. As used in this title "DEFINITIONS "(a) The terms 'construction' and 'cost of construction' include (A) the construction of new buildings and the expansion, remodeling, and alteration of existing buildings, including architects' fees in excess of amounts granted under section 804(b)(2), but not including the cost of acquisition of land or off-site improvements, except in the case of existing structures suitable for use as educational facilities, and (B) equipping new buildings and existing buildings, whether or not expanded, remodeled, or altered; "(b) The term 'collegiate school of nursing' means a school (including a department, division, or other administrative unit in a college or university) |