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H.R. 3593
U.S. House•In House Committee
Summary
H.R. 3593, the Title VIII Nursing Workforce Reauthorization Act of 2025, was introduced in the House on May 23, 2025 by Rep. David Joyce (R) with 12 co-sponsors. It last saw action on Sep 10, 2025: Forwarded by Subcommittee to Full Committee by Voice Vote.
Record
Text
H.R. 3593 has 12 co-sponsors.
hb3593/introduced-in-house.txt119 HR 3593 IH: Title VIII Nursing Workforce Reauthorization Act of 2025U.S. House of Representatives2025-05-23text/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I 119th CONGRESS 1st Session H. R. 3593 IN THE HOUSE OF REPRESENTATIVES May 23, 2025 Mr. Joyce of Ohio (for himself, Ms. Bonamici , Mrs. Kiggans of Virginia , and Ms. Underwood ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILLTo amend the Public Health Service Act to reauthorize certain nursing workforce development programs, and for other purposes.1.Short titleThis Act may be cited as the Title VIII Nursing Workforce Reauthorization Act of 2025 .2.Advanced nursing education grantsSection 811 of the Public Health Service Act ( 42 U.S.C. 296j ) is amended—(1)in subsection (a)(2), by striking programs. and inserting the following: “programs, including individuals enrolled in—(A)authorized nurse practitioner programs described in subsection (c);(B)authorized nurse-midwifery programs described in subsection (d);(C)authorized nurse anesthesia programs described in subsection (e); and(D)authorized clinical nurse specialist programs described in subsection (f).;(2)in subsection (d)—(A)in paragraph (1), by striking midwives and inserting nurse-midwives ; and(B)in paragraph (2), by striking American College of Nurse-Midwives ; and(3)in subsection (h)(1)(A), by striking fees and inserting fees, including costs for clinical education and preceptors, .3.Strengthening capacity for nurse education and practice(a)In generalPart D of title VIII of the Public Health Service Act ( 42 U.S.C. 296p et seq. ) is amended—(1)in the part heading, by strikingbasic ; and(2)in section 831 ( 42 U.S.C. 296p )—(A)in subsection (a)—(i)in paragraph (1), by striking or after the semicolon;(ii)in paragraph (2), by striking methodologies. and inserting methodologies, audiovisual or other equipment, simulation and augmented reality resources, telehealth technologies, and virtual and physical laboratories; or ; and(iii)by adding at the end the following:(3)increasing the number of faculty and students at schools of nursing in order to address nursing workforce shortages.; and(B)in subsection (b)—(i)in paragraph (2), by striking and survivors of domestic violence and inserting survivors of domestic violence, and survivors of sexual assault ;(ii)in paragraph (3), by striking or after the semicolon;(iii)in paragraph (4), by striking the period and inserting ; or ; and(iv)by adding at the end the following:(5)partnering with a health care facility, nurse-managed health clinic, community health center, or other facility that provides health care in order to provide education opportunities for the purpose of establishing or expanding clinical education..(b)Conforming amendmentSection 806(f)(2)(C) of the Public Health Service Act ( 42 U.S.C. 296e(f)(2)(C) ) is amended by striking basic .4.Authorization of appropriationsSection 871 of the Public Health Service Act ( 42 U.S.C. 298d ) is amended—(1)in subsection (a), by striking $137,837,000 for each of fiscal years 2021 through 2025 and inserting $184,337,000 for each of fiscal years 2026 through 2030 ; and(2)in subsection (b), by striking $117,135,000 for each of the fiscal years 2021 through 2025 and inserting $121,135,000 for each of fiscal years 2026 through 2030 .
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-05-23
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend the Public Health Service Act to reauthorize certain nursing workforce development programs, and for other purposes.
Sponsors
Rep. David Joyce (R) sponsors H.R. 3593, and 12 members have co-sponsored it, 3 of them from the day it was introduced.

Rep. · R–OH-14 · Sponsor
Introduced May 23, 2025

Rep. · D–OR-1 · Co-sponsor
Joined May 23, 2025 · Original

Rep. · R–VA-2 · Co-sponsor
Joined May 23, 2025 · Original

Rep. · D–IL-14 · Co-sponsor
Joined May 23, 2025 · Original

Rep. · R–PA-1 · Co-sponsor
Joined Jun 5, 2025

Rep. · R–NY-17 · Co-sponsor
Joined Jan 13, 2026

Rep. · R–NY-24 · Co-sponsor
Joined Apr 14, 2026

Rep. · R–AL-3 · Co-sponsor
Joined Apr 29, 2026

Rep. · R–FL-5 · Co-sponsor
Joined May 19, 2026

Rep. · R–WI-3 · Co-sponsor
Joined May 19, 2026
Committees
H.R. 3593 went before 2 committees: Health Subcommittee and Energy and Commerce.
Actions
H.R. 3593 has taken 5 actions since May 23, 2025, the latest on Sep 10, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Sep 10, 2025 | House | Referred to the Subcommittee on Health.Health Subcommittee | ||
Sep 10, 2025 | House | Subcommittee Consideration and Mark-up Session HeldHealth Subcommittee | ||
Sep 10, 2025 | House | Forwarded by Subcommittee to Full Committee by Voice Vote.Health Subcommittee | ||
May 23, 2025 | House | Introduced in House | ||
May 23, 2025 | House | Referred to the House Committee on Energy and Commerce.Energy and Commerce Committee |
Votes
H.R. 3593 has not gone to a roll call.
Related bills
1 bill is related to H.R. 3593, as Identical bill.
Titles
H.R. 3593 goes by 3 titles, 1 of them short titles.
- Title VIII Nursing Workforce Reauthorization Act of 2025 — Display Title
- Title VIII Nursing Workforce Reauthorization Act of 2025 — Short Title(s) as Introduced
- To amend the Public Health Service Act to reauthorize certain nursing workforce development programs, and for other purposes. — Official Title as Introduced
Lobbying
21 clients hired 20 firms and 65 registered lobbyists who named H.R. 3593 in 90 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Budget/Appropriations, Medicare/Medicaid, Education, Taxation/Internal Revenue Code, Veterans, Labor Issues/Antitrust/Workplace, Government Issues.
Clients
Who paid to be heard, by how many filings named the bill. The 20 that filed most often, of 21.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | To promote support for nurse practitioners and high quality, patient centered health care. | Virginia | 2 | 10 | $320K |
| AMERICAN ASSOCIATION OF COLLEGES OF NURSING | Promote public support for professional nursing education, research, and practice | District of Columbia | 2 | 10 | $290K |
| AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | Professional organization representing certified and student nurse anesthetists. | Illinois | 2 | 10 | $290K |
| AMERICAN NURSES ASSOCIATION | Organization representing the interests of registered nurses and nursing practices | Maryland | 2 | 10 | $250K |
| NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. | — | Illinois | 1 | 8 | — |
| ASSOCIATION OF WOMEN'S HEALTH OBSTETRIC AND NEONATAL NURSES | Client is a 501(c)3 nonprofit membership organization. | District of Columbia | 1 | 6 | — |
| NATIONAL LEAGUE FOR NURSING | National health care association | District of Columbia | 1 | 5 | $142.8K |
| NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS | National professional association for pediatric nurse practitioners | New Jersey | 1 | 5 | $120K |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | — | District of Columbia | 1 | 5 | — |
| EMERGENCY NURSES ASSOCIATION | — | District of Columbia | 1 | 4 | — |
| ASCEND LEARNING, LLC | E-learning providers. | Massachusetts | 1 | 3 | $140K |
| BCBSM INC | — | Minnesota | 1 | 2 | — |
| BLUE CROSS AND BLUE SHIELD ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| BLUE CROSS AND BLUE SHIELD OF FLORIDA INC | — | Florida | 1 | 2 | — |
| NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS | — | Virginia | 1 | 2 | — |
| AMERICAN NEPHROLOGY NURSES ASSOCIATION | Professional association that represents nurses who work in all areas of nephrology | New Jersey | 1 | 1 | $30K |
| NATIONAL ASSOCIATION OF SCHOOL NURSES | Specialty nursing | Maryland | 1 | 1 | $10K |
| BLUE CROSS AND BLUE SHIELD OF KANSAS INC | — | Kansas | 1 | 1 | — |
| BOARD OF REGENTS OF UNIVERSITY OF WISCONSIN SYSTEM | — | Wisconsin | 1 | 1 | — |
| ERIE FAMILY HEALTH CENTERS | Non-profit, federally qualified health center | Illinois | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 65.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALAN WHEAT | 1 | 4 | 20 |
| JAMES FLEISCHMANN | 1 | 4 | 20 |
| JULIE SHROYER | 1 | 4 | 20 |
| GLEN MASON | 1 | 2 | 10 |
| ASHLEY SHELTON | 1 | 1 | 8 |
| NICOLE LIVANOS | 1 | 1 | 8 |
| SETH CHASE | 1 | 1 | 6 |
| A. CATHARINE HARRIS | 1 | 1 | 5 |
| ADAM HORGAN | 1 | 1 | 5 |
| ALLYSON PERLEONI | 1 | 1 | 5 |
| ANDREA BERGMAN | 1 | 1 | 5 |
| ANDREA PRICE-CARTER | 1 | 1 | 5 |
| DANIELLE TURNIPSEED | 1 | 1 | 5 |
| DEVAN O'TOOLE | 1 | 1 | 5 |
| EMILY CHAMPLIN | 1 | 1 | 5 |
| EMILY PREST | 1 | 1 | 5 |
| FRANKLIN HARRINGTON | 1 | 1 | 5 |
| GREGORY CRAIG | 1 | 1 | 5 |
| JESSICA TALBERT | 1 | 1 | 5 |
| LEONARD MARQUEZ | 1 | 1 | 5 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD ASSOCIATION | BLUE CROSS AND BLUE SHIELD ASSOCIATION | 2025 fourth_quarter | $1.4M | 4th Quarter - Report |
| BLUE CROSS AND BLUE SHIELD ASSOCIATION | BLUE CROSS AND BLUE SHIELD ASSOCIATION | 2025 third_quarter | $1.2M | 3rd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 second_quarter | $831.4K | 2nd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2026 second_quarter | $821.4K | 2nd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 third_quarter | $758.2K | 3rd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 fourth_quarter | $708.4K | 4th Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2026 first_quarter | $577.7K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 fourth_quarter | $550K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | 2025 second_quarter | $540K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | 2025 fourth_quarter | $450K | 4th Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 second_quarter | $400K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2026 first_quarter | $400K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | 2025 third_quarter | $396K | 3rd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 second_quarter | $390K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS | 2025 third_quarter | $380K | 3rd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | 2026 second_quarter | $275K | 2nd Quarter - Report |
| AMERICAN NURSES ASSOCIATION | AMERICAN NURSES ASSOCIATION | 2026 second_quarter | $270K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | AMERICAN ASSOCIATION OF NURSE ANESTHETISTS | 2026 first_quarter | $240K | 1st Quarter - Report |
| AMERICAN NURSES ASSOCIATION | AMERICAN NURSES ASSOCIATION | 2026 first_quarter | $230K | 1st Quarter - Report |
| VANDERBILT UNIVERSITY | VANDERBILT UNIVERSITY | 2025 third_quarter | $200K | 3rd Quarter - Report |
Classification
The Congressional Research Service files H.R. 3593 under Health, one of its 31 policy areas, and gives it 5 legislative subjects.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 3593’s is Health.
hr3593/policy-areas.txtLegislative Subjects
H.R. 3593 carries 5 of CRS’s legislative subjects, from Employment and training programs to Nursing.
hr3593/subjects.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 3593, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 88 (Friday, May 23, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. JOYCE of Ohio:H.R. 3593.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 18[Page H2368]
Source: congress.gov · legiscan.com
