102 STAT. 3156 PUBLIC LAW 100-607-NOV. 4, 1988

nursing practice models designed to reduce vacancies in professional
nursing positions and to make such positions a more attractive
career choice.

"(2) The Secretary may not make a grant under paragraph (1)
unless the applicant for the grant agrees that hospital nursing
practice models demonstrated pursuant to such subsection will in-
clude initiatives—

"(A) to restructure the role of the professional nurse, through
changes in the composition of hospital staffs and through
innovative approaches for interaction between hospital adminis-
tration and nursing personnel, in order to ensure that the
particular expertise of such nurses is efficiently utilized and
that such nurses are engaged in direct patient care during a
larger proportion of their work time;

Wages. "(B) to test innovative wage structures for professional nurses

in order to—

"(i) reduce vacancies in work shifts during unpopular
work hours; and

"(ii) provide financial recognition based upon experience
and education; and

"(C) to evaluate the effectiveness of providing benefits for
professional nurses, such as pensions, sabbaticals, and payment
of educational expenses, as a means of developing increased
loyalty of such nurses to health care institutions and reducing
turnover in nursing positions.".

(h) LONG-TERM CARE NURSING PRACTICE DEMONSTRATIONS.—Sec-
tion 820 (42 U.S.C. 296k), as amended by subsection (g) of this
section, is further amended by inserting after subsection (c) the
following new subsection:

"(dXD The Secretary may make grants to public and nonprofit
private entities accredited for the training of nurses for the purpose
of—

"(A) demonstrating innovative nursing practice models for—
"(i) the provision of case-managed health care services
(including adult day care) and health care services in the
home; or

"(ii) the provision of health care services in long-term
care facilities; or

"(B) developing projects to increase the exposure of nursing
students to clinical practice in nursing home, home health, and
gerontplogic settings through collaboration between such
accredited entities and entities that provide health care in such
settings.

"(2) The Secretary may not make a grant under paragraph (1)
unless the applicant for the grant agrees that models demonstrated
pursuant to such paragraph will be designed—

"(A) to increase the recruitment and retention of nurses to
provide nursing care for individuals needing long-term care;
and

"(B) to improve nursing care in home health care settings and
nursing homes.".

(i) AUTHORIZATION OF APPROPRIATIONS.—Section 820(g) (as redesig-
nated by subsection (bX2) of this section) is amended to read as
follows:

"(gXD For payments under grants and contracts under this sec-
tion, there are authorized to be appropriated $13,000,000 for fiscal