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New CMS demo will fund clinical training of APRNs


The Centers for Medicare & Medicaid Services announced a call for applications for a new initiative designed to strengthen primary care in the United States through the training of APRNs.

Under the Graduate Nurse Education Demonstration, hospitals working with nursing schools will receive as much as $200 million combined over four years to cover the costs of APRNs’ clinical training.

Funding is provided by the Affordable Care Act, through which “we’re taking steps to put more advanced practice registered nurses at the forefront of our healthcare system,” Marilyn Tavenner, RN, BSN, MHA, acting administrator of CMS, said in a news release. “Better training and support for advanced practice registered nurses will mean higher-quality healthcare.”

Nurse practitioners, clinical nurse specialists, nurse anesthetists and nurse midwives play a pivotal role in primary care, according to the news release. This new initiative will provide funds to eligible hospitals to increase the availability of clinical training settings that will bolster the skills and supply of APRNs. Payments to the participating hospitals will be linked directly to the number of additional APRNs the hospitals and their partnering entities are able to train through participation in the demonstration.

At least half the clinical training must occur in non-hospital settings in the community. Most clinical training in large hospitals already includes rotations in settings that treat minority and underserved populations, and this demonstration sets a higher requirement for training in non-hospital, community-based settings. Students receiving training funded by the demonstration will be encouraged to practice in those settings, including in underserved areas.

CMS will select up to five eligible hospitals to participate in the demonstration, which is expected to run for four years. The CMS Innovation Center will operate the demonstration, for which applications are due May 21.

For more information, including how to apply, visit


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