SESSION WATCH
Died HOUSE · SESSION 2026

No. CS/HB 121

Nursing Education Programs
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SPONSOR
Health & Human Services Committee; Overdorf
FILED BY
Tobin Overdorf — District 85, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Fiscal Policy

Filed under Healthcare.

PROVIDED SUMMARY

Nursing Education Programs ; Revises application requirements for nursing education program approval; authorizes Board of Nursing to revoke program's approval; revises requirements for annual reports program directors of approved programs are required to submit to board; provides for revocation of program's approval & discipline of its program director; revises remediation procedures; removes provision authorizing board to extend program's probationary status; authorizes agents of DOH to conduct onsite evaluations & inspections; authorizes DOH to collect evidence as part of such evaluations & inspections; removes provision authorizing approved nursing education programs to request extension to meet board's accreditation requirements.

Full bill text →

Plain English Summary

AI-GENERATED
Forces underperforming nursing programs to close instead of extending probation.

Nursing schools that fail to meet licensing-exam passage rates for two straight years must now be shut down. The Board of Nursing no longer has authority to grant a one-year extension if the program is making progress.

A program whose graduates pass the licensing exam at below 30 percent in a year must refund tuition and fees to every first-time test taker who failed. Probationary programs must also pay for exam remediation.

Programs also lose the option to request a two-year extension on meeting accreditation deadlines. Department of Health agents gain new authority to inspect programs and collect evidence, and refusing an inspection now counts as a violation.

Applicants must disclose a program director's disciplinary history in other states. The board must reject any applicant whose program had its authority to operate revoked elsewhere, and may reject one tied to an owner whose earlier program failed.

KEY PROVISIONS
§ 1 Ends discretionary extension of probationary status majors. 464.019

AIIf a program's graduate passage rate still falls short after two years on probation, the board must terminate it. The board no longer has authority to grant a one-year extension to a program showing progress toward its benchmarks.

“the board may extend the program's probationary status for 1 additional year, provided the program has demonstrated adequate progress toward the graduate passage rate goal”
§ 2 Requires tuition refunds when passage rates fall below 30 percent majors. 464.019

AIA program whose graduates pass the licensing exam at less than 30 percent in a calendar year must reimburse the full tuition and fees paid by every first-time test taker who failed that exam.

“the program must reimburse the total cost of tuition and fees paid by each student who failed to pass” bill text, line 335 →
§ 3 Removes ability to request accreditation deadline extension majors. 464.019

AIApproved programs could apply for up to a two-year extension of the deadline to meet accreditation requirements if they met passage-rate and retention benchmarks. That entire extension process is deleted, leaving the deadline fixed.

“apply to the board for an extension of the accreditation deadline for a period which does not exceed 2 years” bill text, line 427 →
§ 4 Requires board to deny applicants whose program lost authority elsewhere majors. 464.019

AIThe board must deny a program application if another state's regulator has terminated or revoked that applicant's authority to operate a nursing program, and may discipline or revoke an already-approved program over lesser adverse actions elsewhere.

“The board shall deny an application from an applicant if another regulatory jurisdiction in the United States has terminated or otherwise revoked its authority” bill text, line 206 →
§ 5 Authorizes DOH inspectors to enter and collect evidence at programs moderates. 464.019

AIDepartment of Health agents may conduct onsite evaluations or inspections during regular operating hours and collect evidence to verify compliance or support prosecution. A program that refuses an inspection is treated as violating a legal obligation.

“Duly authorized agents or employees of the department may conduct onsite evaluations or inspections at all regular hours of operation” bill text, line 342 →
§ 6 Lets board deny applicants tied to a prior probationary closure moderates. 464.019

AIThe board may deny a program application if the applicant is owned by a person or entity that held a 25 percent or greater interest in a different nursing program that closed while on probationary status.

“owned by any individual, group of individuals, or entity who directly or indirectly owned, controlled, or held a 25 percent or greater financial” bill text, line 222 →
§ 7 Shortens grace period for missing annual report before termination moderates. 464.019

AIIf a program does not submit its required annual report, the board must terminate it once 30 days pass after the report's due date, down from the 6-month grace period the law previously allowed.

“the program does not submit the annual report within 30 days after the due date” bill text, line 312 →
§ 8 Requires new admission screening and exit-exam preparation duties moderates. 464.019

AIPrograms must adopt standardized admission criteria that flag students likely to need extra support, maintain individualized support plans for them, and give every student an exit exam or preparation course before completion to ready them for licensure testing.

“identify those students who are likely to need additional educational support to be successful program graduates” bill text, line 141 →
TIMELINE
3/13/2026
Died in Fiscal Policy
1/22/2026
Received
1/16/2026
Referred to Fiscal Policy
1/15/2026
In Messages
1/15/2026
CS passed; YEAS 107, NAYS 1
1/15/2026
Read 3rd time
1/15/2026
Added to Third Reading Calendar
1/15/2026
Read 2nd time
1/13/2026
1st Reading (Committee Substitute 1)
1/13/2026
1st Reading (Original Filed Version)
1/12/2026
Bill added to Special Order Calendar (1/15/2026)
12/8/2025
Bill referred to House Calendar
12/5/2025
CS Filed
12/5/2025
Laid on Table under Rule 7.18(a)
12/4/2025
Reported out of Health & Human Services Committee
12/4/2025
Favorable with CS by Health & Human Services Committee
11/21/2025
Added to Health & Human Services Committee agenda
11/5/2025
Now in Health & Human Services Committee
11/5/2025
Reported out of Education & Employment Committee
11/5/2025
Favorable by Education & Employment Committee
10/29/2025
Added to Education & Employment Committee agenda
10/14/2025
Now in Education & Employment Committee
10/14/2025
Referred to Health & Human Services Committee
10/14/2025
Referred to Education & Employment Committee
10/8/2025
Filed
19 EARLIER →
STATUTES IT CHANGES
s. 464.019
+929 / −335
STAFF ANALYSES