SESSION WATCH
Died SENATE · SESSION 2026

No. CS/SB 254

Nursing Education Programs
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SPONSOR
Appropriations Committee on Health and Human Services; Harrell
FILED BY
Gayle Harrell — District 31, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Fiscal Policy

Filed under Healthcare.

PROVIDED SUMMARY

Nursing Education Programs; Requiring applicants for nurse licensure seeking to take the licensing examination more than 6 months after graduation to first complete a remedial course approved or developed by the Board of Nursing; requiring the Department of Health to issue temporary provisional licenses to graduate professional nurses and graduate practical nurses meeting certain criteria; revising application requirements for nursing education program approval; requiring the Florida Center for Nursing to develop graduate nursing preceptorship standards by a specified date; authorizing agents or employees of the department to conduct onsite evaluations and inspections of approved and accredited nursing education programs, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Creates temporary provisional nursing licenses for graduates awaiting exam results.

Nursing graduates who are eligible to sit for the licensing exam can now get a temporary provisional license to practice as a supervised graduate nurse for up to 180 days while they wait to test.

Anyone who waits more than 6 months after graduation to take the exam for the first time must complete a board-approved remedial course first, though a free version must be offered to applicants facing hardship.

Nursing schools face harder accountability rules: a probationary program that misses its passage-rate target no longer gets a one-year extension, and state inspectors can now show up during business hours to inspect programs at any time.

Programs also lose their option to get a multi-year extension on accreditation deadlines, must administer a standardized exam to gauge NCLEX readiness, and cannot deny graduation to a student based solely on that exam.

KEY PROVISIONS
§ 1 Creates a temporary provisional license for new graduate nurses majors. 464.008

AIThe department must issue a temporary, nonrenewable license -- good for up to 180 days -- to eligible nursing graduates so they can work as a supervised graduate nurse while awaiting their licensing exam and results.

“The department shall issue a temporary provisional license to an applicant who is eligible to take the licensure examination” bill text, line 111 →
§ 2 Requires a remedial course before testing more than 6 months out majors. 464.008

AIAn applicant who waits more than 6 months after graduation to take the licensing exam for the first time must complete a board-approved or board-developed remedial course before being approved for the exam.

“Any applicant who desires to take the licensure examination for the first time more than 6 months after graduation must complete a board-approved remedial course” bill text, line 102 →
§ 3 Ends the discretionary one-year extension for low-passage-rate programs majors. 464.019

AICurrent law lets the board give a probationary program one extra year if it shows adequate progress on its remediation plan. That discretion is removed: if the passage rate still isn't met after the 2-year probation, termination is now mandatory.

“the board must terminate the program pursuant to chapter 120” bill text, line 350 →
§ 4 Repeals the accreditation-deadline extension option majors. 464.019(11)

AIPrograms can no longer apply for up to a 2-year extension of their accreditation deadline, even if they meet performance benchmarks like passage, retention, and job-placement rates that used to qualify them for one.

“apply to the board for an extension of the accreditation deadline for a period which does not exceed 2 years” bill text, line 472 →
§ 5 Authorizes unannounced onsite inspections of nursing programs majors. 464.019

AIDepartment agents or employees may show up at any time during business hours to inspect a program for compliance and collect evidence of violations, a new enforcement power with no advance-notice requirement.

“Duly authorized agents or employees of the department may conduct onsite evaluations or inspections at any time during business hours” bill text, line 435 →
§ 6 Requires denial of programs terminated by another state moderates. 464.019

AIThe board must deny an application if another U.S. jurisdiction has terminated or revoked that program's authority to operate elsewhere, and may discipline -- up to revoking approval of -- an already-approved Florida program over lesser adverse actions taken against it in another state.

“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 319 →
§ 7 Bars using the exit exam alone to block graduation moderates. 464.019

AIEvery program must give a standardized NCLEX-readiness predictor exam, but a student who has completed all required coursework cannot be denied graduation solely because of that exam result.

“A student may not be excluded from graduation on the sole basis of the exit examination” bill text, line 244 →
§ 8 Requires standardized admission screening and support plans moderates. 464.019

AIPrograms must adopt admission criteria that flag students likely to need extra academic support and must keep documentation of an individualized support plan for each one identified.

“The admission criteria must, at a minimum, identify those students who are likely to need additional preparation and educational support” bill text, line 232 →
TIMELINE
3/13/2026
Died in Fiscal Policy
3/6/2026
Now in Fiscal Policy
3/3/2026
CS by Appropriations Committee on Health and Human Services read 1st time
2/27/2026
Pending reference review under Rule 4.7(2) - (Committee Substitute)
2/25/2026
CS by Appropriations Committee on Health and Human Services; YEAS 6 NAYS 0
2/20/2026
On Committee agenda-- Appropriations Committee on Health and Human...
1/13/2026
Introduced
11/18/2025
Now in Appropriations Committee on Health and Human Services
11/18/2025
Favorable by Health Policy; YEAS 7 NAYS 1
11/10/2025
On Committee agenda-- Health Policy, 11/18/25, 10:00 am, 412 Knott Building
11/3/2025
Referred to Health Policy; Appropriations Committee on Health and...
10/20/2025
Filed
6 EARLIER →
STATUTES IT CHANGES
s. 464.019
+950 / −339
s. 464.022
+21 / −0
s. 464.008
+0 / −0
STAFF ANALYSES