In a recent meeting of the Florida Legislature's Appropriations Committee on Health and Human Services, lawmakers discussed a pivotal bill aimed at addressing the state's alarming nursing exam passage rates. Currently, Florida ranks last in the nation for the National Council Licensure Examination (NCLEX), with passage rates significantly below the national average. This bill seeks to implement comprehensive reforms in nursing education programs to enhance the quality of training and ultimately improve outcomes for nursing graduates.

The proposed legislation mandates that nursing programs establish rigorous admission criteria and utilize exit exams, which cannot solely determine graduation eligibility. Additionally, it introduces a remediation program for students who do not pass the exit exam, ensuring they receive the necessary support before attempting the NCLEX. The bill also requires nursing program directors to verify degree completion and submit annual reports to the Department of Health, enhancing accountability within nursing education.

One of the most significant aspects of the bill is the introduction of graduate nursing preceptorships. Starting in August 2026, programs with NCLEX passage rates more than 10% below the national average will be required to offer a three-month preceptorship to help graduates prepare for the exam. This initiative aims to provide hands-on experience and improve the likelihood of passing the NCLEX, as studies indicate that graduates who take the exam within three months of finishing their program have a much higher success rate.

The bill also includes provisions for temporary provisional licenses for nursing graduates who meet all requirements except for passing the NCLEX. This allows them to gain practical experience under supervision while awaiting their exam results. The Florida Center for Nursing will establish standards for these preceptorships, ensuring quality and consistency across programs.

However, the bill has faced criticism from various stakeholders. Concerns were raised about the potential closure of nursing programs that fail to meet the new standards, as well as the implications of requiring nursing program directors to have their licenses at risk. Critics argue that the bill disproportionately targets private and unaccredited institutions, while public schools, which also contribute to low passage rates, may not face the same level of scrutiny.

Supporters of the bill, including representatives from the Florida Nurses Association, emphasize the need for higher standards in nursing education to ensure patient safety and quality care. They argue that the reforms are essential for addressing the nursing shortage and improving the overall quality of nursing graduates in Florida.

As the bill moves forward, lawmakers will need to balance the need for accountability and quality in nursing education with the potential impact on program accessibility and the workforce. The discussions in this meeting highlight the critical importance of nursing education in addressing Florida's healthcare challenges and the ongoing efforts to improve the state's standing in nursing licensure outcomes.