Rep. Jen Kiggans Wins Lillian Wald Award

NASN President Lynn Nelson awarded Representative Jen Kiggans (R-VA) the Lillian Wald Award for her introduction of the NURSE (Nurses for Under-Resourced Schools Everywhere) Act, HR 3262, to strengthen access to school nursing in rural and underserved communities.


The Lillian Wald Award, named for the first school nurse, is awarded to a legislator or public policy official who has supported or uniquely contributed to NASN, school nursing, or school health services. Representative Kiggans is one of two nurses serving in Congress and a board-certified Adult-Geriatric Primary Care Nurse Practitioner. Read more.

New Rules Set to Come out on March 2; Nurses Can Weigh in

The Trump Administration's plan to limit how much graduate students can borrow in federal student loans has drawn bipartisan criticism, particularly for excluding nurses and other health care professional from higher borrowing limits. 


Under the proposal, only students enrolled in programs deemed “professional” would be allowed to borrow up to $200,000 in federal loans over their lifetime and up to $50,000 per year. All other graduate students would face a much lower cap of $100,000 total and about $20,500 annually. The new limits stem from the One Big Beautiful Act, which eliminated the GRAD PLUS loan program and imposed lifetime borrowing caps for the first time. The changes are scheduled to take effect July 1, 2026. 


The Department of Education (ED) released the One Big Beautiful Bill Act (OB3A) proposed rule on public inspection. As anticipated, unfortunately, this proposed rule does not include post-baccalaureate nursing in the definition of "professional degree" programs. The 30-day comment period is currently scheduled to begin on January 30, 2026. This rule is set go into effect in July. 


The controversy centers on how the Department of Education has defined “professional” programs. An administration-convened panel proposed a narrow list that includes medicine, dentistry, pharmacy, veterinary medicine, optometry, osteopathic medicine, podiatry, chiropractic, law, theology and clinical psychology. Notably excluded are graduate nursing programs, physician assistant programs, physical therapy, public health, and several other advanced health degrees. 


Health care organizations warn the policy could worsen existing workforce shortages by making it significantly harder for students to finance advanced training. Nursing groups argue the impact would be especially severe. 


Programs for nurse practitioners, nurse anesthetists and doctoral-level nurses often exceed the proposed borrowing caps, with some nurse anesthetist programs costing more than $200,000. Lawmakers note that these professionals frequently serve rural and underserved communities where physician shortages are most acute. 


More than 245,500 people have signed a petition from the American Nurses Association and allied groups urging the administration to add advanced nursing degrees to the professional list. Public health leaders have also raised alarms, warning that the restrictions could weaken the nation’s preparedness for future health crises. 


Congress has begun to weigh in. In December, more than 140 lawmakers from both parties — including at least a dozen Republicans — sent a letter urging the Education Department to classify nursing as a professional degree. The letter was led by Sen. Jeff Merkley (D-Ore.), Sen. Roger Wicker (R-Miss.), Rep. Suzanne Bonamici (D-Ore.) and Rep. Jen Kiggans (R-Va.), leaders of the Senate and House Nursing Caucuses.  


Congresswoman Kiggans also sent her own letter. “At a time when our nation is facing a critical nursing shortage, we should make it easier — not harder — for the next generation of nurses to step forward,” said Kiggans, who is herself a nurse practitioner. 


The Administration argues that the loan caps are necessary to rein in tuition costs and says most nursing students will not be affected because they are enrolled in bachelor’s or associate degree programs. An Education Department fact sheet claims 95% of nursing students fall outside the new restrictions. The department has also said it relied on examples from a 1965 financial aid law in defining professional degrees, adopting those examples as its full list. 


For now, the Education Department says it has not finalized the rule and may revise it in response to public comments. Health care organizations say they are prepared to escalate pressure — including potential litigation — if the current definition stands. 

What happens next could shape not only how future students pay for advanced degrees, but also the size and stability of the U.S. nurses and health care workforce for years to come. 


Join NASN in urging Congress to tell the Department of Education to revise the proposed definition of “professional degrees” to explicitly include nursing.


The Nursing Community Coalition (NCC), will be hosting a webinar this Thursday, February 5, 2026, from 3:00 p.m.- 4:00 p.m. (ET) on the Department of Education's Notice of Proposed Rulemaking (NPRM) and public comment period. This webinar will outline the history of this rulemaking process, highlight next steps, showcase our coordinated approach, and equip attendees with tangible steps to take action and submit comments that highlight why nursing should be included under the professional degree designation. Register for the webinar here.

CDC 2026 Childhood Vaccine Schedule Update 

On January 5, 2026, the Centers for Disease Control and Prevention (CDC) released a revised U.S. childhood immunization schedule that reduces the number of vaccines routinely recommended for all children from 17 to 11, citing alignment with international standards. 


Key Changes 


  • Vaccines Recommended for All Children: Chickenpox (varicella), Diphtheria, Haemophilus influenzae type b (Hib), HPV (reduced to one dose), Measles, Mumps, Pneumococcal, Polio, Rubella, Tetanus, and Pertussis. 
  • Shared Clinical Decision-Making: Influenza, COVID-19, Rotavirus, Hepatitis A, and Hepatitis B are no longer universally recommended but may be given based on clinician-parent discussion. 
  • High-Risk Recommendations: RSV vaccination is limited to infants whose mothers were not vaccinated during pregnancy. 

 

The American Academy of Pediatrics (AAP) has strongly opposed the changes and declined to endorse the CDC’s 2026 schedule. Instead, it released its own immunization schedule on January 26, continuing to recommend protection against 18 diseases, with no changes from prior guidance. The AAP schedule is endorsed by 12 medical and health organizations representing more than one million pediatric health professionals and continues to include influenza, RSV, and hepatitis vaccines. 

 

Federal officials have stated that insurance coverage and liability protections will remain in place for all vaccines listed on the CDC schedule. AHIP has confirmed that insurers will continue covering vaccines recommended by ACIP as of September 1, 2025, without cost-sharing through the end of 2026. 

 

Although the CDC cited international alignment as a rationale, the revised U.S. schedule now mirrors Denmark’s more closely than any other peer nation’s. Denmark—and now the U.S.—recommends vaccines against fewer diseases than any of the 20 peer countries referenced by HHS. In contrast, countries such as Australia, Germany, Japan, New Zealand, Spain, and the United Kingdom routinely recommend vaccines protecting against 14 or more diseases. Each nation develops its schedule through long-standing, evidence-based processes shaped by health system capacity, public health priorities, and national context.


NASN's Response


The National Association of School Nurses (NASN) expresses serious concern regarding reports that the Centers for Disease Control and Prevention has announced changes to childhood immunization recommendations that reduce the number of vaccines recommended for U.S. children. Changes of this magnitude, when not grounded in rigorous, transparent, and evidence-based review, risk undermining prevention efforts, creating confusion for families, and destabilizing immunization implementation in schools. These changes risk increasing public questioning regarding vaccines, reinforcing the false perception that vaccines are optional rather than essential for public health. Read the full statement.

NASN-Endorsed Legislation

NASN endorsed the bipartisan School Access to Naloxone Act introduced by Senator Jeff Merkley (D-OR) and Senator Tim Scott (R-SC). The bipartisan legislation would ensure school personnel have the training and education to administer lifesaving drugs and devices for emergency treatment in cases of known or suspected opioid overdose. 


Measles Outbreak 


Due to the numbers of outbreaks across the United States, this country is poised to lose the status of measles elimination due to the number of constant transmissions. In South Carolina, there have been at least 847 confirmed cases of measles in Spartanburg County. Nationwide, the CDC reported 2,267 confirmed measles cases in 2025. As of January 29, 2026, 588 confirmed measles cases have been reported in the United States since the beginning of the year. 

Florida


The Florida Department of Health is considering changes that would remove vaccine protections that help keep babies and toddlers safe in childcare and schools. These vaccines prevent illnesses that can lead to hospitalization, lifelong disability, or death. According to health officials, the current plan would eliminate requirements that children be vaccinated against hepatitis B, chickenpox, and Haemophilus influenzae type b (Hib) to attend public or private schools, including prekindergarten. 


Florida health officials took the first concrete step toward rolling back long-standing vaccine requirements by holding a packed and often emotional public workshop on a draft rule outlining the changes. The proposal, would remove hepatitis B, chickenpox, Hib, and—specifically for daycare settings—pneumococcal vaccines from Florida’s K–12 and childcare immunization standards. If approved, families could send children to school without vaccinations that have been required for decades.


Both NASN and the Florida Association of Nurses submitted comments in support of maintaining the current vaccine schedule. NASN urges Florida’s leaders to prioritize the health and safety of all students by maintaining evidence-based vaccine requirements. 

 

Iowa


Iowa Immunizes invited the Iowa School Nurse Association to be part of a virtual immunization webinar where the audience was state legislators. Participants spoke on the importance of school entry requirements and the economic benefits of immunizations. Jordan Drane, President of the Iowa School Nurse Organization (ISNO) and Teri Schloss, NASN Director & Legislative Chair, ISNO, presented to legislators about the school nurses' role in immunizations. 

State-by-State Legislation

FLORIDA


HB 917: Strengthens individual and parental autonomy in health care decisions while limiting governmental and institutional mandates related to medical treatments and vaccinations. Referred to Committee

MISSISSIPPI


HB 632: School nurses; direct the Office of Healthy Schools to develop salary schedule for that all school districts shall use when employing. Referred to Committee 

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