Graduate Nurse Education (GNE) Demonstration

The National Coalition on Graduate Nursing Education is a coalition of 15 organizations working together with the Demonstration Sites to ensure the success and stability of the Graduation Nursing Education Demonstration.



The National Coalition on Graduate Nursing Education 2016 Roster
History of the Graduate Nursing Education Demonstration

In March 2012, the Centers for Medicare & Medicaid Services (CMS) issued a call for applications for a new initiative designed to increase the nation’s primary care workforce by supporting facilities that train Advanced Practice Registered Nurses (APRNs). Under this new initiative from the Affordable Care Act, CMS will begin making reimbursement payments to eligible hospitals in 2012 from the $200 million of available funds over the four year period of the Demonstration, helping the hospitals offset the costs of clinical training for APRN students.

Under the Graduate Nurse Education Demonstration, CMS will provide reimbursement to up to five eligible hospitals for the reasonable cost of providing clinical training to advanced practice registered nursing (APRN) students added as a result of the demonstration.

Growing the ranks of APRNs is an important way to increase the base of primary care providers in this country. In the past, the cost of clinical training has limited the ability of hospitals and other healthcare providers to accept more APRN students into their settings for clinical training. 

The primary goal of the demonstration is to increase the provision of qualified training to APRN students. The clinical training included in this demonstration will provide APRNs with the clinical skills necessary to provide primary care, preventive care, transitional care, chronic care management, and other services appropriate for Medicare beneficiaries.

Additional information about the Demonstration can be found here

Recent GNE Activity

December 15, 2017

Campaign for Action, backed by the AARP Foundation, AARP, and the Robert Wood Johnson Foundation, works to mobilize nurses, health providers, consumers, educators, and businesses to strengthen nursing on multiple fronts. Campaign for Action uses recommendations from the Institute of Medicine’s Future of Nursing report to transform health and health care through nursing. Please see these two articles from Campaign for Action on the GNE Demonstration

  • GNE Demonstration Project At-A-Glance
  • Graduate Nurse Education: A Pathway to Increased Primary Care Access

  • October 12, 2017

    The Graduate Nurse Education (GNE) Demonstration, a pilot project established through the Affordable Care Act, provided funding to five hospitals who have partnerships with surrounding nursing school(s) and community-based settings to reimburse costs associated with the clinical training of advanced practice registered nurse (APRN) students. The program was created to increase the number of APRNs, particularly those who will be providing primary care, preventive care, transitional care, and chronic care management. The Centers for Medicare and Medicaid Services, who allocated the funding, released their official evaluation where the program was run on October 5, 2017.

    December 15, 2015

    The GNE National Coalition submitted comments to the Center for Medicare and Medicaid Services regarding the evaluation of the Graduate Nurse Education Demonstration Program. 

    The comments can be found here.

    January 21, 2015

    The Alliance for Health Reform hosted a briefing on Preparing the Nursing Workforce for a Changing Health System: The Role of Graduate Nursing Education in Washington, DC. The distinguished panel of healthcare workforce and education experts provided insights on current and projected demands for nursing, and how federally-financed nursing education programs work to support students seeking advanced nursing degrees, most specifically the Graduate Nursing Education demonstration. Briefing presenters included:

    • Ed Salsberg, MPA, Director of Health Workforce Studies at George Washington University School of Nursing and founding director of the National Center for Health Workforce Analysis at the Health Resources and Services Administration, described the current and projected needs for the primary care workforce.
    • Linda H. Aiken, PhD, RN, FAAN, FRCN, Claire M. Fagin Leadership Professor in Nursing, professor of sociology, and director of the Center for Health Outcomes and Policy Research, University of Pennsylvania, who described the Graduate Nurse Education demonstration being conducted through the Center for Medicare and Medicaid Innovation.
    • Deborah Trautman, PhD, RN, Chief Executive Officer, American Association of Colleges of Nursing, who discussed existing mechanisms for supporting the training of nursing professionals, with a focus on the role of graduate nursing education.
    • Brittnee MacIntyre, BSN, RN, CPAN, FNP-S, a nurse practitioner and recent nursing school graduate, who described the challenges and opportunities for nurses pursuing higher education today, and the applicability of new models of training to prepare nurses to treat chronic care and Medicare populations. 

    Video from the Capitol Hill briefing can be viewed here.

    August 6, 2013

    AACN applauds the announcement made by United States Secretary of Health and Human Services Kathleen Sebelius that recognized the academic-practice partnerships to receive support through the Graduate Nurse Education (GNE) Demonstration. GNE is a new funding stream dedicated to advanced practice nursing education that was created through the Affordable Care Act. 

    Under the Graduate Nurse Education Demonstration, Center for Medicare and Medicaid Innovation (CMMI) will provide reimbursement to the 5 hospitals listed below, for the reasonable cost of providing clinical training to advanced practice registered nursing (APRN) students added as a result of the demonstration. For more information, visit

    Learn more about the five awardees:

    View Graduate Nursing Education Demonstration Site Map in a full screen map