Competencies are necessary for continuous improvement of the quality and safety of health care systems—patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. The target new federal and state subsidies in the form of scholarships, loan forgiveness, and institutional capacity awards significantly will increase the number and proportion of new registered nurses who graduate from basic pre-licensure. From a policy perspective, nursing’s versatility is important to note for the simple reason that nursing has evolved faster than public policies affecting the profession. As per the growing evidence, it suggests that the shortage of nurses with BSN and higher education is adversely affecting a number of dimensions of health care delivery and these problems will only become exaggerated in the future.