Health Affairs November 7, 2023
Y. Tony Yang, Richard Ricciardi, Eileen Fry-Bowers

In May 2023, HCA Healthcare, a leading private hospital corporation, made the pivotal decision to discontinue the use of Training Repayment Agreement Provisions (TRAPs) in its nurse training initiatives. This decision was prompted by investigations revealing that these provisions often placed nurses under significant financial strain, making them liable for large debts if they decided to leave their position within a two-year span.

TRAPs were initially introduced by tech startups as a means to recover expenses incurred in coding bootcamps and similar training endeavors. The fundamental concept behind a TRAP is that employees who benefit from sponsored training are expected to repay the training costs if they depart from the organization within a designated period. Within the realm of nursing,...

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