; and (B) submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may require, including the average percent of individuals determined under subparagraph (A). (4) Definition For purposes of this subsection, the term health facility means an Indian health service center, a Native Hawaiian health center, a Federally qualified health center, a rural health clinic, a nursing home, a home health agency, a hospice program, a public health clinic, a State or local department of public health, a skilled nursing facility, or an ambulatory surgical center. (5) Account to Address the Nursing Workforce Shortage (A) Establishment of account There is established in the Treasury an account, to be known as the Account to Address the Nursing Workforce Shortage (referred to in this subsection as the Account ), for purposes of carrying out this subsection, in addition to amounts otherwise made available, including under section 871(a). (B) Transfer of direct spending (i) In general The Secretary of the Treasury shall transfer, from the general fund of the Treasury, to the Account $240,000,000 for each of fiscal years 2024 through 2028. (ii) Amounts deposited Any amounts transferred under clause (i) shall remain unavailable in the Account until such amounts are appropriated pursuant to subparagraph (C). (C) Appropriations (i) Authorization of appropriations For each of fiscal years 2024 through 2028, there is authorized to be appropriated from the Account to the Secretary, for the purpose of carrying out the activities under this subsection, in addition to amounts otherwise made available for such purpose, an amount not to exceed the total amount transferred to the Account under subparagraph (B)(i). (ii) Offsetting future appropriations For any of fiscal years 2024 through 2028, for any discretionary appropriation under the heading Account to Address the Nursing Workforce Shortage provided to the Secretary pursuant to the authorization of appropriations under clause