; and (B) the total number of positions distributed to the Hub under subsection (f), as determined by the Secretary. (2) Determination of Hub-specific annual per student payment amount The Secretary shall determine, for each Hub, an annual per student payment amount for each year (beginning with 2026). Such amount shall be equal to the unadjusted per student amount determined under paragraph (3), as adjusted for geographic variation in wages in a budget neutral manner, as determined appropriate by the Secretary. (3) Unadjusted per student amount The unadjusted per student amount determined under this paragraph for a year is equal to the product of— (A) 750 hours; and (B) the median hourly wage for a nurse practitioner in the United States, according to the Occupational Employment and Wage Statistics of the Bureau of Labor Statistics for the most recent year for which such data is available (or an appropriate successor measure), increased or decreased by the percentage change in the consumer price index for all urban consumers (all items; United States city average) from June of the most recent year for which such data is available to the June preceding the year involved. (4) Permissible uses of payment A Hub may use payments provided under this section only for payment of the costs of qualified training. (e) Number of training positions available The maximum number of positions for which payment made be made under this section for a year shall be equal to— (1) for each of 2026 and 2027, 10,000 advanced practice registered nurse students; (2) for each of 2028 and 2029, 15,000 advanced practice registered nurse students; (3) for each of 2030 and 2031: 20,000 advanced practice registered nurse students; and (4) for 2032 and subsequent years, the greater of— (A) 20,000 advanced practice registered nurse students