I agree with the comment from NOVA.  Adding 20 hours is a sticky wicket for community colleges, who charge by the credit.  It would increase tuition, increase the pay needed for faculty, and require increased time in the lab, for which we already compete with the PN and RN programs.

Any program that feels that their pass rate on the NNAAP is too low or that the students are not demonstrating competency in skills is free to increase the number of hours spent practicing in the lab, independent of a  directive from the Board of Nursing.