,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fabc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #ae1 #bjah,mr4  
,s5s5br5n] 7= himself & ,mr4 ,gro?man7  
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ! ,judici>y  ,a ,,bill 
,to am5d ! ,immigration & ,nationality  
,act to provide t an ali5 physician :o  
is com+ to ! ,unit$ ,/ates to practice  
m$ic9e 9 an area designat$ by !         
,secret>y ( ,heal? & ,human ,s]vices z  
hav+ a %ortage ( heal? c>e pr(essionals 
is n requir$ to pass ! ,national ,bo>d (
 ,m$ical ,exam9]s ,exam9ation1 & = o!r  
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,physician ,visa ,re=m ,act
 ( #bjah4  #b4 ,ali5 physicians s]v+ 9  
areas t h a %ortage ( heal? c>e         
pr(essionals  7a7 ,waiv] ( requirem5t t 
ali5 physicians pass bo>d exam9ation    
,section #bab7;a77#e77;,b7 ( !          
,immigration & ,nationality ,act 7#h    
,u4,s4,c4 #aahb7;a77#e77;,b77 is am5d$  
by ins]t+ aft] has pass$ p>ts ,i & ,,ii 
( ! ,national ,bo>d ( ,m$ical ,exam9]s  

,exam9ation 7or an equival5t exam9ation 
z det]m9$ by ! ,secret>y ( ,heal? &     
,human ,s]vices7 ! foll[+3 or has be5   
approv$ by a ,/ate physician lic5s+     
au?ority to practice m$ic9e 9 an area   
designat$ by ! ,secret>y ( ,heal? &     
,human ,s]vices z hav+ a %ortage ( heal?
 c>e pr(essionals4  7b7 ,adju/m5t (     
/atus ,! ,immigration & ,nationality    
,act 7#h ,u4,s4,c4 #aaja et seq47 is    
am5d$ by ins]t+ aft] section #baf;,a !  
foll[+3  #baf;,b4 ,conditional p]man5t  
resid5t /atus = ali5 physicians s]v+ 9  
areas t h a %ortage ( heal? c>e         
pr(essionals  7a7 ,9 g5]al  7#a7        
,conditional basis = /atus ,not)/&+ any 
o!r provision ( ?is ,act1 a cov]$ ali5  
physician1 an ali5 sp\se1 & ali5 *ild1  
%all be consid]$1 at ! "t ( obta9+ !    
/atus ( an ali5 lawfully admitt$ =      
p]man5t resid5ce1 to h obta9$ su* /atus 
on a conditional basis subject to !     
provisions ( ?is section4  7#b7 ,notice 
( requirem5ts  7,a7 ,at "t ( obta9+     
p]man5t resid5ce ,at ! "t an ali5       

describ$ 9 p>agraph 7#a7 obta9s p]man5t 
resid5t /atus on a conditional basis "u 
p>agraph 7#a71 ! ,secret>y ( ,homel&    
,security %all provide = notice to su*  
ali5 respect+ ! provisions ( ?is section
 & ! requirem5ts ( subsection 7c77#a7 to
 h ! conditional basis ( su* /atus      
remov$4  7,b7 ,at "t ( requir$ petition 
,9 addition1 ! ,secret>y ( ,homel&      
,security %all attempt to provide notice
 to su* an ali5 at or ab\t ! beg9n+ ( ! 
#ij-;day p]iod describ$ 9 subsection    
7d77#b77;,a71 ( ! requirem5ts (         
subsection 7c77#a74  7,c7 ,effect (     
failure to provide notice ,! failure ( !
 ,secret>y ( ,homel& ,security to       
provide a notice "u ?is p>agraph %all n 
affect ! en=cem5t ( ! provisions ( ?is  
section ) respect to su* an ali54  7b7  
,t]m9ation ( /atus  7#a7 ,9 g5]al ,9 !  
case ( a cov]$ ali5 physician ) p]man5t 
resid5t /atus on a conditional basis "u 
subsection 7a71 if ! ,secret>y ( ,homel&
 ,security det]m9es1 be=e ! second      
anniv]s>y ( ! ali5's obta9+ ! /atus (   

lawful admission = p]man5t resid5ce1 t !
 ali5 0 n practic+ m$ic9e 9 an area     
describ$ 9 subsection 7a77#a71 !n !     
,secret>y ( ,homel& ,security %all s    
notify ! ali5 involv$ &1 subject to     
p>agraph 7#b71 %all t]m9ate ! p]man5t   
resid5t /atus ( ! ali5 7& ! ali5 sp\se &
 ali5 *ild7 involv$ z ( ! date ( !      
det]m9ation4  7#b7 ,he>+ 9 removal      
proce$+ ,any ali5 ^: p]man5t resid5t    
/atus is t]m9at$ "u p>agraph 7#a7 may   
reque/ a review ( su* det]m9ation 9 a   
proce$+ to remove ! ali54 ,9 su*        
proce$+1 ! burd5 ( pro( %all be on !    
,secret>y ( ,homel& ,security to        
e/abli%1 by a prepond]ance ( ! evid5ce1 
t a condition describ$ 9 p>agraph 7#a7  
is met4  7c7 ,requirem5ts ( timely      
petition & int]view = removal (         
condition  7#a7 ,9 g5]al ,9 ord] = !    
conditional basis e/abli%$ "u subsection
 7a7 = an ali5 describ$ 9 p>agraph 7#a7 
( t subsection to be remov$--  7,a7 !   
ali5 mu/ submit to ! ,secret>y ( ,homel&
 ,security1 dur+ ! p]iod describ$ 9     

subsection 7d77#b71 a petition :i*      
reque/s ! removal ( su* conditional     
basis & :i* /ates1 "u p5alty ( p]jury1 !
 facts & in=mation describ$ 9 subsection
 7d77#a72 &  7,b7 9 accordance )        
subsection 7d77#c71 ! ali5 mu/ appe> = a
 p]sonal int]view be=e an (fic] or      
employee ( ! ,dep>tm5t ( ,homel&        
,security respect+ ! facts & in=mation  
describ$ 9 subsection 7d77#a74  7#b7    
,t]m9ation ( p]man5t resid5t /atus =    
failure to file petition or h p]sonal   
int]view  7,a7 ,9 g5]al ,9 ! case ( an  
ali5 ) p]man5t resid5t /atus on a       
conditional basis "u subsection 7a71    
if--  7i7 no petition is fil$ ) respect 
to ! ali5 9 accordance ) ! provisions ( 
p>agraph 7#a77;,a72 or  7ii7 unless !re 
is good cause %[n1 ! ali5 fails to appe>
 at ! int]view describ$ 9 p>agraph      
7#a77;,b7 7if requir$ "u subsection     
7d77#c771  ! ,secret>y ( ,homel&        
,security %all t]m9ate ! p]man5t resid5t
 /atus ( ! ali5 7& ! ali5's sp\se &     
*ildr5 if x 0 obta9$ on a conditional   

basis "u ?is section or section #baf7 z 
( ! second anniv]s>y ( ! ali5's lawful  
admission = p]man5t resid5ce4  7,b7     
,he>+ 9 removal proce$+ ,9 any removal  
proce$+ ) respect to an ali5 ^: p]man5t 
resid5t /atus is t]m9at$ "u subp>agraph 
7,a71 ! burd5 ( pro( %all be on ! ali5  
to e/abli% compliance ) ! conditions (  
p>agraphs 7#a77;,a7 & 7#a77;,b74  7#c7  
,det]m9ation aft] petition & int]view   
7,a7 ,9 g5]al ,if-- 7i7 a petition is   
fil$ 9 accordance ) ! provisions (      
p>agraph 7#a77;,a72 &  7ii7 ! ali5      
appe>s at any int]view describ$ 9       
p>agraph 7#a77;,b71 ! ,secret>y (       
,homel& ,security %all make a           
det]m9ation1 )9 #ij days ( ! date ( su* 
fil+ or int]view 7:i*ev] is lat]71 z to 
:e!r ! facts & in=mation describ$ 9     
subsection 7d77#a7 & alleg$ 9 ! petition
 are true4  7,b7 ,removal ( conditional 
basis if favorable det]m9ation ,if !    
,secret>y ( ,homel& ,security det]m9es t
 su* facts & in=mation are true1 !      
,secret>y ( ,homel& ,security %all s    

notify ! ali5 involv$ & %all remove !   
conditional basis ( ! ali5's /atus      
effective z ( ! second anniv]s>y ( !    
ali5's lawful admission = p]man5t       
resid5ce4  7,c7 ,t]m9ation if adv]se    
det]m9ation ,if ! ,secret>y ( ,homel&   
,security det]m9es t su* facts &        
in=mation are n true1 ! ,secret>y (     
,homel& ,security %all s notify ! ali5  
involv$ &1 subject to subp>agraph 7,d71 
%all t]m9ate ! p]man5t resid5t /atus ( !
 cov]$ ali5 physician1 ali5 sp\se1 or   
ali5 *ild z ( ! date ( ! det]m9ation4   
7,d7 ,he>+ 9 removal proce$+ ,any ali5  
^: p]man5t resid5t /atus is t]m9at$ "u  
subp>agraph 7,c7 may reque/ a review (  
su* det]m9ation 9 a proce$+ to remove ! 
ali54 ,9 su* proce$+1 ! burd5 ( pro(    
%all be on ! ,secret>y ( ,homel&        
,security to e/abli%1 by a prepond]ance 
( ! evid5ce1 t ! facts & in=mation      
describ$ 9 subsection 7d77#a7 & alleg$ 9
 ! petition are n true4  7d7 ,details ( 
petition & int]view  7#a7 ,cont5ts (    
petition ,ea* petition "u subsection    

7c77#a77;,a7 %all conta9 facts &        
in=mation demon/rat+ t ! ali5--  7,a7 is
 practic+ m$ic9e 9 an area designat$ by 
! ,secret>y ( ,heal? & ,human ,s]vices z
 hav+ a %ortage ( heal? c>e             
pr(essionals2 &  7,b7 has pass$ p>ts ,i 
& ,,ii ( ! ,national ,bo>d ( ,m$ical    
,exam9]s ,exam9ation 7or an equival5t   
exam9ation z det]m9$ by ! ,secret>y (   
,heal? & ,human ,s]vices74  7#b7 ,p]iod 
= fil+ petition  7,a7 ,9 g5]al ,except z
 provid$ 9 subp>agraph 7,b71 ! petition 
"u subsection 7c77#a77;,a7 may be fil$--
 7i7 dur+ ! #ij-;day p]iod be=e ! second
 anniv]s>y ( ! ali5's lawful admission =
 p]man5t resid5ce2 or  7ii7 if e>li] ?an
 ! beg9n+ ( ! "t p]iod describ$ 9 clause
 7i71 aft] ! date on :i* ! ali5 passes  
p>ts ,i & ,,ii ( ! ,national ,bo>d (    
,m$ical ,exam9ation 7or an equival5t    
exam9ation z det]m9$ by ! ,secret>y (   
,heal? & ,human ,s]vices74  7,b7 ,date  
petitions = good cause ,su* a petition  
may be consid]$ if fil$ aft] su* date1 b
 only if ! ali5 e/abli%es to !          

satisfaction ( ! ,secret>y ( ,homel&    
,security good cause & ext5uat+         
circum/ances = failure to file !        
petition dur+ ! p]iod describ$ 9        
subp>agraph 7,a74  7,c7 ,fil+ (         
petitions dur+ removal ,9 ! case ( an   
ali5 :o is ! subject ( removal he>+s z a
 result ( failure to file a petition on 
a timely basis 9 accordance )           
subp>agraph 7,a71 ! ,secret>y ( ,homel& 
,security may /ay su* removal proce$+s  
aga9/ an ali5 p5d+ ! fil+ ( ! petition  
"u subp>agraph 7,b74  7#c7 ,p]sonal     
int]view ,! int]view "u subsection      
7c77#a77;,b7 %all be conduct$ )9 #ij    
days aft] ! date ( submitt+ a petition  
"u subsection 7c77#a77;,a7 & at a local 
(fice ( ! ,dep>tm5t ( ,homel& ,security1
 designat$ by ! ,secret>y1 :i* is       
conv5i5t to ! p>ties involv$4 ,!        
,secret>y1 9 ! ,secret>y's discretion1  
may waive ! deadl9e = su* an int]view or
 ! requirem5t = su* an int]view 9 su*   
cases z may be appropriate4  7e7        
,treatm5t ( p]iod = purposes (          

naturalization4 ,= purposes ( title     
,,iii1 9 ! case ( an ali5 :o is 9 !     
,unit$ ,/ates z a lawful p]man5t resid5t
 on a conditional basis "u ?is section1 
! ali5 %all be consid]$ to h be5 admitt$
 z an ali5 lawfully admitt$ = p]man5t   
resid5ce & to be 9 ! ,unit$ ,/ates z an 
ali5 lawfully admitt$ to ! ,unit$ ,/ates
 = p]man5t resid5ce4  7f7 ,removal (    
requirem5t ,to practice m$ic9e 9 an area
 t has a %ortage ( heal? c>e            
pr(essionals ,! requirem5t to practice  
m$ic9e 9 an area designat$ by !         
,secret>y ( ,heal? & ,human ,s]vices z  
hav+ a %ortage ( heal? c>e pr(essionals 
%all n apply to an ali5 aft] ! date on  
:i* ! conditional basis = p]man5t       
resid5t /atus is remov$ pursuant to     
subsection 7c77#a74  7g7 ,def9itions ,9 
?is section3 7#a7 ,! t]m cov]$ ali5     
physician means an ali5 admitt$ to !    
,unit$ ,/ates "u section #bjc7;b77#b7   
dur+ ! #aj-ye> p]iod beg9n+ on ! date ( 
! enactm5t ( ?is section to practice    
m$ic9e :o has n pass$ p>ts ,i & ,,ii ( !

 ,national ,bo>d ( ,m$ical ,exam9]s     
,exam9ation 7or an equival5t exam9ation 
z det]m9$ by ! ,secret>y ( ,heal? &     
,human ,s]vices7 by reason ( hav+ be5   
approv$ by a ,/ate physician lic5c+     
au?ority to practice m$ic9e 9 an area   
designat$ by ! ,secret>y ( ,heal? &     
,human ,s]vices z hav+ a %ortage ( heal?
 c>e pr(essionals4  7#b7 ,! t]m ali5    
sp\se & ! t]m ali5 *ild mean an ali5 :o 
obta9s ! /atus ( an ali5 lawfully       
admitt$ = p]man5t resid5ce 7:e!r on a   
conditional basis or o!rwise7 by virtue 
( be+ ! sp\se or *ild1 respectively1 ( a
 cov]$ ali5 physician4  4  7c7 ,con=m+  
am5dm5ts ,! ,immigration & ,nationality 
,act 7#h ,u4,s4,c4 #aaja et seq47 is    
am5d$-- 7#a7 9 section                  
#bjc7;b77#b77;,b77ii7 7#h ,u4,s4,c4     
#aaec7;b77#b77;,b77ii771 by /rik+       
subclauses 7,,ii71 7,,iii71 & 7,,iv72 & 
7#b7 9 section #bab7;e7 7#h ,u4,s4,c4   
#aahb7;e771 by ins]t+ p]=m s]vices z a  
memb] ( ! m$ical pr(ession or to be=e   
receive graduate m$ical education or    

tra9+4