,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #idh  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,m>* #bh1 #bjai,ms4    
,klobu*> 7= h]self1 ,ms4 ,coll9s1 & ,ms4
 ,ros57 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on !
 ,judici>y  ,a ,,bill  ,to provide      
inc5tives to physicians to practice 9   
rural & m$ically und]s]v$ communities1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,conrad ,/ate #cj &
 ,physician ,access ,reau?orization     
,act4  #b4 ,conrad ,/ate #cj program    
7a7 ,ext5sion ,section #bbj7;c7 ( !     
,immigration & ,nationality ,te*nical   
,corrections ,act ( #aiid 7,public ,law 
#ajc-daf2 #h ,u4,s4,c4 #aahb note7 is   
am5d$ by /rik+ ,septemb] #cj1 #bjae &   
ins]t+ ,septemb] #cj1 #bjba4  7b7       
,effective date ,! am5dm5t made by      
subsection 7a7 %all take effect z if    
enact$ on ,septemb] #cj1 #bjah4  #c4    
,reta9+ physicians :o h practic$ 9      
m$ically und]s]v$ communities ,section  
#bja7;b77#a7 ( ! ,immigration &         

,nationality ,act 7#h ,u4,s4,c4         
#aaea7;b77#a77 is am5d$ by add+ at ! end
 ! foll[+3  7,f7 7i7 ,ali5 physicians :o
 h complet$ s]vice requirem5ts ( a waiv]
 reque/$ "u section                     
#bjc7;b77#b77;,b77ii71 includ+--  7,i7  
ali5 physicians :o complet$ su* s]vice  
be=e ! date ( ! enactm5t ( ! ,conrad    
,/ate #cj & ,physician ,access ,act2 &  
7,,ii7 ! sp\se or *ildr5 ( an ali5      
physician describ$ 9 subclause 7,i74    
7ii7 ,no?+ 9 ?is subp>agraph may be     
con/ru$--  7,i7 to prev5t ! fil+ ( a    
petition ) ! ,secret>y ( ,homel&        
,security = classification "u section   
#bjd7;a7 or ! fil+ ( an application =   
adju/m5t ( /atus "u section #bde by an  
ali5 physician describ$ 9 ?is           
subp>agraph be=e ! date by :i* su* ali5 
physician has complet$ ! s]vice describ$
 9 section #bad7l7 or work$ full-"t z a 
physician = an aggregate ( #e ye>s at ! 
location id5tifi$ 9 ! section #bad7l7   
waiv] or 9 an area or areas designat$ by
 ! ,secret>y ( ,heal? & ,human ,s]vices 

z hav+ a %ortage ( heal? c>e            
pr(essionals2 or  7,,ii7 to p]mit !     
,secret>y ( ,homel& ,security to grant a
 petition or application describ$ 9     
subclause 7,i7 until ! ali5 has satisfi$
 all ( ! requirem5ts ( ! waiv] receiv$  
"u section #bad7l74  4  #d4 ,employm5t  
protections = physicians  7a7           
,exceptions to #b-,ye> =eign resid5cy   
requirem5t ,section #bad7l77#a7 ( !     
,immigration & ,nationality ,act 7#h    
,u4,s4,c4 #aahd7l77#a77 is am5d$-- 7#a7 
9 ! matt] prec$+ subp>agraph 7,a71 by   
/rik+ ,attorney ,g5]al & ins]t+         
,secret>y ( ,homel& ,security2  7#b7 9  
subp>agraph 7,a71 by /rik+ ,director ( !
 ,unit$ ,/ates ,in=mation ,ag5cy &      
ins]t+ ,secret>y ( ,/ate2  7#c7 9       
subp>agraph 7,b71 by ins]t+ 1 except z  
provid$ 9 p>agraphs 7#g7 & 7#h7 be=e !  
semicolon at ! end2  7#d7 9 subp>agraph 
7,c71 by /rik+ clauses 7i7 & 7ii7 &     
ins]t+ ! foll[+3  7i7 ! ali5 demon/rates
 a bona fide (f] ( full-"t employm5t at 
a heal? facility or heal? c>e           

organization1 :i* employm5t has be5     
det]m9$ by ! ,secret>y ( ,homel&        
,security to be 9 ! public int]e/2  7ii7
 ! ali5-- 7,i7 has accept$ employm5t ) !
 heal? facility or heal? c>e            
organization 9 a geographic area or     
areas :i* are designat$ by ! ,secret>y (
 ,heal? & ,human ,s]vices z hav+ a      
%ortage ( heal? c>e pr(essionals2       
7,,ii7 beg9s employm5t by ! lat] ( !    
date t is-- 7aa7 #abj days aft] receiv+ 
su* waiv]2  7bb7 #abj days aft] complet+
 graduate m$ical education or tra9+ "u a
 program approv$ pursuant to section    
#bab7;j77#a72 or  7cc7 #abj days aft]   
receiv+ nonimmigrant /atus or employm5t 
au?orization1 if ! ali5 or ! ali5's     
employ] petitions = su* nonimmigrant    
/atus or employm5t au?orization n lat]  
?an #abj days aft] ! date on :i* ! ali5 
completes 8 or h] graduate m$ical       
education or tra9+ "u a program approv$ 
pursuant to section #bab7;j77#a72 &     
7,,iii7 agrees to cont9ue to "w = a     
total ( n less ?an #c ye>s 9 ! /atus    

au?oriz$ = su* employm5t "u ?is         
subsection1 except z provid$ 9 p>agraph 
7#h74  2 &  7#e7 9 subp>agraph 7,d71 9 !
 matt] prec$+ clause 7i71 by ins]t+     
7except z provid$ 9 p>agraph 7#h774  7b7
 ,all[able visa /atus = physicians      
fulfill+ waiv] requirem5ts 9 m$ically   
und]s]v$ areas ,section #bad7l77#b77;,a7
 ( su* ,act 7#h ,u4,s4,c4               
#aahd7l77#b77;,a77 is am5d$ to read z   
foll[s3  7,a7 ,^u ! reque/ ( an int]e/$ 
,f$]al ag5cy or an int]e/$ ,/ate ag5cy =
 recomm5dation ( a waiv] "u ?is section 
by a physician :o is ma9ta9+ valid      
nonimmigrant /atus "u section           
#aja7;a77#ae77;,j7 & a favorable        
recomm5dation by ! ,secret>y ( ,/ate1 ! 
,secret>y ( ,homel& ,security may *ange 
! /atus ( su* physician to any /atus    
au?oriz$ = employm5t "u ?is ,act4 ,!    
num]ical limitations conta9$ 9          
subsection 7g77#a77;,a7 %all n apply to 
any ali5 ^: /atus is *ang$ "u ?is       
subp>agraph4  4  7c7 ,violation (       
agreem5ts ,section #bad7l77#c77;,a7 (   

su* ,act 7#h ,u4,s4,c4                  
#aahd7l77#c77;,a77 is am5d$ by ins]t+   
sub/antial requirem5t ( an be=e agreem5t
 ent]$ into4  7d7 ,physician employm5t 9
 und]s]v$ areas ,section #bad7l7 ( su*  
,act 7#h ,u4,s4,c4 #aahd7l771 z am5d$ by
 ?is section1 is fur!r am5d$ by add+ at 
! end ! foll[+3  7#d7 7,a7 ,if an       
int]e/$ ,/ate ag5cy d5ies ! application 
= a waiv] "u p>agraph 7#a77;,b7 f a     
physician pursu+ graduate m$ical        
education or tra9+ pursuant to section  
#aja7;a77#ae77;,j7 because ! ,/ate has  
reque/$ ! maximum numb] ( waiv]s p]mitt$
 = t fiscal ye>1 ! physician's          
nonimmigrant /atus %all be ext5d$ = up  
to #f mon?s if ! physician agrees to    
seek a waiv] "u ?is subsection 7except =
 p>agraph 7#a77;,d77ii77 to "w = an     
employ] describ$ 9 p>agraph 7#a77;,c7 9 
a ,/ate t has n yet reque/$ ! maximum   
numb] ( waiv]s4  7,b7 ,su* physician    
%all be au?oriz$ to "w only = ! employ] 
ref]r$ to 9 subp>agraph 7,a7 f ! date on
 :i* a new waiv] application is fil$ )  

su* ,/ate until ! e>li] (--  7i7 ! date 
on :i* ! ,secret>y ( ,homel& ,security  
d5ies su* waiv]2 or  7ii7 ! date on :i* 
! ,secret>y approves an application =   
*ange ( /atus "u p>agraph 7#b77;,a7     
pursuant to ! approval ( su* waiv]4  4  
7e7 ,contract requirem5ts ,section      
#bad7l7 ( su* ,act1 z am5d$ by ?is      
section1 is fur!r am5d$ by add+ at ! end
 ! foll[+3  7#e7 ,an ali5 grant$ a waiv]
 "u p>agraph 7#a77;,c7 %all ent] into an
 employm5t agreem5t ) ! contract+ heal? 
facility or heal? c>e organization t--  
7,a7 specifies ! maximum numb] ( on-call
 h\rs p] week 7:i* may be a mon?ly      
av]age7 t ! ali5 w be expect$ to be     
available & ! comp5sation ! ali5 w      
receive = on-call "t2  7,b7 specifies-- 
7i7 :e!r ! contract+ facility or        
organization w pay ! ali5's malpractice 
insurance premiums2  7ii7 :e!r ! employ]
 w provide malpractice insurance2 &     
7iii7 ! am\nt ( su* insurance t w be    
provid$2  7,c7 describes all ( ! "w     
locations t ! ali5 w "w & includes a    

/atem5t t ! contract+ facility or       
organization w n add additional "w      
locations )\t ! approval ( ! ,f$]al     
ag5cy or ,/ate ag5cy t reque/$ ! waiv]2 
&  7,d7 does n include a non-compete    
provision4  7#f7 ,an ali5 grant$ a waiv]
 "u ?is subsection ^: employm5t         
relation%ip ) a heal? facility or heal? 
c>e organization t]m9ates "u p>agraph   
7#a77;,c77ii7 dur+ ! #c-ye> s]vice p]iod
 requir$ "u p>agraph 7#a7 %all be       
consid]$ to be ma9ta9+ lawful /atus 9 an
 au?oriz$ p]iod ( /ay dur+ ! #abj-;day  
p]iod ref]r$ to 9 items 7aa7 & 7bb7 (   
subclause 7,,iii7 ( p>agraph            
7#a77;,c77ii7 or ! #de-;day p]iod ref]r$
 to 9 subclause 7,,iii77cc7 ( su*       
p>agraph4  4  7f7 ,recaptur+ waiv] slots
 lo/ to o!r ,/ates ,section #bad7l7 (   
su* ,act1 z am5d$ by ?is section1 is    
fur!r am5d$ by add+ at ! end ! foll[+3  
7#g7 ,if a recipi5t ( a waiv] "u ?is    
subsection t]m9ates ! recipi5t's        
employm5t ) a heal? facility or heal?   
c>e organization pursuant to p>agraph   

7#a77;,c77ii71 includ+ t]m9ation (      
employm5t because ( circum/ances        
describ$ 9 p>agraph                     
7#a77;,c77ii77,,iii71 & accepts new     
employm5t ) su* a facility or           
organization 9 a diff]5t ,/ate1 ! ,/ate 
f :i* ! ali5 is dep>t+ may be accord$ an
 additional waiv] by ! ,secret>y ( ,/ate
 = use 9 ! fiscal ye> 9 :i* ! ali5's    
employm5t 0 t]m9at$4  4  7g7 ,exception 
to #c-,ye> "w requirem5t ,section       
#bad7l7 ( su* ,act1 z am5d$ by ?is      
section1 is fur!r am5d$ by add+ at ! end
 ! foll[+3  7#h7 ,! #c-ye> "w requirem5t
 set =? 9 subp>agraphs 7,c7 & 7,d7 (    
p>agraph 7#a7 %all n apply if--  7,a7   
7i7 ! ,secret>y ( ,homel& ,security     
det]m9es t ext5uat+ circum/ances1       
includ+ violations by ! employ] ( !     
employm5t agreem5t ) ! ali5 or ( labor &
 employm5t laws1 exi/ t ju/ify a less]  
p]iod ( employm5t at su* facility or    
organization2 &  7ii7 ! ali5            
demon/rates1 n lat] ?an #abj days aft] !
 employm5t t]m9ation date 7unless !     

,secret>y det]m9es t ext5uat+           
circum/ances w\ld ju/ify an ext5sion71  
ano!r bona fide (f] ( employm5t at a    
heal? facility or heal? c>e organization
 9 a geographic area or areas :i* are   
designat$ by ! ,secret>y ( ,heal? &     
,human ,s]vices z hav+ a %ortage ( heal?
 c>e pr(essionals1 = ! rema9d] ( su*    
#c-ye> p]iod2  7,b7 7i7 ! int]e/$ ,/ate 
ag5cy t reque/$ ! waiv] atte/s t        
ext5uat+ circum/ances1 includ+          
violations by ! employ] ( ! employm5t   
agreem5t ) ! ali5 or ( labor & employm5t
 laws1 exi/ t ju/ify a less] p]iod (    
employm5t at su* facility or            
organization2 &  7ii7 ! ali5            
demon/rates1 n lat] ?an #abj days aft] !
 employm5t t]m9ation date 7unless !     
,secret>y det]m9es t ext5uat+           
circum/ances w\ld ju/ify an ext5sion71  
ano!r bona fide (f] ( employm5t at a    
heal? facility or heal? c>e organization
 9 a geographic area or areas :i* are   
designat$ by ! ,secret>y ( ,heal? &     
,human ,s]vices z hav+ a %ortage ( heal?

 c>e pr(essionals1 = ! rema9d] ( su*    
#c-ye> p]iod2 or  7,c7 ! ali5-- 7i7     
elects n to pursue a det]m9ation (      
ext5uat+ circum/ances pursuant to       
subclause 7,a7 or 7,b72  7ii7 t]m9ates !
 ali5's employm5t relation%ip ) ! heal? 
facility or heal? c>e organization at   
:i* ! ali5 0 employ$2  7iii7            
demon/rates1 n lat] ?an #de days aft] ! 
employm5t t]m9ation date1 ano!r bona    
fide (f] ( employm5t at a heal? facility
 or heal? c>e organization 9 a          
geographic area or areas1 9 ! ,/ate t   
reque/$ ! ali5's waiv]1 :i* are         
designat$ by ! ,secret>y ( ,heal? &     
,human ,s]vices z hav+ a %ortage ( heal?
 c>e pr(essionals2 &  7iv7 agrees to be 
employ$ = ! rema9d] ( su* #c-ye> p]iod1 
& #a additional ye> = ea* t]m9ation "u  
clause 7ii74  4  #e4 ,allotm5t ( ,conrad
 #cj waiv]s  7a7 ,9 g5]al ,section      
#bad7l7 ( ! ,immigration & ,nationality 
,act 7#h ,u4,s4,c4 #aahd7l771 z am5d$ by
 section #d1 is fur!r am5d$ by add+ at !
 end ! foll[+3  7#h7 7,a7 7i7 ,all      

,/ates %all be allott$ a total ( #ce    
waiv]s "u p>agraph 7#a77;,b7 = a fiscal 
ye> if #ij p]c5t ( ! waiv]s available to
 ! ,/ates receiv+ at lea/ #e waiv]s 7   
us$ 9 ! previ\s fiscal ye>4  7ii7 ,:5 an
 allotm5t occurs "u clause 7i71 all     
,/ates %all be allott$ an additional #e 
waiv]s "u p>agraph 7#a77;,b7 = ea*      
subsequ5t fiscal ye> if #ij p]c5t ( !   
waiv]s available to ! ,/ates receiv+ at 
lea/ #e waiv]s 7 us$ 9 ! previ\s fiscal 
ye>4 ,if ! ,/ates are allott$ #de or m  
waiv]s = a fiscal ye>1 ! ,/ates w only  
receive an additional increase ( #e     
waiv]s ! foll[+ fiscal ye> if #ie p]c5t 
( ! waiv]s available to ! ,/ates receiv+
 at lea/ #a waiv] 7 us$ 9 ! previ\s     
fiscal ye>4  7,b7 ,any increase 9       
allotm5ts "u subp>agraph 7,a7 %all be   
ma9ta9$ indef9itely1 unless 9 a fiscal  
ye>1 ! total numb] ( su* waiv]s grant$  
is #e p]c5t l[] ?an 9 ! la/ ye> 9 :i*   
!re 0 an increase 9 ! numb] ( waiv]s    
allott$ pursuant to ?is p>agraph1 9 :i* 
case--  7i7 ! numb] ( waiv]s allott$    

%all be decreas$ by #e = all ,/ates     
beg9n+ 9 ! next fiscal ye>2 &  7ii7 ea* 
additional #e p]c5t decrease 9 su*      
waiv]s grant$ f ! la/ ye> 9 :i* !re 0 an
 increase 9 ! allotm5t1 %all result 9 an
 additional decrease ( #e waiv]s allott$
 = all ,/ates1 provid$ t ! numb] (      
waiv]s allott$ = all ,/ates %all n drop 
bel[ #cj4  4  7b7 ,academic m$ical c5t]s
 ,section #bad7l77#a77;,d7 ( su* ,act is
 am5d$-- 7#a7 9 clause 7ii71 by /rik+ & 
at ! end2  7#b7 9 clause 7iii71 by /rik+
 ! p]iod at ! end & ins]t+ 2 &2 &  7#c7 
by add+ at ! end ! foll[+3  7iv7 9 !    
case ( a reque/ by an int]e/$ ,/ate     
ag5cy--  7,i7 ! head ( su* ag5cy        
det]m9es t ! ali5 is to practice m$ic9e 
91 or be on ! faculty ( a resid5cy      
program at1 an academic m$ical c5t] 7z t
 t]m is def9$ 9 section #daa4cee7;e77#b7
 ( title #db1 ,code ( ,f$]al            
,regulations1 or simil> successor       
regulation71 )\t reg>d to :e!r su*      
facility is locat$ )9 an area designat$ 
by ! ,secret>y ( ,heal? & ,human        

,s]vices z hav+ a %ortage ( heal? c>e   
pr(essionals2 &  7,,ii7 ! head ( su*    
ag5cy det]m9es t--  7aa7 ! ali5         
physician's "w is 9 ! public int]e/2 &  
7bb7 ! grant ( su* waiv] w\ld n cause ! 
numb] ( ! waiv]s grant$ on behalf (     
ali5s = su* ,/ate = a fiscal ye> 7)9 !  
limitation 9 subp>agraph 7,b7 & subject 
to p>agraph 7#f77 9 accordance ) !      
conditions ( ?is clause to exce$ #c4  4 
#f4 ,am5dm5ts to ! proc$ures1           
def9itions1 & o!r provisions relat$ to  
physician immigration  7a7 ,dual int5t =
 physicians seek+ graduate m$ical tra9+ 
,section #bad7;b7 ( ! ,immigration &    
,nationality ,act 7#h ,u4,s4,c4         
#aahd7;b77 is am5d$ by /rik+ 7o!r ?an a 
nonimmigrant describ$ 9 subp>agraph 7,l7
 or 7,v7 ( section #aja7;a77#ae71 & o!r 
?an a nonimmigrant describ$ 9 any       
provision ( section                     
#aja7;a77#ae77;,h77i7 except subclause  
7b#a7 ( su* section7 & ins]t+ 7o!r ?an a
 nonimmigrant describ$ 9 subp>agraph    
7,l7 or 7,v7 ( section #aja7;a77#ae71 a 

nonimmigrant describ$ 9 any provision ( 
section #aja7;a77#ae77;,h77i7 7except   
subclause 7b#a7 ( su* section71 & an    
ali5 com+ to ! ,unit$ ,/ates to receive 
graduate m$ical education or tra9+ z    
describ$ 9 section #bab7;j7 or to take  
exam9ations requir$ to receive graduate 
m$ical education or tra9+ z describ$ 9  
section #bab7;j774  7b7 ,physician      
national int]e/ waiv] cl>ifications     
7#a7 ,practice & geographic area        
,section #bjc7;b77#b77;,b77ii77,i7 ( !  
,immigration & ,nationality ,act 7#h    
,u4,s4,c4 #aaec7;b77#b77;,b77ii77,i77 is
 am5d$ by /rik+ items 7aa7 & 7bb7 &     
ins]t+ ! foll[+3  7aa7 ! ali5 physician 
agrees to "w on a full-"t basis practic+
 prim>y c>e1 specialty m$ic9e1 or a     
comb9ation !re(1 9 an area or areas     
designat$ by ! ,secret>y ( ,heal? &     
,human ,s]vices z hav+ a %ortage ( heal?
 c>e pr(essionals1 or at a heal? c>e    
facility "u ! jurisdiction ( ! ,secret>y
 ( ,vet]ans ,affairs2 or  7bb7 ! ali5   
physician is pursu+ su* waiv] bas$ ^u   

s]vice at a facility or facilities t    
s]ve pati5ts :o reside 9 a geographic   
area or areas designat$ by ! ,secret>y (
 ,heal? & ,human ,s]vices z hav+ a      
%ortage ( heal? c>e pr(essionals 7)\t   
reg>d to :e!r su* facility or facilities
 are locat$ )9 su* an area7 & a ,f$]al  
ag5cy1 or a local1 c\nty1 regional1 or  
,/ate dep>tm5t ( public heal? det]m9es !
 ali5 physician's "w 0 or w be 9 !      
public int]e/4  4  7#b7 ,five-ye> s]vice
 requirem5t ,section                    
#bjc7;b77#b77;,b77ii7 ( ! ,immigration &
 ,nationality ,act 7#h ,u4,s4,c4        
#aaec7;,b77ii77 is am5d$--  7,a7 by mov+
 subclauses 7,,ii71 7,,iii71 & 7,,iv7 #d
 ems to ! left2 &  7,b7 9 subclause     
7,,ii7--  7i7 by ins]t+ 7aa7 aft]       
7,,ii72 &  7ii7 by add+ at ! end !      
foll[+3  7bb7 ,! #e-ye> s]vice          
requirem5t "u item 7aa7 %all beg9 on !  
date on :i* ! ali5 physician beg9s "w 9 
! %ortage area 9 any legal /atus & n on 
! date on :i* an immigrant visa petition
 is fil$ or approv$4 ,su* s]vice %all be

 aggregat$ )\t reg>d to :5 su* s]vice   
began & )\t reg>d to :e!r su* s]vice    
began dur+ or 9 conjunction ) a c\rse ( 
graduate m$ical education4  7cc7 ,an    
ali5 physician %all n be requir$ to     
submit an employm5t contract ) a t]m    
exce$+ ! balance ( ! #e-ye> commitm5t   
yet to be s]v$ or an employm5t contract 
dat$ )9 a m9imum "t p]iod be=e fil+ a   
visa petition "u ?is subsection4  7dd7  
,an ali5 physician %all n be requir$ to 
file additional immigrant visa petitions
 ^u a *ange ( "w location f ! location  
approv$ 9 ! orig9al national int]e/     
immigrant petition4  4  7c7 ,te*nical   
cl>ification reg>d+ advanc$ degree =    
physicians ,section #bjc7;b77#b77;,a7 ( 
! ,immigration & ,nationality ,act 7#h  
,u4,s4,c4 #aaec7;b77#b77;,a77 is am5d$  
by add+ at ! end ! foll[+3 ,an ali5     
physician hold+ a =eign m$ical degree t 
has be5 deem$ suffici5t = acceptance by 
an accr$it$ ,unit$ ,/ates m$ical        
resid5cy or fell[%ip program is a memb] 
( ! pr(essions hold+ an advanc$ degree  

or its equival5t44  7d7 ,%ort-,t]m "w   
au?orization = physicians complet+ _!   
resid5cies  7#a7 ,9 g5]al ,a physician  
complet+ graduate m$ical education or   
tra9+ describ$ 9 section #bab7;j7 ( !   
,immigration & ,nationality ,act 7#h    
,u4,s4,c4 #aahb7;j77 z a nonimmigrant   
describ$ 9 section #aja7;a77#ae77;,h77i7
 ( su* ,act 7#h ,u4,s4,c4               
#aaja7;a77#ae77;,h77i77--  7,a7 %all h  
su* nonimmigrant /atus automatically    
ext5d$ until ,octob] #a ( ! fiscal ye> =
 :i* a petition = a cont9uation ( su*   
nonimmigrant /atus has be5 submitt$ 9 a 
timely mann] & ! employm5t />t date = ! 
b5efici>y ( su* petition is ,octob] #a (
 t fiscal ye>2 &  7,b7 %all be au?oriz$ 
to be employ$ incid5t to /atus dur+ !   
p]iod betwe5 ! fil+ ( su* petition &    
,octob] #a ( su* fiscal ye>4  7#b7      
,t]m9ation ,! physician's /atus &       
employm5t au?orization %all t]m9ate on !
 date t is #cj days aft] ! date on :i* a
 petition describ$ 9 p>agraph 7#a77;,a7 
is reject$1 d5i$ or revok$4  7#c7       

,automatic ext5sion ,a physician's /atus
 & employm5t au?orization w             
automatically ext5d to ,octob] #a ( !   
next fiscal ye> if all ( ! visas        
describ$ 9 section #aja7;a77#ae77;,h77i7
 ( su* ,act t 7 au?oriz$ to be issu$ = !
 fiscal ye> h be5 issu$4  7e7           
,applicability ( section #bab7;e7 to    
sp\ses & *ildr5 ( ,j-#a ex*ange visitors
 ,a sp\se or *ild ( an ex*ange visitor  
describ$ 9 section #aja7;a77#ae77;,j7 ( 
! ,immigration & ,nationality ,act 7#h  
,u4,s4,c4 #aaja7;a77#ae77;,j77 %all n be
 subject to ! requirem5ts "u section    
#bab7;e7 ( su* ,act 7#h ,u4,s4,c4       
#aahb7;e774