#aagth ,,congress  #ast ,session  ,h4   
,r4 #cche  ,,an ,,act  ,to waive the    
requirement to undergo a medical exam   
for aliens who are otherwise eligible   
for special immigrant status under the  
,afghan ,allies ,protection ,act of     
#bjji1 and for other purposes4  #a4     
,short title ,this ,act may be cited as 
the ,honoring ,our ,promises through    
,expedition for ,afghan ,s,i,vs ,act of 
#bjba or the ,,hope for ,afghan ,s,i,vs 
,act of #bjba4  #b4 ,waiver of medical  
examination for afghan allies  7a7      
,authorization ,the ,secretary of ,state
 and the ,secretary of ,homeland        
,security may jointly issue a blanket   
waiver of the requirement that aliens   
described in section #fjb7;b77#b7 of the
 ,afghan ,allies ,protection ,act of    
#bjji 7#h ,u4,s4,c4 #aaja note7 undergo 
a medical examination under section     
#bba7;d7 of the ,immigration and        
,nationality ,act 7#h ,u4,s4,c4         
#abja7;d771 or any other applicable     
provision of law1 prior to issuance of  

an immigrant visa or admission to the   
,united ,states4  7b7 ,duration ,a      
waiver issued under subsection 7a7 shall
 remain in effect for a period not to   
exceed #a year1 and1 subject to         
subsection 7g71 may be extended by the  
,secretary of ,state and ,secretary of  
,homeland ,security for additional      
periods1 each of which shall not exceed 
#a year4  7c7 ,notification ,upon       
exercising the waiver authority under   
subsection 7a71 or the authority to     
extend a waiver under subsection 7b71   
the ,secretary of ,state and the        
,secretary of ,homeland ,security shall 
notify the appropriate congressional    
committees4  7d7 ,requirement for       
medical examination after admission     
7#a7 ,in general ,the ,secretary of     
,homeland ,security1 in consultation    
with the ,secretary of ,health and      
,human ,services1 shall establish       
procedures to ensure1 to the greatest   
extent practicable1 that any alien who  
receives a waiver of the medical        

examination requirement under this      
section1 completes such an examination  
not later than #cj days after the date  
on which such alien is admitted to the  
,united ,states4  7#b7 ,conditional     
basis for status  7,a7 ,in general      
,notwithstanding any other provision of 
law1 an alien who receives a waiver of  
the medical examination requirement     
under this section shall be considered1 
at the time of admission to the ,united 
,states1 as an alien lawfully admitted  
for permanent residence on a conditional
 basis4  7,b7 ,removal of conditions    
,the ,secretary of ,homeland ,security  
shall remove the conditional basis of   
the alien's status upon the ,secretary's
 confirmation that such alien has       
completed the medical examination and is
 not inadmissible under section         
#bab7;a77#a77;,a7 of the ,immigration   
and ,nationality ,act 7#h ,u4,s4,c4     
#aahb7;a77#a77;,a774  7#c7 ,report ,not 
later than one year after the date on   
which waiver authority under subsection 

7a7 is exercised or such waiver is      
extended under subsection 7b71 as       
applicable1 the ,secretary of ,homeland 
,security1 in consultation with the     
,secretary of ,health and ,human        
,services1 shall submit to the          
appropriate congressional committees a  
report on the status of medical         
examinations required under paragraph   
7#a71 including--  7,a7 the number of   
pending and completed examinations2 and 
7,b7 the number of aliens who have      
failed to complete the medical          
examination within the #cj-;day period  
after the date of such aliens'          
admission4  7e7 ,appropriate            
congressional committees ,the term      
appropriate congressional committees    
means-- 7#a7 the ,committees on ,armed  
,services of the ,house of              
,representatives and of the ,senate2    
7#b7 the ,committees on the ,judiciary  
of the ,house of ,representatives and of
 the ,senate2  7#c7 the ,committee on   
,foreign ,affairs of the ,house of      

,representatives and the ,committee on  
,foreign ,relations of the ,senate2 and 
7#d7 the ,committee on ,homeland        
,security of the ,house of              
,representatives and the ,committee on  
,homeland ,security and ,governmental   
,affairs of the ,senate4  7f7 ,rule of  
construction ,nothing in this ,act may  
be construed to prevent the ,secretary  
of ,state1 the ,secretary of ,homeland  
,security1 the ,secretary of ,defense1  
or the ,secretary of ,health and ,human 
,services from adopting appropriate     
measures to prevent the spread of       
communicable diseases1 including        
,,covid-#ai1 to the ,united ,states4    
7g7 ,sunset ,the authority under        
subsections 7a7 and 7b7 expires on the  
date that is #c years after the date of 
enactment of this ,act4  #c4            
,determination of budgetary effects ,the
 budgetary effects of this ,act1 for the
 purpose of complying with the          
,statutory ,pay-,as-,you-,go ,act of    
#bjaj1 shall be determined by reference 

to the latest statement titled          
,budgetary ,effects of ,,paygo          
,legislation for this ,act1 submitted   
for printing in the ,congressional      
,record by the ,chairman of the ,house  
,budget ,committee1 provided that such  
statement has been submitted prior to   
the vote on passage4  ,passed the ,house
 of ,representatives ,june #bi1         
#bjba4;,clerk4