,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajgjg  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,octob] #a1 #bjbf,mr4 
,smi? ( ,wa%+ton 7= himself & ,mr4      
,kri%namoor?i7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committee 
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to address b>ri]s  
immigrants & refugees face to ent]+ !   
heal? c>e work=ce1 & = o!r purposes4    
#a4 ,%ort title2 f9d+  7a7 ,%ort title  
,?is ,act may be cit$ z !               
,int]nationally ,tra9$ ,physicians      
,assi/ance ,act ( #bjbf4  7b7 ,f9d+     
,congress f9ds t sev]al ,/ates h        
implem5t$ alt]native pa?ways to lic5sure
 = int]nationally tra9$ physicians to   
address heal? work=ce %ortages & improve
 access to c>e 9 und]s]v$ communities4  
,i ,inc5tiviz+ ,/ates to all[           
transitional practice by int]national   

m$ical graduates  #aja4 ,grants  7a7  ,9
 g5]al  ,! ,secret>y ( ,heal? & ,human  
,s]vices may aw>d grants to ,/ates to   
develop & implem5t & to build ^u exi/+  
programs provid+ = ,/ate-l$ alt]native  
pa?ways to lic5sure t enable            
int]nationally tra9$ physicians to      
contribute to pati5t c>e :ile complet+  
/eps #a1 #b1 & #c ( ! ,unit$ ,/ates     
,m$ical ,lic5s+ ,exam9ation4 ,su*       
programs may all[ su* physicians to     
practice m$ic9e "u ! sup]vision ( a     
fully lic5s$ physician = a duration     
det]m9$ by ! ,/ate4  7b7 ,def9ition ,9  
?is section3 7#a7 ,! t]m eligible       
int]nationally tra9$ physician means an 
individual :o--  7,a7 graduat$ f a s*ool
 ( m$ic9e outside ( ! ,unit$ ,/ates or  
,canada2 &  7,b7 is--  7i7 lawfully     
admitt$ = p]man5t resid5ce2  7ii7       
admitt$ z a refugee "u section #bjg ( ! 
,immigration & ,nationality ,act 7#h    
,u4,s4,c4 #aaeg72  7iii7 grant$ asylum  
"u section #bjh ( su* ,act 7#h ,u4,s4,c4
 #aaeh72 or  7iv7 a p]son o!rwise       

au?oriz$ to be employ$ 9 ! ,unit$       
,/ates4  7#b7 ,! t]m ,/ate includes !   
,di/rict ( ,columbia & any t]ritory ( ! 
,unit$ ,/ates4  #ajb4 ,exemption ( c]ta9
 eligible int]nationally tra9$          
physicians f application ( ,,fte cap    
7a7 ,9 g5]al ,section #ahhf7;h77#d77;,h7
 ( ! ,social ,security ,act 7#db        
,u4,s4,c4 #acieww7h77#d77;,h77 is am5d$ 
by add+ at ! end ! foll[+ new clause3   
7vii7 ,exemption ( c]ta9 int]nationally 
tra9$ physicians f c\nt+ t[>ds cap  7,i7
 ,9 g5]al ,= purposes ( apply+ ! limit  
describ$ 9 subp>agraph 7,f71 a specifi$ 
resid5t 7z def9$ 9 subclause 7,,ii77    
%all n be tak5 into acc\nt 9 det]m9+ !  
total numb] ( full-"t equival5t resid5ts
 be=e application ( weight+ factors 7z  
det]m9$ "u ?is p>agraph7 ) respect to a 
hospital's approv$ m$ical resid5cy tra9+
 program4  7,,ii7 ,specifi$ resid5t     
def9$ ,= purposes ( subclause 7,i71 !   
t]m specifi$ resid5t means an eligible  
int]nationally tra9$ physician 7z def9$ 
9 section #aja7;b7 ( ! ,pa?ways to      

,heal? ,c>e ,act ( #bjbb7 :o is a       
resid5t 9 a hospital's approv$ m$ical   
resid5cy tra9+ program1 b only if su*   
hospital--  7aa7 has 9 effect an        
agreem5t ) a ,f$]ally qualifi$ heal?    
c5t]1 or a hospital locat$ 9 a rural    
area 7z def9$ 9 subsection 7d77#b77;,d77
 or t is treat$ z be+ locat$ 9 a rural  
area pursuant to subsection             
7d77#h77;,e71 "u :i* resid5ts tra9+ 9   
su* program sp5d "t tra9+ at su* c5t] or
 hospital2  7bb7 is locat$ 9 a ,/ate t  
all[s su* eligible int]nationally tra9$ 
physicians to practice m$ic9e z describ$
 9 section #aja7;a7 ( su* ,act2 &  7cc7 
pr$om9antly s]ves m$ically und]s]v$     
populations 7z def9$ 9 section          
#ccj7;b77#c77;,a7 ( ! ,public ,heal?    
,s]vice ,act71 z det]m9$ by ! ,secret>y4
  4  7b7 ,/udy on removal ( resid5t cap 
,n lat] ?an #ahj days aft] ! date ( !   
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices %all submit to 
,congress a report on ! possibility (   
remov+ ! resid5t cap "u section         

#ahhf7;h77#d77;,f7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7h77#d77;,f774  ,,ii ,assi/+     
int]nationally tra9$ physicians dur+    
pursuit ( lic5sure & employm5t  #bja4   
,grants  7a7 ,9 g5]al ,! ,secret>y (    
,heal? & ,human ,s]vices may aw>d grants
 to ,/ates to provide assi/ance to      
eligible int]nationally tra9$ physicians
 :ile su* graduates are complet+ /eps   
#a1 #b1 & #c ( ! ,unit$ ,/ates ,m$ical  
,lic5s+ ,exam9ation4  7b7 ,cov]$        
assi/ance ,assi/ance provid$ to an      
eligible int]nationally tra9$ physician 
pursuant to ?is section may include pay+
 ! co/s ( ! ,unit$ ,/ates ,m$ical       
,lic5s+ ,exam9ation1 c>e] c\nsel+1 case 
managem5t1 classes 9 ,engli% z a second 
language1 assi/ance 9 diploma           
v]ification1 & te/ prep>ation c\rses4   
7c7 ,def9ition ,9 ?is section1 ! t]ms   
eligible int]national m$ical graduate & 
,/ate h ! mean+s giv5 to ^? t]ms 9      
section #aja4