,,ii  #aaith ,,congress  #b;d ,session  
,s4 #dfcg  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ba1      
#bjbf,mr4 ,cramer 7for himself and ,ms4 
,klobuchar7 introduced the following    
bill2 which was read twice and referred 
to the ,committee on the ,judiciary  ,a 
,,bill  ,to increase by #e the number of
 flex waivers available in each ,state  
for ,j-#a nonimmigrants and to establish
 a secondary physician match portal to  
assist alien physicians who are unable  
to find employment in their preferred   
,state of residence to find employment  
in another ,state4  #a4 ,short title    
,this ,act may be cited as the ,conrad  
#cj ,physician ,workforce ,optimization 
,act4  #b4 ,increasing the maximum      
number of flex waiver allowance slots in
 each ,state ,section                   
#bad7l77#a77;,d77ii7 of the ,immigration
 and ,nationality ,act 7#h ,u4,s4,c4    
#aahd7l77#a77;,d77ii77 is amended by    
striking #aj and inserting #ae4  #c4    
,secondary physician match portal       

,section #bad7l7 of the ,immigration and
 ,nationality ,act 7#h ,u4,s4,c4        
#aahd7l77 is amended by adding at the   
end the following3  7#d7 7,a7 ,the      
,director of ,u4,s4 ,citizenship and    
,immigration ,services1 after           
consultation with the heads of a        
representative sample of ,state         
,departments of ,public ,health1 shall  
establish a portal for alien physicians 
who-- 7i7 have been granted the status  
of a nonimmigrant described in section  
#aja7;a77#ae77;,j77i72  7ii7 7,i7 have  
applied for a waiver of the #b-year     
foreign residence requirement under     
section #bab7;e71 but were not selected 
by the ,state to which they submitted   
their application2 or  7,,ii7 have      
sought to apply for a waiver of the     
#b-year foreign residence requirement   
under section #bab7;e71 but were unable 
to submit an application because the    
,state's numerical cap had been reached1
 or applications were otherwise not     
accepted at the time of the attempted   

submission2 and  7iii7 request to be    
included in such portal4  7,b7 ,any     
,state1 or any employer located in such 
,state1 that has not filled all of its  
allotted waivers under paragraph        
7#a77;,b7 for the current fiscal year   
may use the portal established pursuant 
to subparagraph 7,a7 to access          
information about the credentials of    
potential alien physicians who may be   
interested in obtaining full-time       
employment as a primary care or         
specialty care provider in such ,state4 
7,c7 ,information about international   
medical graduates who request to be     
included in the portal established      
pursuant to subparagraph 7,a7 shall be  
included on an attestation form that is 
sent to an organizing body to facilitate
 the dissemination of such information  
to ,states with available waivers4  7,d7
 ,the ,director shall establish a       
secondary match period1 not to exceed   
#fj days1 during which employers in     
,states with available waivers for the  

current fiscal year can review and      
interview alien physicians included in  
the portal before ,march #ast of such   
fiscal year4  7,e7 7i7 ,the portal shall
 contain essential information contained
 in the alien physicians initial        
application to streamline the secondary 
application process for potential       
employers4  7ii7 ,employers             
participating in the secondary          
application process shall certify that--
 7,i7 7aa7 their facilities are located 
in a health professional shortage area  
or in a medically underserved area2 or  
7bb7 they are seeking an applicable flex
 waiver under section                   
#bad7l77#a77;,d77ii72 and  7,,ii7 they  
have unsuccessfully advertised the      
position for which the alien physician  
will be hired4  7iii7 ,state departments
 of public health and prospective       
employers shall be provided access to   
the portal in order to identify         
potential alien physicians4  7,f7 ,the  
,director1 after consultation with a    

representative sample of ,state         
departments of health or related        
agencies1 shall publish a set of best   
practices and core application          
requirements that-- 7i7 assist ,states  
in determining the sufficiency of waiver
 applications submitted for the         
secondary match2 and  7ii7 include the  
essential elements necessary to         
establish sufficiency and ensure a      
streamlined process for the secondary   
match applications4  4