S709119th CongressWALLET

Conrad State 30 and Physician Access Reauthorization Act

Sponsored By: Senator Amy Klobuchar

Introduced

Summary

Would extend and modernize the Conrad State 30 J-1 visa waiver to keep more foreign physicians working in rural and medically underserved areas. It would expand waiver capacity, strengthen worker protections, and make it easier for doctors and their families to train and stay in shortage areas.

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  • Physicians and families: Would broaden who can qualify to remain after completing service, let physicians seek immigration classification before finishing their service, and allow service time to aggregate toward a 5-year requirement. It would also provide short-term work authorization and extensions up to 6 months and exempt spouses and children from certain J-1 residency restrictions.
  • States and underserved communities: Would change how waivers are allotted so states can receive 35 waivers when usage thresholds are met and gain 5 additional waivers in later years if use remains high. It also creates rules to recapture slots when physicians move between states and ties increases to state-level usage.
  • Employers and protections: Would tighten the definition of a bona fide full-time offer, require a 3-year minimum service period, ban non-compete clauses, mandate written employment agreements on pay, on-call and malpractice coverage, and allow a 120-day window for terminated physicians to remain or transition.

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 0 costs, 1 mixed.

Extend Conrad program for three years

If enacted, the bill would extend the Conrad State 30 program until three years after this Act is enacted. The amendment would be treated as if it took effect on September 30, 2018.

Easier green card paths for physicians

If enacted, this bill would make it easier for J‑1 physicians to change to other work visas and seek green cards. Federal or State agencies could ask DHS to change a physician's status without counting toward normal numerical caps. The bill would add a new immigrant preference for physicians who completed Conrad service, including those who finished before enactment, and would let them file earlier (though DHS could delay approval until service is done). It would also allow dual intent for trainees, treat certain foreign medical degrees like advanced degrees for immigration purposes, and clarify how five‑year National Interest Waiver service is measured.

Protections and timing for physicians

If enacted, waiver recipients would normally need to work three years in the approved status and start by the later of three 120‑day deadlines. The bill would require written job agreements stating maximum on‑call hours and pay, malpractice coverage or premiums, and all work locations, and would ban non‑competes. If your job ends, you would generally keep lawful status during the 120‑day or 45‑day allowance while you seek new work. The bill would also allow short status extensions in some training and State‑cap situations, including automatic extensions to October 1 and up to six months in limited cases.

More waiver slots and academic exceptions

If enacted, the bill would change how many Conrad waivers each State gets. States could get 35 waivers when most slots were used, and gain +5 waivers in later years if usage stays high. If total waivers fall, all States could lose five waivers at a time, but no State could fall below 30 waivers. The bill would also allow up to three State‑requested waivers per year for academic medical centers and let a State recapture a waiver when a physician relocates to another State.

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Sponsors & CoSponsors

Sponsor

Amy Klobuchar

MN • D

Cosponsors

  • Susan Collins

    ME • R

    Sponsored 2/25/2025

  • Jacky Rosen

    NV • D

    Sponsored 2/25/2025

  • Thomas Tillis

    NC • R

    Sponsored 2/25/2025

  • Sen. Marshall, Roger [R-KS]

    KS • R

    Sponsored 10/14/2025

  • John Boozman

    AR • R

    Sponsored 10/21/2025

  • Joni Ernst

    IA • R

    Sponsored 10/21/2025

  • Richard Blumenthal

    CT • D

    Sponsored 2/25/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov

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