# 119-hr-1585: Conrad State 30 and Physician Access Reauthorization Act

119-hr-1585, Conrad State 30 and Physician Access Reauthorization Act, is a 119th Congress bill sponsored by Rep. Valadao, David G. [R-CA-22] (R-CA); status introduced; PRIA reads it as touching household money (as of 2026-10-10).

- Canonical: https://policyrisk.com/legislation/119-hr-1585
- As of: 2026-10-10
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1585
- Congress: 119
- Title: Conrad State 30 and Physician Access Reauthorization Act
- Status: introduced
- Introduced: 2025-02-25
- Sponsor: Rep. Valadao, David G. [R-CA-22] (R-CA)
- Cosponsors: 66
- Policy area: Immigration
- Touches household money: yes
- Last recorded action: 2026-10-10

## Summary

**Expand and extend the Conrad State 30 J-1 visa waiver program**. This bill would reauthorize the program and change rules to keep more foreign-trained physicians working in rural and medically underserved areas. - Physicians: Gives doctors clearer paths to stay and work. It would let spouses and children be eligible for ongoing consideration, allow certain petitions or status adjustments before service is complete, create exceptions to the 2-year foreign residency rule, and set a 3-year service commitment with defined start-date rules and enforcement for broken agreements. - Rural communities and patients: Changes waiver allotments to boost placements in shortage areas. States that meet performance thresholds would start with a baseline of 35 waivers and can receive automatic increases of 5 waivers while a 30 waiver floor is preserved. - States and academic medical centers: Establishes new allotment mechanics and an explicit waiver route for academic medical centers if the placement is in the public interest. It would also require an annual state-by-state report on program activity.

## Cosponsors (66)

- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-02-25T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-02-25T00:00:00.000Z
- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2025-02-25T00:00:00.000Z
- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL), 2025-03-03T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-03-03T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-03-04T00:00:00.000Z
- Rep. Scott, David [D-GA-13] (D-GA), 2025-03-05T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2025-03-05T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-03-05T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-03-05T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-03-05T00:00:00.000Z
- Rep. Cherfilus-McCormick, Sheila [D-FL-20] (D-FL), 2025-03-18T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2025-03-24T00:00:00.000Z
- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2025-03-24T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-03-25T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-03-31T00:00:00.000Z
- Rep. Meuser, Daniel [R-PA-9] (R-PA), 2025-03-31T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2025-04-01T00:00:00.000Z
- Rep. Gomez, Jimmy [D-CA-34] (D-CA), 2025-04-01T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2025-04-24T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-04-24T00:00:00.000Z
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC), 2025-04-29T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2025-05-07T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-05-13T00:00:00.000Z
- Rep. Baumgartner, Michael [R-WA-5] (R-WA), 2025-05-20T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-06-09T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2025-06-23T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-06-24T00:00:00.000Z
- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2025-06-24T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2025-06-25T00:00:00.000Z
- Rep. Foxx, Virginia [R-NC-5] (R-NC), 2025-06-25T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-06-25T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-06-25T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2025-06-25T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2025-06-26T00:00:00.000Z
- Rep. Casten, Sean [D-IL-6] (D-IL), 2025-06-26T00:00:00.000Z
- Rep. Peters, Scott H. [D-CA-50] (D-CA), 2025-06-27T00:00:00.000Z
- Rep. McClellan, Jennifer L. [D-VA-4] (D-VA), 2025-07-02T00:00:00.000Z
- Rep. Gonzalez, Vicente [D-TX-34] (D-TX), 2025-07-10T00:00:00.000Z
- Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2025-07-10T00:00:00.000Z
- Rep. Matsui, Doris O. [D-CA-7] (D-CA), 2025-07-10T00:00:00.000Z
- Rep. Magaziner, Seth [D-RI-2] (D-RI), 2025-07-10T00:00:00.000Z
- Rep. Dexter, Maxine [D-OR-3] (D-OR), 2025-07-14T00:00:00.000Z
- Rep. Veasey, Marc A. [D-TX-33] (D-TX), 2025-07-17T00:00:00.000Z
- Rep. Crow, Jason [D-CO-6] (D-CO), 2025-07-29T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-07-29T00:00:00.000Z
- Rep. Stanton, Greg [D-AZ-4] (D-AZ), 2025-08-19T00:00:00.000Z
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2025-09-02T00:00:00.000Z
- Rep. Leger Fernandez, Teresa [D-NM-3] (D-NM), 2025-09-03T00:00:00.000Z
- Rep. Subramanyam, Suhas [D-VA-10] (D-VA), 2025-09-17T00:00:00.000Z
- Rep. Lee, Susie [D-NV-3] (D-NV), 2025-09-23T00:00:00.000Z
- Rep. Stevens, Haley M. [D-MI-11] (D-MI), 2025-09-30T00:00:00.000Z
- Rep. Meng, Grace [D-NY-6] (D-NY), 2025-10-06T00:00:00.000Z
- Rep. Lynch, Stephen F. [D-MA-8] (D-MA), 2025-10-08T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-10-08T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2025-10-17T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-10-17T00:00:00.000Z
- Rep. McDonald Rivet, Kristen [D-MI-8] (D-MI), 2025-10-24T00:00:00.000Z
- Rep. Thompson, Mike [D-CA-4] (D-CA), 2025-10-24T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-07T00:00:00.000Z
- Rep. García, Jesús G. "Chuy" [D-IL-4] (D-IL), 2025-12-19T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2026-04-20T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2026-06-15T00:00:00.000Z
- Rep. DeSaulnier, Mark [D-CA-10] (D-CA), 2026-06-18T00:00:00.000Z
- Rep. Sorensen, Eric [D-IL-17] (D-IL), 2026-06-29T00:00:00.000Z
- Rep. Gray, Adam [D-CA-13] (D-CA), 2026-08-24T00:00:00.000Z

## Provisions PRIA read

- New immigration paths for physicians: benefit, medium. If enacted, foreign physicians who finish the required waiver service would be able to file immigrant petitions and apply for adjustment of status. This would include physicians who finished service before enactment and their spouse and children. You could file before finishing service, but DHS wou…
- Protections and start rules for physicians: mixed, high. If enacted, waiver recipients would need a bona fide full-time job offer at a DHS-approved facility in an HHS shortage area. You would have to start by the later of 120 days after the waiver, 120 days after finishing approved training, or 120 days after getting status when timely petitioned. You wo…
- Changes to state waiver slots: mixed, low. If enacted, the Conrad State 30 program would be extended as if the change began on September 30, 2018 and would run until three years after this bill is enacted. States could be allotted 35 waivers if prior-year use hit 90% among States with at least five waivers, and repeated 90% use would add fi…

## Related bills

- 119-hr-2102: Major Richard Star Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hres-70: Expressing the sense of the House of Representatives that Congress should take all appropriate measures to ensure that the United States Postal Service remains…
- 119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025

## Sources
- [119-hr-1585 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1585)

## Related
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hres-70: Expressing the sense of the House of Representatives that Congress should take…](https://policyrisk.com/legislation/119-hres-70)
- [119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-hr-1993)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1585 (as of 2026-10-10).