HR 4942 · 118th Congress 2023–2025, ended

Conrad State 30 and Physician Access Reauthorization Act

Latest action · Jul 26, 2023 Referred to the House Committee on the Judiciary.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedJul 26, 2023
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Conrad State 30 and Physician Access Reauthorization Act

This bill modifies the Conrad 30 Waiver program, which incentivizes qualified foreign physicians to serve in underserved communities. It also extends statutory authority for the program for three years from this bill's enactment.

Aliens coming to the United States under a J-1 nonimmigrant visa to receive medical training typically must leave the country and reside for two years abroad before being eligible to apply for an immigrant visa or permanent residence. The Conrad program waives this requirement for individuals who meet certain qualifications, including serving for a number of years at a health care facility in an underserved area.

The bill increases the number of waivers that a state may obtain each fiscal year from 30 to 35 if a certain number of waivers were used the previous year, and provides for further adjustments depending on demand.

An alien physician may be employed at an academic medical center to meet the Conrad program's employment requirements if the alien's work is in the public interest, even if the medical center is not in an underserved area.

Employment contracts for alien physicians under the Conrad program shall contain certain information, such as the maximum number of on-call hours per week the physician shall have to work.

Certain alien physicians (along with the physician's spouse and children) shall be exempt from the direct annual numerical limits on immigration, including those physicians that have met certain requirements related to visas for physicians to serve in underserved areas.

Cosponsors 115

Members who signed on, in the order they did. Signatures ran from Jul 26, 2023 to Dec 17, 2024; 51 are original cosponsors, there from the day it was introduced.

SeatCosponsorSigned on
D-CAAmi BeraOriginalJul 26, 2023
D-NJBill Pascrell, Jr.OriginalJul 26, 2023
D-NYBrian HigginsOriginalJul 26, 2023
R-PABrian K. FitzpatrickOriginalJul 26, 2023
D-COBrittany PettersenOriginalJul 26, 2023
D-MEChellie PingreeOriginalJul 26, 2023
R-LAClay HigginsOriginalJul 26, 2023
D-TXColin Z. AllredOriginalJul 26, 2023
R-PADaniel MeuserOriginalJul 26, 2023
D-MIDaniel T. KildeeOriginalJul 26, 2023
R-CADavid G. ValadaoOriginalJul 26, 2023
D-GADavid ScottOriginalJul 26, 2023
D-MNDean PhillipsOriginalJul 26, 2023
D-NCDeborah K. RossOriginalJul 26, 2023
D-WADerek KilmerOriginalJul 26, 2023
R-NEDon BaconOriginalJul 26, 2023
D-NCDonald G. DavisOriginalJul 26, 2023
D-MOEmanuel CleaverOriginalJul 26, 2023
D-NMGabe VasquezOriginalJul 26, 2023
D-AZGreg StantonOriginalJul 26, 2023
D-WIGwen MooreOriginalJul 26, 2023
D-MIHillary J. ScholtenOriginalJul 26, 2023
D-CAJ. Luis CorreaOriginalJul 26, 2023
D-MAJake AuchinclossOriginalJul 26, 2023
R-PRJenniffer González-ColónOriginalJul 26, 2023
D-CAJim CostaOriginalJul 26, 2023
D-CAJimmy GomezOriginalJul 26, 2023
D-CAJimmy PanettaOriginalJul 26, 2023
D-CAJohn GaramendiOriginalJul 26, 2023
D-NYJoseph D. MorelleOriginalJul 26, 2023
D-NJJosh GottheimerOriginalJul 26, 2023
D-CAJuan VargasOriginalJul 26, 2023
D-DELisa Blunt RochesterOriginalJul 26, 2023
D-WIMark PocanOriginalJul 26, 2023
D-NJMikie SherrillOriginalJul 26, 2023
D-GANikema WilliamsOriginalJul 26, 2023
D-NYNydia M. VelázquezOriginalJul 26, 2023
D-WAPramila JayapalOriginalJul 26, 2023
D-ILRaja KrishnamoorthiOriginalJul 26, 2023
D-ILRobin L. KellyOriginalJul 26, 2023
D-CASalud O. CarbajalOriginalJul 26, 2023
D-ILSean CastenOriginalJul 26, 2023
D-MASeth MoultonOriginalJul 26, 2023
D-PASusan WildOriginalJul 26, 2023
D-WASuzan K. DelBeneOriginalJul 26, 2023
D-TXSylvia R. GarciaOriginalJul 26, 2023
D-ALTerri A. SewellOriginalJul 26, 2023
R-OKTom ColeOriginalJul 26, 2023
D-CATony CárdenasOriginalJul 26, 2023
D-TXVicente GonzalezOriginalJul 26, 2023
R-NCVirginia FoxxOriginalJul 26, 2023
R-WVAlexander X. MooneySep 13, 2023
R-INJames R. BairdSep 13, 2023
D-VIStacey E. PlaskettSep 20, 2023
D-NCValerie P. FousheeSep 20, 2023
D-CADoris O. MatsuiSep 26, 2023
D-TXHenry CuellarSep 26, 2023
R-FLMaria Elvira SalazarSep 26, 2023
D-NHAnn M. KusterOct 3, 2023
D-DCEleanor Holmes NortonOct 3, 2023
R-NYMichael LawlerOct 3, 2023
D-MDC. A. Dutch RuppersbergerOct 17, 2023
D-NYAdriano EspaillatOct 18, 2023
D-TXJasmine CrockettOct 18, 2023
D-ORAndrea SalinasNov 1, 2023
R-MOBlaine LuetkemeyerNov 1, 2023
D-NJBonnie Watson ColemanNov 1, 2023
D-VAJennifer L. McClellanNov 1, 2023
R-FLJohn H. RutherfordNov 1, 2023
D-NMMelanie A. StansburyNov 1, 2023
D-MIShri ThanedarNov 1, 2023
D-NYYvette D. ClarkeNov 1, 2023
D-PAMatt CartwrightNov 9, 2023
D-COYadira CaraveoNov 14, 2023
D-GAHenry C. "Hank" Johnson, Jr.Dec 6, 2023
R-AZJuan CiscomaniDec 6, 2023
R-NJThomas H. Kean, Jr.Dec 6, 2023
D-NYPatrick RyanDec 12, 2023
D-CAMike ThompsonJan 11, 2024
D-TNSteve CohenFeb 1, 2024
D-MNAngie CraigFeb 9, 2024
R-FLLaurel M. LeeFeb 9, 2024
D-FLSheila Cherfilus-McCormickFeb 9, 2024
D-NYGrace MengFeb 15, 2024
D-NVSteven HorsfordFeb 15, 2024
D-NYPaul TonkoApr 2, 2024
R-NYBrandon WilliamsApr 9, 2024
D-KSSharice DavidsApr 9, 2024
D-FLKathy CastorApr 18, 2024
R-INLarry BucshonApr 18, 2024
D-INAndré CarsonMay 8, 2024
D-MIHaley M. StevensMay 8, 2024
D-COJason CrowMay 8, 2024
D-HIJill N. TokudaMay 8, 2024
D-ILNikki BudzinskiMay 8, 2024
D-FLDarren SotoMay 16, 2024
D-HIEd CaseMay 16, 2024
D-CAKatie PorterMay 16, 2024
D-FLDebbie Wasserman SchultzJun 11, 2024
D-NJJefferson Van DrewJun 11, 2024
D-RISeth MagazinerJun 25, 2024
R-WVCarol D. MillerJul 15, 2024
D-VAAbigail Davis SpanbergerAug 6, 2024
R-NCChuck EdwardsSep 16, 2024
D-CAJulia BrownleySep 27, 2024
D-NYThomas R. SuozziSep 27, 2024
D-NMTeresa Leger FernandezOct 22, 2024
R-NCGregory F. MurphyNov 1, 2024
D-NCKathy E. ManningNov 1, 2024
D-CAMark DeSaulnierNov 8, 2024
D-CAScott H. PetersNov 21, 2024
D-VTBecca BalintDec 3, 2024
D-TXLloyd DoggettDec 3, 2024
D-MIDebbie DingellDec 10, 2024
D-ILJesús G. "Chuy" GarcíaDec 17, 2024

Committees 1

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseJudiciary Committee
Referred Jul 26, 2023

Actions 2

Everything that happened, newest first.

  1. Jul 26, 2023Introduced in House
  2. Jul 26, 2023Referred to the House Committee on the Judiciary.

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Article 1, Section 8 The single subject of this legislation is: Health

The sponsor’s statement, as printed in the Congressional Record, vol. 169, no. 129, July 26, 2023, page H4032.

Printed hearings 2

Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.

NumberHearingCommitteeHeld
S. Hrg. 118-804RURAL HEALTH CARE: SUPPORTING LIVES AND IMPROVING COMMUNITIES240 pagesFinance CommitteeMay 16, 2024
S. Hrg. 118-393THE LONG-TERM CARE WORKFORCE: ADDRESSING SHORTAGES AND IMPROVING THE PROFESSION90 pagesAging (Special) CommitteeApr 16, 2024

Related bills 2

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 665Conrad State 30 and Physician Access Reauthorization ActIdentical billMar 6, 2023
HR 3541Conrad State 30 and Physician Access Reauthorization ActReintroduction ofNov 1, 2022

Titles 2

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To provide incentives to physicians to practice in rural and medically underserved communities, and for other purposes.
Short Title(s) as Introduced
Conrad State 30 and Physician Access Reauthorization Act

Subjects

Assigned by the Library of Congress. Policy area: Immigration.

Text 1

Each version as it was printed, newest first.

  1. Jul 26, 2023Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.