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Government Affairs Home > Washington Highlights > December 20, 2002

HHS Publishes New Rules for J-1 Visa Waivers

December 20, 2002 - The Department of Health and Human Services (HHS) Dec. 19 published in the Federal Register [67 FR 77692] new regulations governing requests for waivers of the two-year foreign residence requirement of the Exchange Visitor (J-1 visa) Program. Under the new rules, health care institutions and facilities will be able to submit to HHS applications for waiver of the two-year home country requirement in return for the J-1 foreign physician's commitment to at least three years service in a health professional shortage area (HPSA) or Medically Underserved Area (MUA). The interim final rule took effect upon publication; public comments are welcomed until Feb. 3, 2003.

Many foreign physicians that seek graduate medical education training in the United States do so on J-1 visas. Upon completion of their training, the J-1 program requires that the physician return to their home country for at least two years to share the benefit of their new knowledge. Under limited circumstances, J-1 foreign physicians may seek a waiver of this home country requirement. One way to receive a waiver is to petition an interested government agency. Previously, HHS only supported waiver requests for researchers; expansion of the program to include J-1 physicians to serve in HPSAs comes as a result of the U.S. Department of Agriculture's decision to terminate its participation in the program earlier this year.

The HHS waivers are available to J-1 physicians practicing in primary care (defined as general internal medicine, pediatrics, family practice, or obstetrics/gynecology) and general psychiatrists and are available up to one year following the completion of the residency training program. Health care institutions applying for the waivers must document their good faith efforts to recruit U.S. physicians.

Information:
Jonathan Fishburn, Director, Research, Education and Veterans' Legislative Affairs
AAMC Government Relations
jfishburn@aamc.org
(202) 828-0525

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