513.381.VISA (8472)
Musillo Unkenholt LLC | 302 West Third, Suite 710 | Cincinnati, Ohio

Healthcare Blog

MU LAW COMMENT TO USCIS: ALLOW H-1Bs WHEN APPLICANT HAS HEALTHCARE WORKER CERTIFICATE

The USCIS and Department of Homeland Security recently issued a lengthy proposed rule.As per US law, USCIS and DHS had to ask the public for our comments about theirproposed rule.  Many lawyers and the public commented on the proposedrule.

The proposed rule covers many areas.  Musillo Unkenholt'scomments focused on one area: asking DHS toallow one-year H-1B approvals in instances where the alien does not hold alicense, but does hold a Healthcare Worker Certificate.

The most common Healthcare Worker Certificates are Visa Screen, FCCPT Type 1 Certificates and NBCOT Certificates.

THE US IS RUNNING OUT OF NURSES

The Atlantic has a longform articledetailing the current US nursing shortage in which it highlights that 1.2million nursing positions will be unfilled in the next five years.  While nursing shortages have existed in theUS for most of the last forty years, this one is going to be different.  The US nurse supply has been artificiallyinflated since the start of the recession. Now that the recession has abated, nurse retirement numbers are spiking.  Musillo Unkenholt saw more demand forforeign-trained nurses in 2015 than we had in the whole of 2009-14. 

The reasons for thecurrent US nursing shortage are many:

Baby BoomGeneration Demand.  The US Baby Boomgeneration, those born 1946-1964, has reached an age where they willincreasingly demand nursing services.  AsThe Atlantic points out:

Today, there are more Americans over the age of 65 than at any other time in U.S. history. Between 2010 and 2030, the population of senior citizens willincrease by 75 percent to 69 million,meaning one in five Americans will be a senior citizen; in 2050, an estimated 88.5 million people in the U.S. will be aged 65 and older.

Aging NursingWorkforce.  Out of the 3 million USnurses, one million are over age 50 and will be expected to retire in the next10-15 years.

Few NurseEducators.  Nursing Ph.D. programs havebeen unable to attract nursing faculty. These nurses Ph.D’s have traditionally made up large numbers of nursingschool faculty.  Part of the reason forthis is that a Bachelor nursing graduate is usually offered a job atgraduation, thus reducing that graduate’s incentive to seek out graduatenursing education.  Without a dramaticincrease in nurse faculty, it will be impossible for the US to supply enoughnurses to meet the demand.

DistributionChallenges.  Some of the American nursingproblem stems from the lack of mobility ion the nursing force.  Nurses are often unwilling to leave theirhometowns for jobs in rural areas or high-nurse demand areas, even if thosepositions pay better.

Lack ofForeign-Nurses.  Because of a terriblythough-out US immigration policy, it takes a nurse from the Philippines manyyears to legally obtain a visa, in spite of the nursing shortage.  The Philippines has traditionally been thegreatest supplier of US nurses.  Thestory is even worse for India, which would certainly be able to supply the USwith many nurses if it did not take 10 years for a fully-qualified nurse toobtain a US visa.  As a result of thelack of US nursing visa options,foreign-trained nurses have declined sitting for the US licensing exams

Ten years ago theUS congress passed a special EX visajust for occupationsthat were found to be nationally short by the Department of Labor.  These occupations were placed on the DOL’sSchedule A.  By placing an occupation onSchedule A, the Department of Labor finds that the importation of workers inthe occupational classification will not negatively impact existing US labor.

Only twooccupations are on Schedule A – Registered Nursing and Physical Therapy.  Does it not stand to reason that there oughtto be a better immigration program to allow these badly needed workers entryinto the US? 

LOOKING AT THE VISA BULLETIN CRYSTAL BALL

Employment Based Green cards areprocessed by “priority date” in a FIFO (first-in, first-out) manner.  A nurse’s “priority date” is established onthe day that the nurse’s immigrant visa petition is first filed.  A nurse retains her priority for the rest ofher life, even if she files a later Green card case with a subsequent employer.

From 2005-2008 the industry sawmassive numbers of nursing petitions.  Thesepetitions were fueled by: (a) enormous demand for foreign-trained nurses and(b)a special piece of legislation that exempted nurse green cards from theoverall green card quota in 2005-2006.  The special legislation ended in 2007.

Many of these nurses received theirgreen cards and are now working in the US.  However a large number of nurses did notreceive their green cards because in 2009 the demand slowed for foreign-trainednurses and because retrogression spiked.

From 2009-13 there was a paucity ofnurse immigration petitions.  Starting in2013 we saw a rebound for foreign-trained nurses.  Industry leaders sought out nurses withpriority dates from the 2005-2008, who had never received their US green cards. Since 2013 the industry has seenthousands of nurse’s green card petitions “re-filed” using the 2005-08 retainedpriority date.

My sense is that the population ofnurses Filipino nurses who can retain their 2005-2008 priority dates are closeto exhausted.  Accordingly, I expect thatonce the Philippine EB-3 priority date Visa Bulletin reaches 2010, it willquickly accelerate through to at least 2013 and perhaps to 2015.

Nurses born in countries other thanIndia, China, or the Philippines (Rest Of World) have no visa retrogressionproblem.  Green cards are being issuedfor these nurses in under one year, as demand for the Worldwide nurses has yetto impact the Visa Bulletin.  Because of the calculus involved in the VisaBulletin computation, I expect the ROW EB-3 Visa Bulletin to be near “current”for the foreseeable future.

DOS PROJECTS FORWARD MOVEMENT IN APRIL 2016 VISA BULLETIN

In the mostrecent Visa Bulletin, for March 2016, the Department of State madeprojections for potential monthly movement in all categories.   Notably the DOS projects forward movement inall Employment-based categories for the April 2016 Visa Bulletin.

Here are the DOSprojections.  They have included a standard disclaimer, which we have included at the end ofthe excerpt.


EMPLOYMENT-based categories (potentialmonthly movement)
Employment First:  Current
Employment Second:
Worldwide: Current
China: Up to five months.
India: Up to three months.
Employment Third:
Worldwide: The rapid forward movement of this cut-off dateduring the past ten months should generate a significant amount of demand fornumbers. When such demand begins to materialize it will be necessary to limitmovement of this cut-off date.
China: Up to five months.
India: Up to one month.
Mexico:      Willremain at the worldwide date.
Philippines: Up to four months.

The above projections for the Familyand Employment categories indicate what is likely to happen on a monthly basisthrough June based on current applicant demand patterns. Readers should neverassume that recent trends in cut-off date movements are guaranteed for thefuture, or that "corrective" action will not be required at somepoint in an effort to maintain number use within the applicable annual limits.The determination of the actual monthly cut-off dates is subject tofluctuations in applicant demand and a number of other variables. 


MARCH 2016 VISA BULLETIN: PREDICTIONS AND ANALYSIS

The Department of State has just issued the March 2016 Visa Bulletin.  This is the sixth Visa Bulletin of Fiscal Year 2016. 

March 2016 Visa Bulletin

Final Action Dates

Applications with these dates may be approved for their Green Card (Permanent Residency card).
Employment- Based
All Chargeability Areas Except Those Listed
CHINA - mainland bornINDIAMEXICOPHILIPPINES
1stCCCCC
2ndC01AUG1215OCT08CC
3rd01JAN1601JUN1315JUL0401OCT1515MAR08

MU Law Analysis

All:  The EB-2 has been current for many years.  The EB-3 remains positive, gaining 10 weeks this month.  These dates continue to be very favorable.  We expect that All Other dates will continue to be positive for the foreseeable future.

China: EB-2 progressed by five months. EB-3 has progressed almost two years in just the last few months.  This is great news for this category.  EB-2 continues to lag behind EB-3.  The DOS expects the EB-2 and EB-3 to re-balance at some point in the future.

India: EB-2 jumped again. Five months ago it was 01MAY05. This represents a three-plus year movement in just five months.  This trend may continue. EB-3 moved four weeks.  Our sense is that EB3 will only move by weeks in the forthcoming months.

Mexico: Mirrors All Other in all aspects.

Philippines: EB-3 moved ahead two more months. MU Law believes that Philippines EB-3 will continue to steadily move forward in the coming months. We expect it to get into 2009 in the by this spring or early summer.

Dates of Filing

Applications with these priority dates should see their Consular Process application progress.  The USCIS may allow filing of the I-485 Adjustment of Status, provided that the USCIS issues its monthly authorization


Employment-
Based
All Chargeability
Areas Except
Those Listed
CHINA-
mainland
born
INDIAMEXICOPHILIPPINES
1stCCCCC
2ndC01JUN1301JUL09CC
3rdC01MAY1501JUL05C01JAN10

MU Law Analysis

The All Other and Chinese dates moved ahead considerably.  The other countries' Dates of Filing chart did not materially change since the start of the Fiscal Year in October 2015. 

DOS ADDRESSES EB-3 PHILS RETROGRESSION

AILA regularly checks in withCharlie Oppenheim, who is the Department of State’s guru on Visa Bulletinnumbers.  Their most recent Check Inwith Charlie contains his projections for several major visa categories.

Notably he discusses the EB-3Philippines and the rumors that 80% of the 28,000 pending Philippine EB-3 visaswill never be used because those applicants have either already immigrated tothe US or they have long abandoned their applications.

QUESTION: Do the numbers reported on the WaitingList for EB-3 Philippines reflect actual visa demand for this category? It hasbeen suggested by some that as many as 80% of the 28,102 individuals listed inthe report will not pursue their visa applications as a result of the visabacklog and lack of priority date movement over the years. If in fact actual demandto date has been less than expected, are you considering adjusting the prioritydate cut-off for this category?
ANSWER:  Numberuse for EB-3 Philippines is at a fairly reasonable level for this point in theyear. We have 5,000+ applicants which have already been reported to VO, and areonly awaiting forward movement of the cut-off date. The cut-off date willcontinue to advance, but how quickly remains to be seen.

The"lag time" does not seem to have resulted in a lack of demand. Thereason for the rapid movement of this date in FY 2015 was that we had workedthrough the eligible demand which was reported for overseas processing, andUSCIS demand (approximately 950) was extremely low during the first four monthsof FY 2015. During the next three months, demand from USCIS exploded(approximately 3,000), perhaps due to a decreasing processing backlog.

Charlie addressed other categoriestoo:

EB-2 India:  Therecent aggressive forward movement of EB2 India is the result of less demand inthe category than that which was previously anticipated.  But, recent discussions with USCIS have ledhim to believe that the rate of demand in the coming months will reduce therate of cut-off date movement.

EB-2 Worldwide:  EB-2Worldwide demand is low.

EB-2 and EB-3 China:  TheEB-2 China Final Action Date will continue to lag behind EB-3 China.  At some point EB2-to-EB-3 “downgrades” may rebalancethese categories.  In the meantime, bothEB-2 and EB-3 China are expected to continue to advance in March.

H-1B TELECONFERENCE FEB 4, 2016

REMINDER: LAST CHANCE TO REGISTER IF YOU HAVE NOT DONE SO ALREADY

MU VISA ADVISOR:   H-1B TELECONFERENCE FEB 4, 2016

In anticipation of the H-1B cap filing date of April 1,2016, MU Law will be holding a free teleconference for our clients and friendson February 4, 2016 at 2PM / 11AM PT.  Interested clients and friendsshould email MU’s Annalisa Smith,who will register you for the teleconference.
Last year the H-1B cap wasreached in the first week.  We expect that the demand will be even greaterthis year.  It is imperative that all H-1B cap-subject petitions arefilled on April 1, 2016.

H-1B TeleconferenceAgenda
  • H-1B Cap Basics and Projections
  • H-1B Dependency
  • H-1B issues for Staffing Companies and Third Party Placements: What is Third- Party Placement v. In-House work?
  • Hot issues:  
    • CPT / OPT maintenance
    • NIV maintenance
    • Cap-gap for F-1s
    • H4 EAD rule
    • STEM OPT Lawsuit
    • Increased filing fees for 50/50 employers
  • Top 10 things H-1B employers can do to stay compliant
  • Legislative Update
    • DACA/DAPA to the Supreme Court
    • I-140 EAD
    • Presidential Election: What we can expect from President Trump
  • Q&A

Pleasecontact your MU immigration attorney if you have any questions about this MU Visa Advisor or any other immigration issue. 

OPT STEM EXTENSIONS EXTENDED

The USCIS now has until May 10, 2016 tofinish its review of the more than 50,000 public comments submitted in responseto the new STEM OPT Extension regulations and to issue a new STEM Program.  Until May 10, 2016, the old OPT STEMextension program remains in effect. 

In August 2015 the US District Court forWashington, DC ruled that the USCIS STEM OPT Extension program was invalidbecause the USCIS had not followed the proper procedure when STEM Extensionprogram was created.  Before creating a new program, the law requires thatthe USCIS must first give the public time to comment on the program proposal. The USCIS did not allow the proper public comment period when creating the STEMExtension program.

In August 2015 the federal judge ruled toabolish the STEM Extension program, but the judge also found that abolishingthe program immediately would cause a hardship to F-1 students currently onOPT.  The judge allowed the USCIS six months until February 2016 tore-create the program using the proper procedure.  The six month windowwas set to expire on February 12, 2016.

The USCIS re-issued the STEM Extensionprogram last fall and received over 50,000 comments from the public.  InDecember 2015 the USCIS requested additional time to review the publiccomments.  The judge has now granted the USCIS an additional three monthsto complete its review of the public comments.  The USCIS has until May10, 2016 to complete its review of the public comments and enact the new STEMExtension program.

H-1B TELECONFERENCE FEB 4, 2016

MU VISA ADVISOR:   H-1B TELECONFERENCE FEB 4, 2016

In anticipation of the H-1B cap filing date of April 1,2016, MU Law will be holding a free teleconference for our clients and friendson February 4, 2016 at 2PM / 11AM PT.  Interested clients and friendsshould email MU’s Annalisa Smith,who will register you for the teleconference.

Last year the H-1B cap wasreached in the first week.  We expect that the demand will be even greaterthis year.  It is imperative that all H-1B cap-subject petitions arefilled on April 1, 2016.

H-1B TeleconferenceAgenda
  • H-1B Cap Basics and Projections
  • H-1B Dependency
  • H-1B issues for Staffing Companies and Third Party Placements: What is Third- Party Placement v. In-House work?
  • Hot issues:  
    • CPT / OPT maintenance
    • NIV maintenance
    • Cap-gap for F-1s
    • H4 EAD rule
    • STEM OPT Lawsuit
    • Increased filing fees for 50/50 employers
  • Top 10 things H-1B employers can do to stay compliant
  • Legislative Update
    • DACA/DAPA to the Supreme Court
    • I-140 EAD
    • Presidential Election: What we can expect from President Trump
  • Q&A

Pleasecontact your MU immigration attorney if you have any questions about this MU Visa Advisor or any other immigration issue.