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OT PROFESSION NOW REQUIRES A MASTERS

The Occupations of Physical and Occupational Therapy are ineducational transition.  About ten yearsago, the Commission on Accreditation in Physical Therapy Education began the transitionfor Physical Therapists.  CAPTE currentlyrequires a Master’s Degree for entry into the profession.  The standard will riseto a Doctorate Physical Therapy on January 1, 2016.


Occupational Therapy is going through a similar transition.  All new Occupational Therapist EligibilityDetermination applicants who do not hold a master’s degree in occupationaltherapy must have an OTED application with paymentto NBCOT postmarked by January 1, 2013. Effective January 2, 2013, only applicants with a master’s degree inoccupational therapy will be able to apply to the OTED review process and, ifdeemed eligible, take the NBCOT certification exam.

CTRL-ALT-DELETE

With the new year comes a new Congress.  A new Congress means that all pending legislation is scrapped and must be reintroduced.  This is the US Constitution’s provision that calls for a Congressional reboot every two years.  It was the founding father’s version of pressing CTRL-ALT-DEL.

This may be less worrisome than it appears.  Any bills that have any chance of passing the new Congress will be reintroduced in short order.  

Last year at this time, MU Law looked at some bills that might see the light of day.  Although ultimately none did pass, we did caution that “the odds are against these bills passing are long.”  What happens in 2013 is still an open question.

President Obama reportedly will make immigration reform a major push in 2013.  The big debate is the legislative push will be for a comprehensive immigration package or whether a series of smaller, piecemeal immigration bills are pushed.

ANALYSIS OF A $4.5 MILLION H-1B VERDICT

A 2010 lawsuit has finished its trial stage, resulting in a $4.5million verdict in favor of 350 Philippine teachers who had been recruited towork on H-1B visas in Louisiana.  Thejury found that the twin recruiting firms – Universal Placement International,based in Los Angeles, and its sister organization, Manila-based PARSInternational Placement Agency – violated a number of laws.  The teachers’ case was supported by theSouthern Poverty Law Center, the American Federation of Teachers, and the mega-lawfirm Covington & Burling.  The caseis captioned, Mairi Nunag Tanedo et al v. East Baton Rouge Parish School Board etal.  The case is a strong blow againstunscrupulous recruiters.


But what did the Court really find with this decision?  And how can H-1B recruiters and employers whowant to stay within the law learn from this decision.

We start with an Inquirer.netarticle from last year that explains the allegations. 
The applicants were interviewed and were asked to pay $5,000upon submission of their documents.  Petitionsfor working visas (H1B) for the teachers were processed through the recruitmentagency. When these were approved and the applicants concluded their interviewwith the US Embassy, the teachers were asked to pay an additional $10,000.Failure to pay the additional sum, they were told, would result in forfeitureof the first $5,000 and the teachers would not be permitted to travel to theUS. 
The facts were concisely summed up in a May 2011 preliminaryOrder issued by US Judge Andrew J. Guilford in this case,
Enticed by promises of lucrative and exciting employmentthrough a work program, a foreign worker speaks with recruiters about workingin the United States. The recruiters explain the terms and costs of the workprogram, and the worker gets a large loan and voluntarily uses it to join theprogram.

After the worker joins the program and begins employment,the worker becomes unhappy. But if the worker quits, awaiting is a trip homewith a massive amount of debt that will be impossible to repay. Working in theprogram is the only way to repay the loan. Is this forced labor? Fraud? No. Itis a bargained-for exchange. Despite the worker’s unhappiness, the terms andcosts of the program were known, and the worker voluntarily obtained the loanto join the program. The worker’s eventual discontent does not transform thevalid contract with the recruiters into something illegal.

But what if after the worker made the payment, therecruiters alter the program terms and costs? The recruiters demand anadditional payment of double what the worker has already paid. They threaten tokick the worker out of the program if additional payments aren’t made, and theykeep the initial payment even if the worker decides to leave to program. Theworker is therefore faced with a choice of forfeiting the first payment,knowing that repayment of the debt may be impossible, or paying the additionalmoney the recruiters now demand. Knowing that working in this program is theonly way to repay the initial debt, the worker pays the additional sum andcontinues working in the program.

Once the worker begins employment, complaints about thepayments and working conditions are met with continued threats of terminationand deportation. Knowing that this job is the only way to repay the debt, the workerremains silent and continues working. Is this forced labor? Fraud?

These are the questions now before this Court.
The SLPC’sDecember 18, 2012 press release implies that the court’s decision was basedon the fact that the teachers were “lured to teach in Louisiana public schoolsand forced into exploitive contracts.”  Thispress release seems to back away from the SLPC’sinitial claims of “human trafficking, racketeering and fraud.” 
And so the conclusion appears to be that the Court found theinitial contracts acceptable, but did not like the bait-and-switch component ofthe future forced employment contracts.  Itis unclear to me at this time, whether the claims of racketeering and human traffickingwere part of the court’s decision or not. 

But that analysis may have to wait.  This Blog will be silent until year’s end aswe enjoy the Holidays with our friends and families.  Musillo Unkenholt wishes all of our readers awonderful Holiday season!

JANUARY 2013 VISA BULLETIN

The Department of State has just released the January 2013 Visa Bulletin.  

Overall, the news again was disappointing.  India EB-2 remained at September 1, 2004 for the third month.  Our projection that the India EB-2 number will move forward is looking wrong, although the basis for the projection is the same: earlier big movements tend to lead to later big movements.  

The Philippine EB-3 date was equally disappointing, remaining at August 15, 2006.

The good news category included news that the All Other and Philippine EB-2 date remained Current, and that All Other EB-3 jumped ahead two months.  As MU Law mentioned last month, we expect the Philippine EB-2 number to remain Current or near Current until Spring/Summer 2013, when it should become unavailable as it does most Summers.


January 2013 Visa Bulletin
All Other Countries China India Philippines
EB-2 Current 08DEC07 01SEP04 Current
EB-3 01FEB07 22SEP06 08NOV02 15AUG06




IS H-4 EAD WORK AUTHORIZATION ON THE HORIZON?

An ExecutiveOrder Review Search reveals that the USCIS may be finalizing a rule thatwill allow work authorization for H-4 spouses if they have begun the process ofseeking lawful permanent resident (LPR) status through employment and haveextended their authorized period of admission or “stay” in the U.S.under section 104(c) or 106(a) of Public Law 106-313 (American Competitivenessin the Twenty-First Century Act of 2000 or AC21).

 
This proposal was first prominently suggestedin May 2012 in the U.S. Department ofHomeland Security Retrospective Review of Existing Regulations – ProgressReport.  Most people, MU Lawincluded, did not think that action would come quickly, if ever, in spite of anofficial WhiteHouse Response to a petition for such authorization earlier this year.  Nonetheless, this authorization is longoverdue and it is encouraging that President Obama’s administration is followingthrough on its promises to produce favorable uncontroversial immigration legislationand regulation.

NPTE EXAMS AND DEADLINES FOR 2013


As the calendar is turning to 2013, MU Law reminds readers to schedule their 2013 Physical Therapy NPTE exams.  The FBSPT has produced a chart that lists the relevant test date deadlines.  We reproduce it here for readers.

Keep in mind that the FSBPT uses a fixed-date testing scheme.  The FSBPT approach is different than other healthcare occupation’s examination processes, which allows for rolling testing dates. FSBPT believes that their fixed-date testing system provides the most secure exam for their industry.

Be sure to register well in advance in order to insure that your seat is reserved.

Test Date
Registration Payment Deadline
Jurisdiction Approval Deadline
Seats are reserved for PT candidates until:
Scores Reported to Jurisdictions
January 29, 2013
December 22, 2012
December 31, 2012
January 8, 2013
February 5, 2013
April 30, 2013
March 23, 2013
April 1, 2013
April 9, 2013
May 7, 2013
July 24, 2013
June 17, 2013
June 24, 2013
July 3, 2013
July 31, 2013
October 30, 2013
September 23, 2013
September 30, 2013
October 9, 2013
November 6, 2013



TOEFL NO LONGER REQUIRED FOR OTED

The National Board of Certification for Occupational Therapists(NBCOT) recently confirmed that the Test for English as a Foreign Language(TOEFL) will no longer be required to complete the Occupational Therapists EligibilityDetermination (OTED) process.  In otherwords, an English fluency exam is not required prior to an applicant’s testdate.
Applicants should keep in mind that if they want to work inthe United States, they will require a Visa Credential Verification Certificate(VCVC) or a Visa Screen at the time of their visa interview.  The visa interview is usuallythe last step in the immigration process. The VCVC can be applied for through the NBCOT and the Visa Screen can be applied for through CGFNS.  Federal law requires that before aVCVC or Visa Screen is issued, an English fluency exam must be obtained.  For the VCVC, the minimum passing score forthe TOEFL is defined as 89 for the Internet-Based Test, and 26 for the Speakingportion of the test.

INDIAN NATIONALS MAY AVOID VISA INTERVIEW

The US Embassy-India has begun aprogram where H-1B renewal applicants in India nolonger need to attend a visa interview for their H-1B visaextension.  This waiver of the interview process is a welcome relief forIndian nationals who increasingly have had difficulty extending US H-1B visas.

The newprogram allows repeat travelers who are extending their H-1Bs to avoid the visainterview if the prior visa is in the same classification with the same petitionerand is still valid or expired within the last 12 months.

Applicantsfor this visa interview waiver programs may apply on the USEmbassy – New Delhi website.

Applicantsmust meet these criteria:

If you cananswer “yes” to the following questions, you qualify for the Interview WaiverProgram “Dropbox” at one of the 11 service centers.

·        I received my visa after November 1, 2008
·        I have a previous U.S. visa in the same class as the visa for which I wish torenew
·        My previous visa was issued in India
·        My most recent visa (in the same visa class for which I am applying) was issuedon or after my 14th birthday
·        I have no refusals for a visa in any category after my most recent visaissuance
·        If I am applying for a B1/B2, C1D, F, or J visa, my prior visa in the sameclassification is still valid or expired within the last 48 months
·        If I am applying for an H or L (individual) visa, my prior visa in the sameclassification with the same petitioner is still valid or expired within thelast 12 months. Note: L (Blanket) visa does not qualify.
·        My prior visa is not annotated “Clearance Received”
·        My most recent visa (in the same visa class for which I am applying) was notlost or stolen

Thewebpage contains this Note: Using the interview waiver or drop box service doesnot guarantee visa issuance. In some cases, you may be required to appear for avisa interview at the U.S. Embassy/Consulate, for example, if you submit anincomplete and/or inaccurate application. Submit your application well inadvance of your planned travel to allow for the possibility that a visainterview will be necessary.

Other visacategories may also apply for the waiver of an interview:

·        Business/Tourism (B1 and/or B2);
·        Dependent (J2, H4, L2)
·        Transit (C) and/or Crew Member (D) – including C1/D.
·        Children applying before their 7th birthday traveling on any visa class
·        Applicants applying on or after their 80th birthday traveling on any visa class
·        Children applying before their 14th birthday traveling on any visa class
·        Students returning to attend the same school and same program
·        Temporary workers on Individual L1-A or Individual L1-B visas

NFAP TELLS CONGRESS: GROW NUMBER OF HEALTHCARE VISAS

On the heels of Congressional leaders announcing that they are considering Comprehensive Immigration Reform that could increase the number of employment-based visas, the National Foundation for American Policy (NFAP) has just released a 27 page detailed Report, “U.S. Government , Heal Thyself : Immigration Restrictions and America’s Growing Healthcare Needs“.  The NFAP Report’s recommendations include:

1)   Expand the number of employment-based green cardsso the wait times for skilled immigrants, including nurses, physicians, and physical/occupationaltherapists, can be measured in weeks or  months, rather than in years or decades.

2)   Establish a temporary visa that facilitates theentry of foreign nurses. Current temporary visas do not work for the vast majorityof foreign nurses and their potential employers.
3)   To aid patients in under-served areas and enablemore U.S.-trained doctors to pursue specialized medical fields expand the Conrad30 program to include many more physicians per state and in the country as a whole.Also, we should consider policies to overcome the limitations on medical residencyslots in the U.S. by developing guidelines to allow foreign-trained doctors to practicein the United States if they can demonstrate  a  high  level  of expertise.  Congress  logically  should  include physicians  and  medicalresearchers  in  biology  and  chemistry in  the  definition of  Science  Technology  Engineering   and Mathematics(STEM) for exemption from employment-based green card quotas in future legislation.
4)   Streamline  state  licensing and  other  procedures for  foreign  medical  personnel,  including  physical therapists and occupational therapists,to help with the nation’s long-term health needs.

The report makes a compelling argument.  It explains how staffing shortages lead to dire consequences for US patients and how these staffing shortages are not being served by US workers.  These staffing shortages will remain for the foreseeable future, given greater demand for smaller nurse-patient ratios, a paucity of instructors, the graying of the existing workforce, and other institutional factors.

The Report details the present visa options and the failure of these options to satisfy healthcare staffing needs.  The failures of the H-1B, TN, and current green card programs to adequately address these staffing shortages are fully explained in the NFAP Report. (One quibble: the Report lists the H-1C visa as “reauthorized”, which it was; it subsequently expired in 2009, thus taking yet another option off of the table.)

The Report is chock full of data and should be required reading for anyone in the industry and ought to be on the desk of any Congressional staff who are looking to establish policy initiatives aimed at a significant gap in the current US immigration policy. 

CONGRESS TO CONSIDER CIR (ASAP?)

With the election cycle over for at least a little while, it is now time for each party to see what worked and what didn’t work in the just-passed election cycle.  And it’s pretty clear that the Democrats immigration-friendly policy was a winner and the anti-immigration rhetoric from the Republicans was not.

As we asked last week: Now What?  The answer is that the Republicans have done an immediate 180 degree turn.  Already Sen. Graham (R-SC) has announced that he will work with Sen. Schumer (D-NY) to revisit their shelved 2010 Comprehensive Immigration Reform (CIR) bill, which was torpedoed when the Democrats moved ahead with their healthcare initiatives, driving the Republicans into their do-nothing mode.  


Now?  H-1Bs, Green cards, STEM occupations all may be in play.

Back in 2010, the bill was called CIR ASAP (Comprehensive Immigration Reform for America’s Sceurity and Prosperity). The CIR ASAP bill had these characteristics:

– Recapture of all Immigrant Visas (Family & Employment) from 1992-2008.

– STEM occupations exempt from the Immigrant Visa numbers.
– Immediate relatives exempt from Immigrant Visas quotas (this could be enormous and would be responsible for slicing the immigrant visa retrogression backlogs);
– Increases the per country visa cap, thus ameliorating the Indian, Chinese, and Mexican retrogressions;
– Spouses and Children of LPRs are Immediate Relatives and therefore IV quota-free;
– Employers have affirmative obligation to report recruiters working on their behalf and can be held liable for the crimes of the recruiter;
– Before an employer can hire an H-1B worker, the employer must meet strict requirements for the recruitment of American workers. This would also likely help Healthcare Petitions since the Healthcare staffing shortages are well-documented.
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