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February Visa Bulletin

The Department of State has just released the February 2011 Visa Bulletin, which is the fifth Visa Bulletin for US Fiscal Year 2011. This Visa Bulletin had very small progress in several classifications.
February 2011 Visa Bulletin
All Other Countries China India Mexico
EB-2 Current 01JUL06 08MAY06 Current
EB-3 01APR05 01JAN04 22FEB02 08JUL03

H-1B Count: 58,700

The latest USCIS update says that 58,700 of the 65,000 regular H-1B numbers were used as of January 7, 2011. The demand for H-1B numbers historically has spiked as the H-1B number grows closer to 65,000. MU predicts that the H-1B cap will be reached by the end of the month. MU clients strongly are urged immediately to initiate and file any regular cap-subject H-1B cases.

Prospects for Healthcare Immigration in 2011

The last few years have seen a declining American economy, dramatically reduced hiring numbers, and a Congress that has proven incapable to lead the country on badly needed immigration reform. Still, thanks to declining demand for H-1B numbers from the IT community, there are some signs that the worst may be over for healthcare immigration. There may even be a chance for positive healthcare immigration for nurses, although not where it is most needed.

Although the 112th Congress is divided and that usually means gridlocked legislation initiatives, a coalition of like-minded Senators and Congressman may be able pass long-needed legislation aimed at solving one obvious staffing shortage in the healthcare industry – nursing.

Nursing is the largest professional occupation in healthcare. While the nursing shortage has abated in many areas in the US, most economists predict the reemergence of the nursing shortage in the near term. Thursday’s jobs’ news was mixed. The positive news was that the unemployment number fell to 9.4%, which is the lowest percentage in 18 months.

Might the 112th Congress consider a nurse visa bill aimed at reducing the 5-6 year wait for an immigrant nurse to enter the US? Perhaps. But the better chance is that the Congress looks to restore the H-1C visa, which provides badly-needed visas for 14 of the direst healthcare facilities. Rep. Lamar Smith, who is the forthcoming Chair of the Judiciary Committee, represents South Texas, near where several of the 14 facilities are located. With some advocacy, it is possible that the H-1C could be slightly amended to liberalize a revived H-1C.

For specialty occupation allied healthcare positions that require a bachelor degree for entry into the position, such as Physical Therapists, Occupational Therapists, Speech Language Pathologists, the IT industry’s minimal usage of H-1B numbers looks to continue in 2011. Coupled with increasing opportunities for EB-2 immigrant visas, and notably faster labor certification times, prospects remain bright for applicants in these occupations in 2011.

While a revived H-1C and more opportunities for H-1Bs are not as desired an increase to the EB-3 retrogression-driven quota, these factors may make 2011 a better year for applicants and employers than the last few.

H-1B Cap To Be Reached

With the H-1B cap nearly reached, MU clients strongly are urged immediately to initiate and file any regular cap-subject H-1B cases. The H-1B cap likely will be reached in January 2011.

The latest USCIS update says that 53,900 of the 65,000 regular H-1B numbers were used as of December 17, 2010. While demand typically levels off during the Christmas and New Years holidays, it is expected that the demand will rise again in the first weeks of January. The demand for H-1B numbers historically has spiked as the H-1B number grows closer to 65,000.

Employees that may need an H-1B visa include:

  • International students working on an EAD card under an OPT or CPT program after having attended a U.S. school;
  • International employees working on a TN may need an H-1B filed for them in order for them to pursue a permanent residency (green card) case;
  • Prospective international employees in another visa status e.g. H-4, L-2, J-1, F-1;- H-1B workers with a cap exempt organization; and
  • Prospective international employees currently living abroad.

International workers who are working in the U.S. on an H-1B visa with another cap-subject employer are not subject to H-1B cap. These cases are commonly referred to as “transfer” cases and may be filed at any time throughout the year.

Additionally, the USCIS sets aside an additional 20,000 H-1B numbers for graduates of US Masters degree (or higher) programs. As of December 17, 2010, 19,700 of the 20,000 have been received by USCIS. While no official USCIS announcement has been issued, that cap effectively may have already been reached.

Dreaming

The only potential immigration bill that will come out of the American Congress this Lame Duck Session is the Dream Act. The Dream Act proposes to provide a “path” to legalization for illegal/undocumented immigrants who: (1) entered the US as minors (under 16), (2) have completed high school and either served in the US military for two years or completed at least two years of college, and (3) are of good moral character (e.g. no criminal convictions). The bill will only apply to those that have been in the US for five years or more on the day of enactment, so there is no risk of encouraging future illegal entrants. The bill has gone through a few different iterations, but these are the basic concepts.

The “path” is not an easy one. The House’s version of the Dream Act, which was passed earlier this month, says that applicants must spend a minimum of 11 years after becoming legalized, before they would eligible to even apply for US citizenship. In other words, if the Dream Act was passed tomorrow, the first applicants would not become US citizens until 2021. During that time period, applicants would have another batch of requirements, notably a continued “good moral character” requirement.

The Senate bill is shortly supposed to come up for vote. The Senate vote will be a close one. Outgoing Senate Majority Leader Harry Reid is said to be spending loads of time working his colleagues for votes.

While the bill doesn’t contain any provisions for healthcare workers, MU supports the bill and thinks you should too. For one, the bill appears to strike a proper balance the real-world concern of rewarding illegal entrants with the moral issues of penalizing children who have spent most of their lives in the US.

For two, it has been ages since Congress has passed a sensible immigration bill. By passing a moderate and moral bill, the US public may again see immigrants as people like them who help build a wonderful and enriched society. In turn, the healthcare community may get the immigration legislation it needs.

January 2011 Visa Bulletin

The Department of State has just released the January 2011 Visa Bulletin, which is the fourth Visa Bulletin for US Fiscal Year 2011. This Visa Bulletin had small progress in several classifications.
January 2011 Visa Bulletin
All Other Countries China India Mexico
EB-2 Current 22JUN06 08MAY06 Current
EB-3 22MAR05 15DEC03 01FEB02 15APR03

POEA: Job scammers target medical workers

The Philippine Overseas Employment Agency December 7, 2010 News Advisory cautions that “Medical students, graduates, and practitioners seem to be the favorite targets of employment scammers.” The POEA is the Philippine government’s regulatory agency for exiting Philippine nationals.

The News Advisory cites fraudulent employers posing to be healthcare facilities in Israel, Guam, and Switzerland, and says that the American Federal Bureau of Investigation is examining an alleged fake hospital in Guam.

H-1B Cap Update: Fewer than 15,000 H-1B visas remaining


As of November 26, 2010, approximately 50,400 H-1B cap-subject petitions were receipted. Additionally, USCIS has receipted 18,400 H-1B petitions for aliens with advanced degrees. There are 65,000 “regular” cap-subject visas and 20,000 “advanced degree” H-1Bs”.

Historically, as the H-1B usage number has gotten closer to 65,000, the number of filings increases. Accordingly, MU urges all MU to prepare that the H-1B cap will be reached in January 2010, and may even be reached by year’s end.

The H-1B is the common employment-based nonimmigrant visa. The H-1B is a common visa for healthcare professionals such as Physical Therapists, Occupational Therapists, Speech Language Pathologists, some nursing positions, and other professions ordinarily associated with a Bachelors degree or greater. The H-1B traditionally has been in great demand by the IT community.

Generally speaking “new” H-1B petitions are subject to the H-1B cap. Employees that may need an H-1B visa include:

– International students working on an EAD card under an OPT or CPT program after having attended a U.S. school;

– International employees working on a TN may need an H-1B filed for them in order for them to pursue a permanent residency (green card) case;

– Prospective international employees in another visa status e.g. H-4, L-2, J-1, F-1;- H-1B workers with a cap exempt organization; and

– Prospective international employees currently living abroad.

International workers who are working here in the U.S. on an H-1B visa with another cap-subject employer are not subject to H-1B cap. These cases are commonly referred to as “transfer” cases and may be filed at any time throughout the year.

The future of nursing and the H-1B

H-1B visas for nurses can be difficult, although many are approved each year. The key driver for success is not the applicant’s credentials, but the hospital/facility’s educational entry requirements for the position. In order to obtain an H-1B visa, the position must require a Bachelors degree as the minimum educational requirement for the position.

The USCIS has struggled with this concept; they tend to be skeptical of H-1Bs for nurses. The seminal USCIS Guidance Memo was written in 2002, and has not been updated to account for the fact that many hospitals and facilities now require a Bachelors degree for all of their nurses. This is especially true in certain units and in magnet facilities.

The New York Times says that about 50% of all nurses hold a Bachelors degree. It should not come as a surprise to the USCIS that the Bachelors degree requirement increasingly is becoming the norm. The Johnson Foundation, long on the cutting edge of nursing educational studies, is cited in the Times piece. JF contends that growing that number to 80% is a realistic and worthwhile goal. As the number of Bachelor degreed nurses swells, the H-1B likely will become even a more viable immigration strategy.

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