II 

118TH CONGRESS 

1ST SESSION S. 2719 

To amend the Immigration and Nationality Act to provide for the reallocation 

of unused waivers of the foreign residency requirement for certain J 

visa holders. 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 5, 2023 

Ms. ERNST (for herself and Ms. KLOBUCHAR) introduced the following bill; 

which was read twice and referred to the Committee on the Judiciary 

A BILL 

To amend the Immigration and Nationality Act to provide 

for the reallocation of unused waivers of the foreign 

residency requirement for certain J visa holders. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Directing Our Coun5 try’s Transfer Of Residency Slots’’ or the ‘‘DOCTORS 

6 Act’’. 


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1 SEC. 2. REALLOCATION OF UNUSED WAIVERS OF THE FOR2 EIGN RESIDENCY REQUIREMENT FOR CER3 TAIN J VISA HOLDERS. 

4 Section 214(l) of the Immigration and Nationality 

5 Act (8 U.S.C. 1184(l)) is amended by adding at the end 

6 the following: 

7 ‘‘(4)(A) Beginning on September 30, 2025, and 

8 every September 30 thereafter, each State agency 

9 that received a waiver under section 212(e) during 

10 the fiscal year that ends on that date shall report to 

11 the Secretary of State the total number of such 

12 waivers that the State agency did not use during 

13 such fiscal year. 

14 ‘‘(B)(i) For fiscal year 2025, and each fiscal 

15 year thereafter, the Secretary of State shall— 

16 ‘‘(I) calculate the total number of unused 

17 waivers reported by all State agencies under 

18 subparagraph (A); and 

19 ‘‘(II) subject to clauses (ii) and (iii), reallo20 cate such waivers for equal distribution among 

21 eligible State agencies for use during the subse22 quent fiscal year as waivers subject to para23 graph (1)(D)(ii) (referred to in this paragraph 

24 as ‘supplemental waivers’). 

25 ‘‘(ii) The total number of supplemental waivers 

26 that may be reallocated for use during a subsequent 


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1 fiscal year shall be the number that is one-third of 

2 the difference between— 

3 ‘‘(I) the total number of waivers under sec4 tion 212(e) available for the fiscal year; and 

5 ‘‘(II) the total number of waivers under 

6 section 212(e) distributed during such fiscal 

7 year. 

8 ‘‘(C) In reallocating waivers under subpara9 graph (B), on January 1, 2025, and every January 

10 1 thereafter, the Secretary of State shall inform 

11 each eligible State agency of— 

12 ‘‘(i) the number of supplemental waivers 

13 available to the State agency for the subsequent 

14 fiscal year; and 

15 ‘‘(ii) the manner in which the supplemental 

16 waivers will be distributed. 

17 ‘‘(D) Ten percent of supplemental waivers dis18 tributed in a fiscal year shall be used to support po19 sitions in 1 or more facilities that serve patients who 

20 reside in medically underserved communities (as de21 fined in section 799B of the Public Health Service 

22 Act (42 U.S.C. 295p)). 

23 ‘‘(E) In this paragraph, the term ‘eligible State 

24 agency’ means a State agency that, in the preceding 


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1 fiscal year, used not fewer than 30 waivers under 

2 section 212(e).’’. 

Æ 


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