I 

110TH CONGRESS 

2D SESSION H. R. 5707 

To provide incentives to physicians to practice in rural and medically 

underserved communities. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 3, 2008 

Mr. POMEROY (for himself and Mr. MORAN of Kansas) introduced the 

following bill; which was referred to the Committee on the Judiciary 

A BILL 

To provide incentives to physicians to practice in rural and 

medically underserved communities. 

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 ‘‘Conrad State 30 Im5 provement Act’’. 

6 SEC. 2. ELIMINATION OF SUNSET PROVISION OF CONRAD 

7 STATE 30 PROGRAM. 

8 Section 220(c) of the Immigration and Nationality 

9 Technical Corrections Act of 1994 (8 U.S.C. 1182 note) 

10 is amended by striking ‘‘and before June 1, 2008.’’. 


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1 SEC. 3. INCENTIVES FOR PHYSICIANS TO PRACTICE IN 

2 MEDICALLY UNDERSERVED COMMUNITIES. 

3 Section 214 of the Immigration and Nationality Act 

4 (8 U.S.C. 1184) is amended— 

5 (1) in subsection (g), by adding at the end the 

6 following: 

7 ‘‘(12) An alien physician described in section 

8 212(j)(2)(B) who entered the United States as a non9 immigrant described in section 101(a)(15)(H)(i)(b) to 

10 pursue graduate medical education or training shall not 

11 be subject to the limitations described in paragraphs (1) 

12 and (4) if— 

13 ‘‘(A) an interested State agency submits a re14 quest for an exemption under section 214(l)(1)(B); 

15 and 

16 ‘‘(B) the Secretary of State recommends that 

17 the alien be exempted from such limitations.’’; and 

18 (2) in subsection (l)— 

19 (A) in paragraph (1)— 

20 (i) by striking ‘‘the Attorney General 

21 shall not grant such waiver unless’’ and in22 serting ‘‘or for an exemption from the limi23 tations described in paragraphs (1) and (4) 

24 of subsection (g) on behalf of an alien de25 scribed in subsection (g)(12), the Secretary 


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1 shall not grant such waiver or exemption 

2 unless’’; 

3 (ii) in subsection (A), by inserting ‘‘or 

4 exemption’’ before the semicolon at the 

5 end; 

6 (iii) in subsection (B), by striking 

7 ‘‘would not cause the number of waivers 

8 allotted for that State for that fiscal year 

9 to exceed 30’’ and inserting ‘‘or exemption 

10 would not cause the total number of waiv11 ers plus the total number of exemptions al12 lotted for that State for that fiscal year to 

13 exceed 30, unless such allotment is in14 creased pursuant to paragraph (4)’’; 

15 (iv) in subsection (C)(ii), by inserting 

16 ‘‘or exemption’’ after ‘‘waiver’’; 

17 (v) in subsection (D)— 

18 (I) in clause (ii), by striking 

19 ‘‘would not cause the number of the 

20 waivers’’ and inserting ‘‘or exemption 

21 would not cause the total number of 

22 waivers and exemptions’’; 

23 (II) in clause (iii), by inserting 

24 ‘‘or exemption’’ after ‘‘waiver’’; 


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1 (B) in paragraph (2)(A), by striking ‘‘sta2 tus of an alien’’ and inserting ‘‘status of an 

3 alien described in 212(e)(iii)’’; and 

4 (C) by adding at the end the following: 

5 ‘‘(4) If at least 90 percent of the total number of 

6 waivers and exemptions allotted under paragraph (1)(B) 

7 to States that were granted not fewer than 5 such waivers 

8 or exemptions, in the aggregate, during any 1 of the 3 

9 previous fiscal years are granted, on a nationwide basis, 

10 in the current fiscal year, the allotment of such waivers 

11 and exemptions in the current fiscal year shall be in12 creased from 30 to 35 for each State. Such allotments 

13 shall be further increased in increments of 5 each time 

14 such 90 percent threshold of the adjusted allotment level 

15 is reached, on a nationwide basis. The allotment for each 

16 State shall reset to 30 at the beginning of each fiscal 

17 year.’’. 

18 SEC. 4. RETAINING PHYSICIANS IN MEDICALLY UNDER19 SERVED COMMUNITIES. 

20 Section 201(b)(1) of the Immigration and Nationality 

21 Act (8 U.S.C. 1151(b)(1)) is amended by adding at the 

22 end the following: 

23 ‘‘(F) Alien physicians who have completed serv24 ice requirements of a waiver or exemption requested 

25 by a State under section 214(l), including those 


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1 alien physicians who completed such service before 

2 the date of the enactment of this subparagraph.’’. 

3 SEC. 5. EXPANDING THE FLEXIBILITY OF THE CONRAD 

4 STATE 30 PROGRAM. 

5 Section 214(l)(1)(D)(ii) of the Immigration and Na6 tionality Act, as amended by section 3(2)(A)(v)(I), is fur7 ther amended by striking ‘‘5’’ and inserting ‘‘10’’. 

Æ 


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