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[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4453 Received in Senate (RDS)]

  2d Session
                                H. R. 4453

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                            October 7, 2004

                                Received

_______________________________________________________________________

                                 AN ACT

 
    To improve access to physicians in medically underserved areas.

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

SECTION 1. MODIFICATION OF VISA REQUIREMENTS WITH RESPECT TO 
              INTERNATIONAL MEDICAL GRADUATES.

    (a) Extension of Deadline.--
            (1) In general.--Section 220(c) of the Immigration and 
        Nationality Technical Corrections Act of 1994 (8 U.S.C. 1182 
        note) (as amended by section 11018 of Public Law 107-273) is 
        amended by striking ``2004.'' and inserting ``2006.''.
            (2) Effective date.--The amendment made by paragraph (1) 
        shall take effect as if enacted on May 31, 2004.
    (b) Exemption From H-1B Numerical Limitations.--Section 
214(l)(2)(A) of the Immigration and Nationality Act (8 U.S.C. 
1184(l)(2)(A)) is amended by adding at the end the following: ``The 
numerical limitations contained in subsection (g)(1)(A) shall not apply 
to any alien whose status is changed under the preceding sentence, if 
the alien obtained a waiver of the 2-year foreign residence requirement 
upon a request by an interested Federal agency or an interested State 
agency.''.
    (c) Limitation on Medical Practice Areas.--Section 214(l)(1)(D) of 
the Immigration and Nationality Act (8 U.S.C. 1184(l)(1)(D)) is amended 
by striking ``agrees to practice medicine'' and inserting ``agrees to 
practice primary care or specialty medicine''.
    (d) Exemption From Geographic Limitations.--Section 214(l)(1)(D) of 
the Immigration and Nationality Act (8 U.S.C. 1184(l)(1)(D)), as 
amended by subsection (c), is further amended--
            (1) by striking ``except that,'' and all that follows 
        through the period at the end and inserting ``except that--''; 
        and
            (2) by adding at the end the following:
                    ``(i) in the case of a request by the Department of 
                Veterans Affairs, the alien shall not be required to 
                practice medicine in a geographic area designated by 
                the Secretary; and
                    ``(ii) in the case of a request by an interested 
                State agency, the head of such State agency determines 
                that the alien is to practice medicine under such 
                agreement in a facility that serves patients who reside 
                in one or more geographic areas so designated by the 
                Secretary of Health and Human Services (without regard 
                to whether such facility is within such a designated 
                geographic area), and the grant of such waiver would 
                not cause the number of the waivers granted on behalf 
                of aliens for such State for a fiscal year (within the 
                limitation described in subparagraph (B)) in accordance 
                with the conditions of this clause to exceed 5.''.

            Passed the House of Representatives October 6, 2004.

            Attest:

                                                 JEFF TRANDAHL,

                                                                 Clerk.
```