section 212(j)(1), or 90 days after receiving 
nonimmigrant status or employment authoriza-
tion, and agrees to continue to work for a total 
of not less than 3 years in any status author-
ized for such employment under this subsection 
unless— 
‘‘(I) the Secretary determines that ex-
tenuating circumstances exist that justify a 
lesser period of employment at such facility 
or organization, in which case the alien 
shall demonstrate another bona fide offer 
of employment at a health facility or 
health care organization, for the remainder 
of such 3-year period; 
‘‘(II) the interested State agency that 
requested the waiver attests that extenu-
ating circumstances exist that justify a 
lesser period of employment at such facility 
or organization in which case the alien 
shall demonstrate another bona fide offer 
of employment at a health facility or 
health care organization so designated by 
the Secretary of Health and Human Serv-
ices, for the remainder of such 3-year pe-
riod; or 
VerDate Mar 15 2010 
22:20 Jul 01, 2013
Jkt 029200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2484.IH
H2484
emcdonald on DSK67QTVN1PROD with BILLS
‘‘(III) if the alien elects not to pursue 
a 
determination 
of 
extenuating 
cir-
cumstances pursuant to subclause (I) or 
(II), the alien terminates the alien’s em-
ployment relationship with such facility or 
organization, in which case the alien shall 
be employed for the remainder of such 3- 
year period, and 1 additional year for each 
termination, at another health facility or 
health care organization in a geographic 
area or areas which are designated by the 
Secretary of Health and Human Services 
as having a shortage of health care profes-
sionals; and’’. 
(b) CONTRACT REQUIREMENTS.—Section 214(l) of 
the Immigration and Nationality Act (8 U.S.C. 1184(l)) 
is amended by adding at the end the following: 
‘‘(4) An alien granted a waiver under paragraph 
(1)(C) shall enter into an employment agreement with the 
contracting health facility or health care organization 
that— 
‘‘(A) specifies the maximum number of on-call 
hours per week (which may be a monthly average) 
that the alien will be expected to be available and 
VerDate Mar 15 2010 
22:20 Jul 01, 2013
Jkt 029200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H2484.IH
H2484
emcdonald on DSK67QTVN1PROD with BILLS
the compensation the alien will receive for on-call 
time; 
‘‘(B) specifies whether the contracting facility 
or organization will pay for the alien’s malpractice 
insurance premiums, including whether the employer 
will provide malpractice insurance and, if so, the 
amount of such insurance that will be provided; 
‘‘(C) describes all of the work locations that the 
alien will work and a statement that the contracting 
facility or organization will not add additional work 
locations without the approval of the Federal agency 
or State agency that requested the waiver; and 
‘‘(D) does not include a non-compete provision. 
‘‘(5) An alien granted a waiver under paragraph 
(1)(C) whose employment relationship with a health facil-
ity or health care organization terminates during the 3- 
year service period required by such paragraph— 
‘‘(A) shall have a period of 120 days beginning 
on the date of such termination of employment to 
submit to the Secretary of Homeland Security appli-
cations or petitions to commence employment with 
another contracting health facility or health care or-
ganization in a geographic area or areas which are 
designated by the Secretary of Health and Human 
VerDate Mar 15 2010 
22:20 Jul 01, 2013
Jkt 029200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H2484.IH
H2484
emcdonald on DSK67QTVN1PROD with BILLS
Services as having a shortage of health care profes-
sionals; and 
‘‘(B) shall be considered to be maintaining law-
ful status in an authorized stay during the 120-day 
period referred to in subsection (A).’’. 
SEC. 5. ALLOTMENT OF CONRAD 30 WAIVERS. 
(a) IN GENERAL.—Section 214(l) of the Immigration 
and Nationality Act (8 U.S.C. 1184(l)), as amended by 
section 4(b), is further amended by adding at the end the 
following: 
‘‘(6)(A)(i) All States shall be allotted a total of 35 
waivers under paragraph (1)(B) for a fiscal year if 90 per-
cent of the waivers available to the States receiving at 
least 5 waivers were used in the previous fiscal year. 
‘‘(ii) When an allocation has occurred under clause 
(i), all States shall be allotted an additional 5 waivers 
under paragraph (1)(B) for each subsequent fiscal year 
if 90 percent of the waivers available to the States receiv-
ing at least 5 waivers were used in the previous fiscal year. 
If the States are allotted 45 or more waivers for a fiscal 
year, the States will only receive an additional increase 
of 5 waivers the following fiscal year if 95 percent of the 
waivers available to the States receiving at least 1 waiver 
were used in the previous fiscal year. 
VerDate Mar 15 2010 
22:20 Jul 01, 2013
Jkt 029200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H2484.IH
H2484
emcdonald on DSK67QTVN1PROD with BILLS