I 
117TH CONGRESS 
1ST SESSION H. R. 3385 
To waive the requirement to undergo a medical exam for aliens who are 
otherwise eligible for special immigrant status under the Afghan Allies 
Protection Act of 2009, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 20, 2021 
Mr. CROW (for himself and Mr. WENSTRUP) introduced the following bill; 
which was referred to the Committee on the Judiciary 
A BILL 
To waive the requirement to undergo a medical exam for 
aliens who are otherwise eligible for special immigrant 
status under the Afghan Allies Protection Act of 2009, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Honoring Our Prom-
ises through Expedition for Afghan SIVs Act of 2021’’ 
or the ‘‘HOPE for Afghan SIVs Act of 2021’’. 
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SEC. 2. WAIVER OF MEDICAL EXAM FOR AFGHAN ALLIES. 
(a) AUTHORIZATION.—The Secretary of State or the 
Secretary of Homeland Security may waive any require-
ment to undergo a medical exam under section 232 of the 
Immigration and Nationality (8 U.S.C. 1222), or any 
other applicable requirement to undergo a medical exam 
prior to admission to the United States, for aliens de-
scribed in section 602(b)(2) of the Afghan Allies Protec-
tion Act of 2009 (8 U.S.C. 1101 note). 
(b) DURATION.—The waiver authorized under sub-
section (a) shall be for a period of 1 year, and may be 
extended for additional 1-year periods. 
(c) REQUIREMENT FOR MEDICAL EXAM AFTER AD-
MISSION.— 
(1) IN GENERAL.—The Secretary of Homeland 
Security, in consultation with the Secretary of 
Health and Human Services, shall ensure that any 
alien who does not undergo a medical exam prior to 
admission to the United States pursuant to this sec-
tion, receives such an exam not later than 90 days 
after the alien is admitted to the United States. 
(2) REPORT.—On the date that is one year 
after the date on which the waiver authority under 
subsection (a) is exercised, and on the date that is 
one year after any extension under subsection (b), 
the Secretary of Homeland Security, in consultation 
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with the Secretary of Health and Human Services, 
shall submit to the appropriate congressional com-
mittees a report on the medical exams given under 
paragraph (1). 
(d) NOTIFICATION.—If the Secretary of State or the 
Secretary of Homeland Security exercises the waiver au-
thority under subsection (a), or extends such a waiver 
under subsection (b), the Secretary shall notify the appro-
priate congressional committees. 
(e) APPROPRIATE CONGRESSIONAL COMMITTEES.— 
The 
term 
‘‘appropriate 
congressional 
committees’’ 
means— 
(1) the Committees on Armed Services of the 
House of Representatives and of the Senate; 
(2) the Committees on the Judiciary of the 
House of Representatives and of the Senate; 
(3) the Committee on Foreign Affairs of the 
House of Representatives and the Committee on 
Foreign Relations of the Senate; and 
(4) the Committee on Homeland Security of the 
House of Representatives and the Committee on 
Homeland Security and Governmental Affairs of the 
Senate. 
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