I 
113TH CONGRESS 
1ST SESSION H. R. 2484 
To provide incentives to physicians to practice in rural and medically 
underserved communities, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 25, 2013 
Mr. BERA of California (for himself and Mr. MEADOWS) 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, 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 ‘‘Conrad State 30 and 
Physician Access Act’’. 
SEC. 2. CONRAD STATE 30 PROGRAM. 
Section 220(c) of the Immigration and Nationality 
Technical Corrections Act of 1994 (Public Law 103–416; 
8 U.S.C. 1182 note) is amended by striking ‘‘and before 
September 30, 2015’’. 
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SEC. 3. RETAINING PHYSICIANS WHO HAVE PRACTICED IN 
MEDICALLY UNDERSERVED COMMUNITIES. 
Section 201(b)(1) of the Immigration and Nationality 
Act (8 U.S.C. 1151(b)(1)) is amended by adding at the 
end the following: 
‘‘(F)(i) Alien physicians who have completed 
service requirements of a waiver requested under 
section 203(b)(2)(B)(ii), including alien physicians 
who completed such service before the date of the 
enactment of the Conrad State 30 and Physician Ac-
cess Act and any spouses or children of such alien 
physicians. 
‘‘(ii) Nothing in this subparagraph may be con-
strued— 
‘‘(I) to prevent the filing of a petition with 
the Secretary of Homeland Security for classi-
fication under section 204(a) or the filing of an 
application for adjustment of status under sec-
tion 245 by an alien physician described in this 
subparagraph prior to the date by which such 
alien physician has completed the service de-
scribed in section 214(l) or worked full-time as 
a physician for an aggregate of 5 years at the 
location identified in the section 214(l) waiver 
or in an area or areas designated by the Sec-
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retary of Health and Human Services as having 
a shortage of health care professionals; or 
‘‘(II) to permit the Secretary of Homeland 
Security to grant such a petition or application 
until the alien has satisfied all the requirements 
of the waiver received under section 214(l).’’. 
SEC. 4. EMPLOYMENT PROTECTIONS FOR PHYSICIANS. 
(a) IN GENERAL.—Section 214(l)(1)(C) of the Immi-
gration and Nationality Act (8 U.S.C. 1184(l)(1)(C)) is 
amended by striking clauses (i) and (ii) and inserting the 
following: 
‘‘(i) the alien demonstrates a bona fide 
offer of full-time employment, at a health care 
organization, which employment has been deter-
mined by the Secretary of Homeland Security 
to be in the public interest; and 
‘‘(ii) the alien agrees to begin employment 
with the health facility or health care organiza-
tion in a geographic area or areas which are 
designated by the Secretary of Health and 
Human Services as having a shortage of health 
care professionals by the later of the date that 
is 90 days after receiving such waiver, 90 days 
after completing graduate medical education or 
training under a program approved pursuant to 
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