117TH CONGRESS 
1ST SESSION H. R. 3385 
AN ACT 
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’’. 
SEC. 2. WAIVER OF MEDICAL EXAMINATION FOR AFGHAN 
ALLIES. 
(a) AUTHORIZATION.—The Secretary of State and 
the Secretary of Homeland Security may jointly issue a 
blanket waiver of the requirement that aliens described in 
section 602(b)(2) of the Afghan Allies Protection Act of 
2009 (8 U.S.C. 1101 note) undergo a medical examination 
under section 221(d) of the Immigration and Nationality 
Act (8 U.S.C. 1201(d)), or any other applicable provision 
of law, prior to issuance of an immigrant visa or admission 
to the United States. 
(b) DURATION.—A waiver issued under subsection 
(a) shall remain in effect for a period not to exceed 1 year, 
and, subject to subsection (g), may be extended by the 
Secretary of State and Secretary of Homeland Security 
for additional periods, each of which shall not exceed 1 
year. 
(c) NOTIFICATION.—Upon exercising the waiver au-
thority under subsection (a), or the authority to extend 
a waiver under subsection (b), the Secretary of State and 
the Secretary of Homeland Security shall notify the appro-
priate congressional committees.
(d) REQUIREMENT
FOR
MEDICAL
EXAMINATION 
AFTER ADMISSION.— 
(1) IN GENERAL.—The Secretary of Homeland 
Security, in consultation with the Secretary of 
Health and Human Services, shall establish proce-
dures to ensure, to the greatest extent practicable, 
that any alien who receives a waiver of the medical 
examination requirement under this section, com-
pletes such an examination not later than 30 days 
after the date on which such alien is admitted to the 
United States. 
(2) CONDITIONAL BASIS FOR STATUS.— 
(A) IN
GENERAL.—Notwithstanding any 
other provision of law, an alien who receives a 
waiver of the medical examination requirement 
under this section shall be considered, at the 
time of admission to the United States, as an 
alien lawfully admitted for permanent residence 
on a conditional basis. 
(B) REMOVAL OF CONDITIONS.—The Sec-
retary of Homeland Security shall remove the 
conditional basis of the alien’s status upon the 
Secretary’s confirmation that such alien has 
completed the medical examination and is not 
inadmissible under section 212(a)(1)(A) of the
Immigration and Nationality Act (8 U.S.C. 
1182(a)(1)(A)). 
(3) REPORT.—Not later than one year after the 
date on which waiver authority under subsection (a) 
is exercised or such waiver is extended under sub-
section (b), as applicable, the Secretary of Homeland 
Security, in consultation with the Secretary of 
Health and Human Services, shall submit to the ap-
propriate congressional committees a report on the 
status of medical examinations required under para-
graph (1), including— 
(A) the number of pending and completed 
examinations; and 
(B) the number of aliens who have failed 
to complete the medical examination within the 
30-day period after the date of such aliens’ ad-
mission. 
(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. 
(f) RULE OF CONSTRUCTION.—Nothing in this Act 
may be construed to prevent the Secretary of State, the 
Secretary of Homeland Security, the Secretary of Defense, 
or the Secretary of Health and Human Services from 
adopting appropriate measures to prevent the spread of 
communicable diseases, including COVID–19, to the 
United States. 
(g) SUNSET.—The authority under subsections (a) 
and (b) expires on the date that is 3 years after the date 
of enactment of this Act. 
SEC. 3. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of 
complying with the Statutory Pay-As-You-Go Act of 2010, 
shall be determined by reference to the latest statement 
titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this 
Act, submitted for printing in the Congressional Record 
by the Chairman of the House Budget Committee, pro-
vided that such statement has been submitted prior to the 
vote on passage. 
Passed the House of Representatives June 29, 2021. 
Attest: 
Clerk.
117TH CONGRESS 
1ST SESSION 
H. R. 3385 
AN ACT 
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.