This article has been culled from my recently published book, “A Guide to U.S. Visas for Filipino Professionals.” Copies of the book are available from Conanan Bookstore, 2019 C M Recto Avenue, Manila, Tel. (02)735-5582.
Since the 1980s, the demand for foreign registered nurses by United States hospitals and nursing facilities has been without letup. To date, the so called “nursing crisis” continues, prompting qualified nurses, especially from the Philippines, to come to the U.S. in droves.
How do foreign registered nurses qualify for immigration to the United States? U.S. immigration laws provide the following eligibility requirements for nurses: (1) must be graduates of nursing in their country of origin, (2) have unrestricted nurse license in the country where they received their nursing education, (3) have received a certification from the Commission on Graduates of Foreign Nursing Schools (CGFNS) or nurse license from state of intended employment, and (4) have received a certification from an organization approved by the United States Citizenship and Immigration Services (USCIS) that the nurse’s education, license and training are equivalent to education, license and training in the U.S. (currently, the CGFNS through its division, The International Commission on Healthcare Professions, is the only organization approved by USCIS to administer this certification process). This requirement is called the VisaScreen Certificate.
Foreign registered nurses who work in the United States come in three categories: (a) those with H1B visas, (b) those with H1C visas, and (c) those petitioned as third preference employment-based immigrants (EB-3).
H1B Visa
The H1B visa program, which has a current allocation of 65,000 visas per year, allows foreign professionals to work in the U.S. for a limited duration. In this visa category, a U.S. employer offers a job to a foreign professional that requires a bachelor’s or higher degree, or its equivalent as the minimum entry requirement. For years now, many Filipino professionals, such as accountants, engineers, computer programmers, and teachers have obtained H1B visas to work in the U.S.
Surprisingly, there is a problem for nurses getting H1B visas. The USCIS applies a different rule for nurses. The USCIS (guided by a determination by the U.S. Department of Labor, as published in the Occupational Outlook Handbook) says that there is no industry-wide standard that a nurse needs a baccalaureate degree to perform the duties of a professional registered nurse. In many states, a nurse can obtain a professional registered nursing license after completion of only a two-year program and successful passage of a state licensing examination. Thus, according to the USCIS, foreign nurses are not eligible for H1B in general RN positions.
In a memorandum it issued four years ago, the USCIS toned down its hard stand on foreign nurses. It said that while general RN positions are not H1B eligible, nurses in the following positions qualify for H1B: (1) Advanced practice nurses, (2) Nurses in administrative positions, and (3) Nurses in certain nursing specialties. Thus, nurses who wish to obtain H1B visas have to be petitioned only in those three RN positions, but not in general RN positions.
H-1C Visa
Nurses can also apply for H1C visas. In 1999, U.S. Congress passed the Nursing Relief for Disadvantaged Areas Act. The law created the H-1C visa category that allowed foreign registered nurses to work in the United States for up to three years in certain health professional shortage areas. The law allows up to 500 nurses per year, with each state limited to only 25 H-1C nurses. This category is open to general RN positions.
The H-1C visa program expired on June 13, 2005. However, effective December 20, 2006, it has been “reauthorized” (meaning, it is open again) for another three years until December 20, 2009.
Third Preference Employment-Based Immigrant Visa (EB-3)
Unlike the H1B and H1C, which are nonimmigrant visa categories and therefore temporary, the third-preference employment-based immigrant visa allows foreign registered nurses to work and live in the United States indefinitely- they become U.S. lawful permanent residents or “Green Card” holders.
Getting employment-based immigrant visas for registered nurses is quicker compared to other professionals. The reason is, they are exempt from the rigorous Department of Labor’s certification process. Registered nurses, under current regulations, are pre-certified; this means, the employers who want to hire registered nurses do not have to recruit and test the labor market for qualified citizens or permanent residents. The employer hospitals or nursing homes can right away petition for foreign registered nurses, sans the hassle that attends the process for other foreign workers.
What’s the best visa option?
This is an often-asked question from nurses. The answer depends on one’s purpose in going to the United States. If it is simply to work: H1B or H1C is the answer. But, if one’s purpose is to work and live permanently in the U.S., then, for sure, E-B3 is the way to go.
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