The Conrad 30 Waiver program allows J-1 medical doctors to apply for a waiver for the 2-year residence requirement upon completion of the J-1 exchange visitor program. See section 214(l) of the Immigration Nationality Act (INA). The program addresses the shortage of qualified doctors in medically underserved areas. For more information, see the background on J-1 medical status section below.
Although each state has developed its own application rules and guidelines, the following program requirements apply to all J-1 medical doctors.
The J-1 medical doctor must:
- Agree to be employed full-time in H-1B nonimmigrant status at a health care facility located in an area designated by U.S. Department of Health and Human Services (HHS) as a Health Professional Shortage Area (HPSA), Medically Underserved Area (MUA), or Medically Underserved Population (MUP).
- Obtain a contract from the health care facility located in an area designated by HHS as a HPSA, MUA, or MUP
- Obtain a “no objection” letter from his or her home country if the home government funded his or her exchange program
- Agree to begin employment at the health care facility within 90 days of receipt of the waiver, not the date his or her J-1 visa expires
See your state’s public health department website for specific details.
To apply for a waiver, a J-1 medical doctor must:
- Obtain the sponsorship of a state health department
- Complete the U.S. Department of State (DOS) Form DS-3035, J-1 Visa Waiver Review Application
The state public health department that agreed to sponsor the J-1 medical doctor for a waiver must then send the waiver application to the DOS Waiver Review Division (DOS-WRD) for a recommendation.
For more information regarding DOS filing procedures and documentation requirements, please see the Department of State website.
After DOS Makes a Recommendation
DOS-WRD will notify USCIS electronically of its recommendation. DOS will notify the J-1 medical doctor, attorney of record (if applicable), and the state agency that requested the waiver by mail.
USCIS will make a final determination on whether to approve the waiver application. Upon a favorable recommendation by DOS-WRD, USCIS will generally grant the waiver as long as there are no underlying concerns. USCIS will provide written notice of its decision to the J-1 medical doctor and his or her representative (if applicable).
Responsibilities After Being Granted a Waiver
If USCIS grants the waiver:
- The petitioner must submit a Form I-129, Petition for a Nonimmigrant Worker, along with the DOS-WRD favorable recommendation letter, in order to request a change of the J-1 medical doctor’s nonimmigrant status to H-1B.
- The spouse and/or child of the waiver recipient must submit Form I-539, Application to Extend/Change Nonimmigrant Status, in order to change status from J-2 to H-4 nonimmigrant status.
- The J-1 medical doctor must practice medicine for at least three years in an area designated by HHS as a HPSA, MUA, or MUP.
Once the Conrad 30 waiver recipient has fulfilled all of the terms and conditions imposed on the waiver, including the 3-year period of employment with the health care facility, he or she (and his or her spouse and/or child) will become eligible to apply for:
- An immigrant visa
- Permanent residence
- H or L nonimmigrant visa
If waiver recipient fails to fulfill the terms and conditions imposed on the waiver, he or she (and his or her spouse and/or child) will once again become subject to the 2-year foreign residence requirement under section 212(e) of the INA.
Frequently Asked Questions
Q1. Does a J-1 medical doctor need to file Form I-612, Application for Waiver of the Foreign Residence Requirement, in order to apply for a Conrad 30 Waiver?
A1. No, the Form I-612 is not required.
Q.2 The law requires the recipient of a Conrad 30 waiver to work full-time for three continuous years. What is the definition of “full-time” work?
A2. DOS considers “full-time” employment to be 40 hours per week.
Q3. If a J-1 medical doctor is granted a Conrad 30 waiver and H-1B status, may he or she change employers if the original health care facility closes?
A3. Depending on the circumstances, USCIS may consider the closure of the health care facility named in the waiver application an extenuating circumstance excusing early termination of employment. A J-1 medical doctor who is granted a Conrad 30 waiver and H-1B status must comply with the terms and conditions of that nonimmigrant status. Such compliance includes the petitioner notifying USCIS of any material changes in the terms and conditions of the H-1B employment by either filing an amended or new H-1B petition, as required, under 8 CFR 214.2(h)(2)(i)(D), 214.2(h)(2)(E), and 214.2(h)(11). USCIS may excuse early termination of the 3-year period of employment with the health care facility named in the Conrad 30 waiver application and H-1B petition due to extenuating circumstances. Examples of extenuating circumstances include closure of the health care facility or hardship to the alien. In determining whether to excuse such early termination of employment, USCIS will base its decision on the specific facts of each case. In all cases, the burden to establish eligibility for a favorable exercise of discretion rests with the H-1B medical doctor.
Another health care facility may seek to employ such a waiver recipient (before the time the recipient has completed his or her 3-year contract named in the waiver application and the original H-1B petition) by filing a new H-1B petition with USCIS. See 8 CFR 214.2(h)(2)(i)(D) and (E). Although the state public health department does not need to file a new waiver application with DOS, the new H-1B petition must be accompanied by the documentary evidence generally required under 8 CFR 214.2(h), including:
- An explanation from the waiver recipient, with supporting evidence, establishing that extenuating circumstances necessitate a change of employment
- Evidence that the geographic area or areas of intended employment have been designated by HHS as a HPSA, MUA, or MUP
The new H-1B petition will not be approved unless USCIS determines that the waiver recipient has established the existence of extenuating circumstances that excuse early termination of employment as stated in the terms and conditions in the original H-1B petition.
Q4. Can the recipient of a Conrad waiver who is in H-1B status begin employment at a new health care facility after the extenuating circumstances H-1B petition is filed and while it is pending?
A4. Yes. The waiver recipient may begin employment with the new employer after the new H-1B petition is filed and while it is pending. However, if the new petition is denied, employment authorization shall cease and the waiver recipient will become subject to the 2-year foreign residence requirement under section 212(e) of the INA.
Q5. What are the reporting requirements for the health care facility named in the waiver application and H-1B petition if the waiver recipient fails to fulfill the 3-year employment contract, or if he or she changes employers?
A5. If the health care facility no longer employs the waiver recipient, the health care facility must immediately send a letter explaining the changes in the terms and conditions of employment of the waiver recipient to the Service Center that approved the I-129 petition, as is required, under 8 CFR 214.2(h)(11)(i)(A).
Q6. Can the spouse and/or child of a waiver recipient who has not yet fulfilled the terms and conditions of the Conrad 30 waiver independently apply for waiver of the 2-year foreign residence requirement?
A6. According to the DOS website, the spouse and/or child of a waiver recipient can independently apply for a waiver only if the principal waiver recipient has died, the spouse has divorced the principal waiver recipient, or if the child is over age 21.
Q7. How does a Conrad 30 waiver recipient (or some other concerned individual) report wage and labor related abuse?
A7. The Department of Labor’s Wage and Hour Division (WHD) is responsible for enforcing worker protections in certain temporary worker programs including the H-1B program. For information pertaining to how you can report wage and labor related abuse, please see Department of Labor’s WHD webpage.
Background on J-1 medical status
A J-1 exchange visitor who came to the United States or acquired such status in order to receive graduate medical education or training (a J-1 medical doctor) is generally ineligible to apply for:
- An immigrant visa
- Permanent residence
- H or L nonimmigrant status
To be eligible to do so, a J-1 exchange visitor must have resided and been physically present in his or her country of nationality or last residence for at least 2 years (the 2-year foreign residence requirement) upon completion of the J-1 exchange visitor program. Any spouse or child admitted as an accompanying J-2 status holder is also subject to the 2-year foreign residence requirement. See section 212(e) of the INA.
A J-1 medical doctor (and his or her J-2 spouse and/or child) is ineligible to change from J nonimmigrant status to any other nonimmigrant status (except in certain cases to A, G, T, or U). See section 248(a)(2) of the INA