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S 2759HR 5283119th CongressIn Committee

Healthcare Workforce Resilience Act

Introduced: Sep 10, 2025
Sponsor: Sen. Durbin, Richard J. [D-IL] (D-Illinois)
HealthcareLabor & Employment
Chamber Versions:
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Healthcare Workforce Resilience Act would recapture unused U.S. employment-based immigrant visas to boost the supply of nurses and physicians. By amending the 2000 AC21 law, it creates a pool of up to 40,000 visas (with 25,000 reserved for professional nurses and 15,000 for physicians) that can be issued to foreign nurses and physicians and their accompanying family members. These visas would be issued without the usual country caps, in order of the priority date when the petition was filed, and only for petitions filed within three years after the act’s enactment. The bill also introduces expedited processing (premium processing with no fee) and mandatory labor attestations to ensure hiring does not displace U.S. workers. Family members would be eligible from the recaptured pool and would be exempt from the skill-based numerical limits that normally apply to employment-based visas. In short, the bill seeks to address shortages in the health care workforce by freeing up unused visa slots from decades past, prioritizing nurses and doctors, and speeding up the visa process while requiring assurances that U.S. workers aren’t displaced.

Key Points

  • 1Up to 40,000 employment-based visas would be recaptured for nurses and physicians and their accompanying family members, with 25,000 reserved for nurses and 15,000 for physicians.
  • 2Visas are not subject to the per-country country caps and would be issued in order of the priority date assigned when the petition was filed; only available if not already allocated under other worldwide or country allocations.
  • 3Eligible petitions must be filed within 3 years after the act’s enactment; the pool of recaptured visas adds to the usual visa allotments, with the total number gradually reduced as visas are used.
  • 4Family members accompanying the principal beneficiary are eligible and are not counted against the skill-based numerical limits; they would be supported from the same recaptured pool.
  • 5Premium processing and expedited handling would be provided to streamline adjudication and consular processing, with no premium fee charged; processing of petitions and shipping to the Department of State would be expedited.
  • 6A labor attestation requirement would require the employer to certify that hiring the foreign worker will not displace a U.S. worker.

Impact Areas

Primary group/area affected: Foreign-educated or foreign-trained professional nurses and physicians seeking lawful permanent residence, and health care employers (hospitals, clinics, etc.) that hire them; patients and health care delivery systems benefiting from a larger workforce.Secondary group/area affected: U.S. citizens and current health care workers who may be affected by changes in hiring dynamics and potential competition for certain health care roles; U.S. immigration agencies (DHS/USCIS) and the State Department (DOS) implementing premium processing and expedited processing.Additional impacts: Potential acceleration of the health care workforce expansion, changes to visa backlog dynamics, potential shifts in wage and labor market effects for health care professionals, and increased oversight to ensure U.S. workers are not displaced. The policy could also influence state licensing and credentialing needs for internationally trained nurses and physicians.
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