<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H9C85E93C17314EC782C807ADA17EC1F" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>H. R. 2536</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20090520">May 20, 2009</action-date>
			<action-desc><sponsor name-id="W000314">Mr. Wexler</sponsor> (for
			 himself, <cosponsor name-id="S000244">Mr. Sensenbrenner</cosponsor>,
			 <cosponsor name-id="L000480">Mrs. Lowey</cosponsor>,
			 <cosponsor name-id="B000461">Mr. Bilbray</cosponsor>, and
			 <cosponsor name-id="C001068">Mr. Cohen</cosponsor>) introduced the following
			 bill; which was referred to the <committee-name committee-id="HJU00">Committee
			 on the Judiciary</committee-name>, and in addition to the Committee on
			 <committee-name committee-id="HIF00">Energy and Commerce</committee-name>, for
			 a period to be subsequently determined by the Speaker, in each case for
			 consideration of such provisions as fall within the jurisdiction of the
			 committee concerned</action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To provide relief for the shortage of nurses in the
		  United States, and for other purposes.</official-title>
	</form>
	<legis-body id="H9397149550174E1C907234D0E8C09919" style="OLC">
		<section id="HFE227BECF12746F1A2A787CA0029DDB" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Emergency Nursing Supply Relief
			 Act</short-title></quote>.</text>
		</section><section id="H6D4829E627024127887836FAF6974756"><enum>2.</enum><header>Nursing shortage
			 relief</header>
			<subsection id="H911D7322C698416E95C3FD8712093B3"><enum>(a)</enum><header>Increasing visa
			 numbers</header><text>Section 106 of the American Competitiveness in the
			 Twenty-first Century Act of 2000 (Public Law 106–313; 8 U.S.C. 1153 note) is
			 amended by adding at the end the following:</text>
				<quoted-block id="HCFB30E88CB0C411596F4CC5FEA1B5D50" style="OLC">
					<subsection id="H740728F3202E43D189E24BF70AE4E2C"><enum>(e)</enum><header>Visa Shortage
				Relief for Nurses and Physical Therapists</header>
						<paragraph id="H4732D11724DE457D93ED9BD1C8977C69"><enum>(1)</enum><header>In
				general</header><text display-inline="yes-display-inline">Subject to paragraph
				(2), for petitions filed any time prior to September 30, 2012, for
				employment-based immigrants (and their family members accompanying or following
				to join under section 203(d) of the Immigration and Nationality Act (8 U.S.C.
				1153(d))), which are or have been approved based on Schedule A, Group I as
				defined in section 656.5 of title 20, Code of Federal Regulations, as
				promulgated by the Secretary of Labor, the numerical limitations set forth in
				sections 201(d) and 202(a) of such Act (8 U.S.C. 1151(d) and 1152(a)) shall not
				apply.</text>
						</paragraph><paragraph id="HA854A1C37BA7462199A1F15B2D6DBD8"><enum>(2)</enum><header>Limitation on
				number of visas</header><text display-inline="yes-display-inline">The Secretary
				of State may not issue more than 20,000 immigrant visa numbers in any one
				fiscal year (plus any available visa numbers under this paragraph not used
				during the preceding fiscal year) to principal beneficiaries of petitions
				pursuant to paragraph (1).</text>
						</paragraph><paragraph id="H815A946C66EB45229C603F636DBC00C0"><enum>(3)</enum><header>Expedited
				review</header><text>The Secretary of Homeland Security shall provide a process
				for reviewing and acting upon petitions with respect to immigrants described in
				paragraph (1) not later than 30 days after the date on which a completed
				petition has been filed.</text>
						</paragraph></subsection><subsection id="HCF01B668283948659111B97F7E9F9E42"><enum>(f)</enum><header>Fee for use of
				visas under subsection <enum-in-header>(a)</enum-in-header></header>
						<paragraph id="HEAD4230AF00A4E57AA12D0B776EC6961"><enum>(1)</enum><header>In
				general</header><text>The Secretary of Homeland Security shall impose a fee
				upon each petitioning employer who uses a visa provided under subsection (e) to
				provide employment for an alien as a professional nurse, except that—</text>
							<subparagraph id="HBA0BC966BD3942E698C552FDD001D11"><enum>(A)</enum><text>such fee shall be
				in the amount of $1,500 for each such alien nurse (but not for dependents
				accompanying or following to join who are not professional nurses); and</text>
							</subparagraph><subparagraph id="HBB7091D7C80C49EB9E6C1E0083A0F28B"><enum>(B)</enum><text>no fee shall be
				imposed for the use of such visas if the employer demonstrates to the Secretary
				that—</text>
								<clause id="HB59D3D1723F24E9FB1011DCD8CC781E8"><enum>(i)</enum><text>the employer is a
				health care facility that is located in a county or parish that received
				individual and public assistance pursuant to Major Disaster Declaration number
				1603 or 1607; or</text>
								</clause><clause id="HD24A5642B50945AE8EA7AE5D1ED25594"><enum>(ii)</enum><text>the employer is a
				health care facility that has been designated as a Health Professional Shortage
				Area facility by the Secretary of Health and Human Services as defined in
				section 332 of the Public Health Service Act (42 U.S.C. 254e).</text>
								</clause></subparagraph></paragraph><paragraph id="HDF776E9C821E4E5A872ECA7DDEC68907"><enum>(2)</enum><header>Fee
				collection</header><text>A fee imposed by the Secretary of Homeland Security
				pursuant to paragraph (1) shall be collected by the Secretary as a condition of
				approval of an application for adjustment of status by the beneficiary of a
				petition or by the Secretary of State as a condition of issuance of a visa to
				such
				beneficiary.</text>
						</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection id="HFC151867FE7B49249500D358D362C4D1"><enum>(b)</enum><header>Capitation
			 grants To increase the number of nursing faculty and students; domestic nursing
			 enhancement account</header><text>Part D of title VIII of the Public Health
			 Service Act (42 U.S.C. 296p et seq.) is amended by adding at the end the
			 following:</text>
				<quoted-block id="HF82AE2BCB5F74858BDE81C5C5B406701" style="OLC">
					<section id="HDA22CD92D1894DEE8262D789865F2500"><enum>832.</enum><header>Capitation
				grants</header>
						<subsection id="H2177B4AA3AB94652AC94BD40B47F3E2D"><enum>(a)</enum><header>In
				general</header><text>For the purpose described in subsection (b), the
				Secretary, acting through the Health Resources and Services Administration,
				shall award a grant each fiscal year in an amount determined in accordance with
				subsection (c) to each eligible school of nursing that submits an application
				in accordance with this section.</text>
						</subsection><subsection id="HA21B273A30ED42EBB2085DF4EDB651C4"><enum>(b)</enum><header>Purpose</header><text>A
				funding agreement for a grant under this section is that the eligible school of
				nursing involved will expend the grant to increase the number of nursing
				faculty and students at the school, including by hiring new faculty, retaining
				current faculty, purchasing educational equipment and audiovisual laboratories,
				enhancing clinical laboratories, repairing and expanding infrastructure, or
				recruiting students.</text>
						</subsection><subsection id="H138E9859686C431E98D338FF53EC61D4"><enum>(c)</enum><header>Grant
				computation</header>
							<paragraph id="H5376075D2C0F4B69B0DFA1BA4D8C7C8E"><enum>(1)</enum><header>Amount per
				student</header><text>Subject to paragraph (2), the amount of a grant to an
				eligible school of nursing under this section for a fiscal year shall be the
				total of the following:</text>
								<subparagraph id="H5457A19054B448868FBC1E9E7C1D00D1"><enum>(A)</enum><text>$1,800 for each
				full-time or part-time student who is enrolled at the school in a graduate
				program in nursing that—</text>
									<clause id="HCE2DE87421404027995C97CBF255C593"><enum>(i)</enum><text>leads to a
				master’s degree, a doctoral degree, or an equivalent degree; and</text>
									</clause><clause id="HA798A20550E840CA9F709B8FEA1BC83C"><enum>(ii)</enum><text>prepares
				individuals to serve as faculty through additional course work in education and
				ensuring competency in an advanced practice area.</text>
									</clause></subparagraph><subparagraph id="H1A6D2FDA4B2D434287053B5700DFEE3"><enum>(B)</enum><text>$1,405 for each
				full-time or part-time student who—</text>
									<clause id="H331F5D0ED0A941848D05BD56F329CAF5"><enum>(i)</enum><text>is
				enrolled at the school in a program in nursing leading to a bachelor of science
				degree, a bachelor of nursing degree, a graduate degree in nursing if such
				program does not meet the requirements of subparagraph (A), or an equivalent
				degree; and</text>
									</clause><clause id="H103D5A17468441848696D577703388F3"><enum>(ii)</enum><text>has not more than
				3 years of academic credits remaining in the program.</text>
									</clause></subparagraph><subparagraph id="H9E9E3F53491744F3A4A181BF00EB6058"><enum>(C)</enum><text>$966 for each
				full-time or part-time student who is enrolled at the school in a program in
				nursing leading to an associate degree in nursing or an equivalent
				degree.</text>
								</subparagraph></paragraph><paragraph id="HBEED4C1453214E069749F77D3E4E42E2"><enum>(2)</enum><header>Limitation</header><text>In
				calculating the amount of a grant to a school under paragraph (1), the
				Secretary may not make a payment with respect to a particular student—</text>
								<subparagraph id="H37AD47B04A6F4A220066D8AAF6C2D4DD"><enum>(A)</enum><text>for more than 2
				fiscal years in the case of a student described in paragraph (1)(A) who is
				enrolled in a graduate program in nursing leading to a master’s degree or an
				equivalent degree;</text>
								</subparagraph><subparagraph id="H252325668C19492DBC5E4FBEF5885C48"><enum>(B)</enum><text>for more than 4
				fiscal years in the case of a student described in paragraph (1)(A) who is
				enrolled in a graduate program in nursing leading to a doctoral degree or an
				equivalent degree;</text>
								</subparagraph><subparagraph id="HD067E8D9987A4F348C355596A4104620"><enum>(C)</enum><text>for more than 3
				fiscal years in the case of a student described in paragraph (1)(B); or</text>
								</subparagraph><subparagraph id="H84A13C3A11E346F9A0E86F8DB8367C24"><enum>(D)</enum><text>for more than 2
				fiscal years in the case of a student described in paragraph (1)(C).</text>
								</subparagraph></paragraph></subsection><subsection id="HDB0ED0AAF85641EE9601D2C192C69F1C"><enum>(d)</enum><header>Eligibility</header><text>In
				this section, the term <quote>eligible school of nursing</quote> means a school
				of nursing that—</text>
							<paragraph id="H0E7BC0CFAD8241C1BBC83DEB08E6FE79"><enum>(1)</enum><text>is accredited by a
				nursing accrediting agency recognized by the Secretary of Education;</text>
							</paragraph><paragraph id="HF0F5A8B84C974227A9B24DD02C1A67E"><enum>(2)</enum><text>has a passage rate
				on the National Council Licensure Examination for Registered Nurses of not less
				than 80 percent for each of the 3 academic years preceding submission of the
				grant application; and</text>
							</paragraph><paragraph id="HAB7EA8694DAA460C9582E5D6D51E88F5"><enum>(3)</enum><text>has a graduation
				rate (based on the number of students in a class who graduate relative to, for
				a baccalaureate program, the number of students who were enrolled in the class
				at the beginning of junior year or, for an associate degree program, the number
				of students who were enrolled in the class at the end of the first year) of not
				less than 80 percent for each of the 3 academic years preceding submission of
				the grant application.</text>
							</paragraph></subsection><subsection id="H70942F9FE8544522B4ECA00DAECFC9"><enum>(e)</enum><header>Requirements</header><text>The
				Secretary may award a grant under this section to an eligible school of nursing
				only if the school gives assurances satisfactory to the Secretary that, for
				each academic year for which the grant is awarded, the school will comply with
				the following:</text>
							<paragraph id="HDAA87FC3D7C741D8B2378917DD33D55E"><enum>(1)</enum><text>The school will
				maintain a passage rate on the National Council Licensure Examination for
				Registered Nurses of not less than 80 percent.</text>
							</paragraph><paragraph id="HA96F7F9828174D4EAB4C10153B00C0CF"><enum>(2)</enum><text>The school will
				maintain a graduation rate (as described in subsection (d)(3)) of not less than
				80 percent.</text>
							</paragraph><paragraph id="HB9D8C8F57ABA4CF98D1C4694D228736B"><enum>(3)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="HD88CB3272A4D4758B8B880D11D56DDD8"><enum>(A)</enum><text>Subject to subparagraphs
				(B) and (C), the first-year enrollment of full-time nursing students in the
				school will exceed such enrollment for the preceding academic year by 5 percent
				or 5 students, whichever is greater.</text>
								</subparagraph><subparagraph id="H4CFA3FCFF1AB4BD4910887A906A810B2" indent="up1"><enum>(B)</enum><text>Subparagraph (A) shall not apply to
				the first academic year for which a school receives a grant under this
				section.</text>
								</subparagraph><subparagraph id="HF214C98D03414390A555D2E8E8B248B5" indent="up1"><enum>(C)</enum><text>With respect to any academic year, the
				Secretary may waive application of subparagraph (A) if—</text>
									<clause id="H114E095D455F4EADBD3484BE6F4D675"><enum>(i)</enum><text>the physical facilities at the
				school involved limit the school from enrolling additional students; or</text>
									</clause><clause id="H16F1D075F0674E10002F0050074CD5DB"><enum>(ii)</enum><text>the school has increased
				enrollment in the school (as described in subparagraph (A)) for each of the 2
				preceding academic years.</text>
									</clause></subparagraph></paragraph><paragraph id="HA40F9F5BB2DC4D02B6599BA8EAC9A7D2"><enum>(4)</enum><text>Not later than 1
				year after receiving a grant under this section, the school will formulate and
				implement a plan to accomplish at least 2 of the following:</text>
								<subparagraph id="HF61818B84B4747C1B12D32714B8020E8"><enum>(A)</enum><text>Establishing or
				significantly expanding an accelerated baccalaureate degree nursing program
				designed to graduate new nurses in 12 to 18 months.</text>
								</subparagraph><subparagraph id="H6042EBC481864DB989DA88E0BACE00BF"><enum>(B)</enum><text>Establishing
				cooperative intradisciplinary education among schools of nursing with a view
				toward shared use of technological resources, including information
				technology.</text>
								</subparagraph><subparagraph id="H4ED9D2C818D7423CBAF267C66C625888"><enum>(C)</enum><text>Establishing
				cooperative interdisciplinary training between schools of nursing and schools
				of allied health, medicine, dentistry, osteopathy, optometry, podiatry,
				pharmacy, public health, or veterinary medicine, including training for the use
				of the interdisciplinary team approach to the delivery of health
				services.</text>
								</subparagraph><subparagraph id="H0D549FB413F94042BAF7AE1B627FBEAD"><enum>(D)</enum><text>Integrating core
				competencies on evidence-based practice, quality improvements, and
				patient-centered care.</text>
								</subparagraph><subparagraph id="H6F43D03AB73240AFA6000952C6AA9743"><enum>(E)</enum><text>Increasing
				admissions, enrollment, and retention of qualified individuals who are
				financially disadvantaged.</text>
								</subparagraph><subparagraph id="H4BB9BEBB138545F59ECF52B9C4FA3CFA"><enum>(F)</enum><text>Increasing
				enrollment of minority and diverse student populations.</text>
								</subparagraph><subparagraph id="H7114231675584FC89F8748E30415D38B"><enum>(G)</enum><text>Increasing
				enrollment of new graduate baccalaureate nursing students in graduate programs
				that educate nurse faculty members.</text>
								</subparagraph><subparagraph id="HED72899F0DB545659B219B16C154BEC"><enum>(H)</enum><text>Developing
				post-baccalaureate residency programs to prepare nurses for practice in
				specialty areas where nursing shortages are most severe.</text>
								</subparagraph><subparagraph id="H04B81AC7665F4389B1EF002CDCFBF3E0"><enum>(I)</enum><text>Increasing
				integration of geriatric content into the core curriculum.</text>
								</subparagraph><subparagraph id="H42CF25033FE44187B54DFFE738A72D48"><enum>(J)</enum><text>Partnering with
				economically disadvantaged communities to provide nursing education.</text>
								</subparagraph><subparagraph id="H6BAE9C41DFD248F994FBC4B9AAF17BD6"><enum>(K)</enum><text>Expanding the
				ability of nurse managed health centers to provide clinical education training
				sites to nursing students.</text>
								</subparagraph></paragraph><paragraph id="H3983147DAD7C41F49CEBCFEBD5F2E611"><enum>(5)</enum><text>The school will
				submit an annual report to the Secretary that includes updated information on
				the school with respect to student enrollment, student retention, graduation
				rates, passage rates on the National Council Licensure Examination for
				Registered Nurses, the number of graduates employed as nursing faculty or
				nursing care providers within 12 months of graduation, and the number of
				students who are accepted into graduate programs for further nursing
				education.</text>
							</paragraph><paragraph id="HBA3BB3C730A14B5DBF60C100BB80F7A1"><enum>(6)</enum><text>The school will
				allow the Secretary to make on-site inspections, and will comply with the
				Secretary’s requests for information, to determine the extent to which the
				school is complying with the requirements of this section.</text>
							</paragraph></subsection><subsection id="HC6B0FF573E314263BC0707139181BC8C"><enum>(f)</enum><header>Reports to
				congress</header><text>The Secretary shall evaluate the results of grants under
				this section and submit to Congress—</text>
							<paragraph id="H7D26DEA800E048EE90C2C33C15B7890"><enum>(1)</enum><text>not later than 18
				months after the date of the enactment of this section, an interim report on
				such results; and</text>
							</paragraph><paragraph id="H782AF4B2FEE74F3EABAE00188FA5AD8D"><enum>(2)</enum><text>not later than
				September 30, 2010, a final report on such results.</text>
							</paragraph></subsection><subsection id="HEB25417EE18F4344BCB9E606511909F5"><enum>(g)</enum><header>Application</header><text>An
				eligible school of nursing seeking a grant under this section shall submit an
				application to the Secretary at such time, in such manner, and containing such
				information and assurances as the Secretary may require.</text>
						</subsection><subsection id="H6A001B1B11A54D06995BC74C6585BE31"><enum>(h)</enum><header>Authorization of
				appropriations</header><text>In addition to the amounts in the Domestic Nursing
				Enhancement Account, established under section 833, there are authorized to be
				appropriated such sums as may be necessary to carry out this section.</text>
						</subsection></section><section id="HF3BB1D77627840978DCE25CFA90A97C"><enum>833.</enum><header>Domestic nursing
				enhancement account</header>
						<subsection id="H4F8E50B812EB4D71B996BF1070C5B023"><enum>(a)</enum><header>Establishment</header><text>There
				is established in the general fund of the Treasury a separate account which
				shall be known as the <quote>Domestic Nursing Enhancement Account</quote>.
				Notwithstanding any other provision of law, there shall be deposited as
				offsetting receipts into the account all fees collected under section 106(f) of
				the American Competitiveness in the Twenty-first Century Act of 2000 (Public
				Law 106–313; 8 U.S.C. 1153 note). Nothing in this subsection shall prohibit the
				depositing of other moneys into the account established under this
				section.</text>
						</subsection><subsection id="H2BC55C47645E408C8F278DD0FDAACA7"><enum>(b)</enum><header>Use of
				funds</header><text>Amounts collected under section 106(f) of the American
				Competitiveness in the Twenty-first Century Act of 2000, and deposited into the
				account established under subsection (a) shall be used by the Secretary of
				Health and Human Services to carry out section 832. Such amounts shall be
				available for obligation only to the extent, and in the amount, provided in
				advance in appropriations Acts. Such amounts are authorized to remain available
				until
				expended.</text>
						</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection id="HBA1CE292DF374ACAAA184F9B1FCFE203"><enum>(c)</enum><header>Global health
			 care cooperation</header>
				<paragraph id="H5AF7B1819BDA4EC8AFF67C5CF221093D"><enum>(1)</enum><header>In
			 general</header><text>Title III of the Immigration and Nationality Act (8
			 U.S.C. 1401 et seq.) is amended by inserting after section 317 the
			 following:</text>
					<quoted-block id="H50F82E0187184018BFF97E91B85EBE23" style="OLC">
						<section id="HA593F4629AA947F3B3DCD043FA51CB9F"><enum>317A.</enum><header>Temporary
				absence of aliens providing health care in developing countries</header>
							<subsection id="H024CFAEE6E034FC59752060143FEEC4"><enum>(a)</enum><header>In
				general</header><text>Notwithstanding any other provision of this Act, the
				Secretary of Homeland Security shall allow an eligible alien and the spouse or
				child of such alien to reside in a candidate country during the period that the
				eligible alien is working as a physician or other health care worker in a
				candidate country. During such period the eligible alien and such spouse or
				child shall be considered—</text>
								<paragraph id="HBB407C5DA1A24D24BFD9883671CE98A5"><enum>(1)</enum><text>to be physically
				present and residing in the United States for purposes of naturalization under
				section 316(a); and</text>
								</paragraph><paragraph id="H0F3E256122294F059664AFEE95C538F9"><enum>(2)</enum><text>to meet the
				continuous residency requirements under section 316(b).</text>
								</paragraph></subsection><subsection id="H0AFDC0F9EFD74C3AB672B43F00006DCE"><enum>(b)</enum><header>Definitions</header><text>In
				this section:</text>
								<paragraph id="H47DFCBE223864AA7A33F757E01F09CA0"><enum>(1)</enum><header>Candidate
				country</header><text>The term <quote>candidate country</quote> means a country
				that the Secretary of State determines to be—</text>
									<subparagraph id="H8107A56D670243FCBD14AC7F67E6DEC4"><enum>(A)</enum><text>eligible for
				assistance from the International Development Association, in which the per
				capita income of the country is equal to or less than the historical ceiling of
				the International Development Association for the applicable fiscal year, as
				defined by the International Bank for Reconstruction and Development;</text>
									</subparagraph><subparagraph id="HFCBC3044C24941639486538DB77F8BF4"><enum>(B)</enum><text>classified as a
				lower middle income country in the then most recent edition of the World
				Development Report for Reconstruction and Development published by the
				International Bank for Reconstruction and Development and having an income
				greater than the historical ceiling for International Development Association
				eligibility for the applicable fiscal year; or</text>
									</subparagraph><subparagraph id="H77B3E187884247BFA165F21DEDA153D0"><enum>(C)</enum><text>qualified to be a
				candidate country due to special circumstances, including natural disasters or
				public health emergencies.</text>
									</subparagraph></paragraph><paragraph id="H94C8288C0F454CAD9F30CD78CBFFF9AE"><enum>(2)</enum><header>Eligible
				alien</header><text>The term <quote>eligible alien</quote> means an alien
				who—</text>
									<subparagraph id="H684459AE19394CB8B0EFE6FC5B6F1180"><enum>(A)</enum><text>has been lawfully
				admitted to the United States for permanent residence; and</text>
									</subparagraph><subparagraph id="HB0472DA7C5474C3DB5EC8084A9A22299"><enum>(B)</enum><text>is a physician or
				other healthcare worker.</text>
									</subparagraph></paragraph></subsection><subsection id="H8D7C21A6F9B4446B8F1D87E8E41C3330"><enum>(c)</enum><header>Consultation</header><text>The
				Secretary of Homeland Security shall consult with the Secretary of State in
				carrying out this section.</text>
							</subsection><subsection id="HAA5DDEED2D474BF7BF1B3C11D0361F33"><enum>(d)</enum><header>Publication</header><text>The
				Secretary of State shall publish—</text>
								<paragraph id="HC68FEAB7B66B41149EE49CF1AEBBAF25"><enum>(1)</enum><text>not later than 180
				days after the date of the enactment of this section, a list of candidate
				countries;</text>
								</paragraph><paragraph id="H842EA4E8F17946CCBDE742397D1E3EEB"><enum>(2)</enum><text>an updated version
				of the list required by paragraph (1) not less often than once each year;
				and</text>
								</paragraph><paragraph id="H4C77268A3EF7479CAE57F83F81521438"><enum>(3)</enum><text>an amendment to
				the list required by paragraph (1) at the time any country qualifies as a
				candidate country due to special circumstances under subsection
				(b)(1)(C).</text>
								</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph><paragraph id="H7D533A0B6857449E884714E09EE4CF52"><enum>(2)</enum><header>Rulemaking</header>
					<subparagraph id="H76C9EBA61C1C41BE91DEABC4C96E08C"><enum>(A)</enum><header>Requirement</header><text>Not
			 later than 180 days after the date of the enactment of this Act, the Secretary
			 of Homeland Security shall promulgate regulations to carry out the amendments
			 made by this subsection.</text>
					</subparagraph><subparagraph id="H3BA91799EC7E46A5A4D1386FA0B27500"><enum>(B)</enum><header>Content</header><text>The
			 regulations promulgated pursuant to paragraph (1) shall—</text>
						<clause id="HFE7D8C8E691A4C7A99DF2D47DB1672A8"><enum>(i)</enum><text>permit an eligible
			 alien (as defined in section 317A of the Immigration and Nationality Act, as
			 added by paragraph (1)) and the spouse or child of the eligible alien to reside
			 in a foreign country to work as a physician or other healthcare worker as
			 described in subsection (a) of such section 317A for not less than a 12-month
			 period and not more than a 24-month period, and shall permit the Secretary to
			 extend such period for an additional period not to exceed 12 months, if the
			 Secretary determines that such country has a continuing need for such a
			 physician or other healthcare worker;</text>
						</clause><clause id="H3939725B57B34658A0716B9924BA3DB4"><enum>(ii)</enum><text>provide for the
			 issuance of documents by the Secretary to such eligible alien, and such spouse
			 or child, if appropriate, to demonstrate that such eligible alien, and such
			 spouse or child, if appropriate, is authorized to reside in such country under
			 such section 317A; and</text>
						</clause><clause id="HF3CA0F5ABA414BDF85627C60AEB6426"><enum>(iii)</enum><text>provide for an
			 expedited process through which the Secretary shall review applications for
			 such an eligible alien to reside in a foreign country pursuant to subsection
			 (a) of such section 317A if the Secretary of State determines a country is a
			 candidate country pursuant to subsection (b)(1)(C) of such section 317A.</text>
						</clause></subparagraph></paragraph><paragraph id="H0C1498D8A22243FA89002D4DB21532C5"><enum>(3)</enum><header>Technical and
			 conforming amendments</header>
					<subparagraph id="H80567EB07F234B039F0175E4B8E6CACC"><enum>(A)</enum><header>Definition</header><text>Section
			 101(a)(13)(C)(ii) of the Immigration and Nationality Act (8 U.S.C.
			 1101(a)(13)(C)(ii)) is amended by adding at the end the following:
			 <quote>except in the case of an eligible alien, or the spouse or child of such
			 alien, who is authorized to be absent from the United States under section
			 317A,</quote>.</text>
					</subparagraph><subparagraph id="H46E9FC711AD84472AE79D7D50829E61B"><enum>(B)</enum><header>Documentary
			 requirements</header><text>Section 211(b) of such Act (8 U.S.C. 1181(b)) is
			 amended by inserting <quote>, including an eligible alien authorized to reside
			 in a foreign country under section 317A and the spouse or child of such
			 eligible alien, if appropriate,</quote> after
			 <quote>101(a)(27)(A),</quote>.</text>
					</subparagraph><subparagraph id="H258E98C9BCCC4DB4BFA7EC331A5B705"><enum>(C)</enum><header>Ineligible
			 aliens</header><text>Section 212(a)(7)(A)(i)(I) of such Act (8 U.S.C.
			 1182(a)(7)(A)(i)(I)) is amended by inserting <quote>other than an eligible
			 alien authorized to reside in a foreign country under section 317A and the
			 spouse or child of such eligible alien, if appropriate,</quote> after
			 <quote>Act,</quote>.</text>
					</subparagraph><subparagraph id="H36D8ABBAC6DF4A829EBA228B001E7338"><enum>(D)</enum><header>Clerical
			 amendment</header><text>The table of contents of such Act is amended by
			 inserting after the item relating to section 317 the following:</text>
						<quoted-block display-inline="no-display-inline" id="HC7941FA2DDE64C57821E5E345DD61CBF" style="OLC">
							<toc regeneration="no-regeneration">
								<toc-entry level="section">Sec. 317A. Temporary absence of aliens
				providing health care in developing
				countries.</toc-entry>
							</toc>
							<after-quoted-block>.</after-quoted-block></quoted-block>
					</subparagraph></paragraph><paragraph id="H014A9AB69B6246B4A82BB5C149268C40"><enum>(4)</enum><header>Authorization of
			 appropriations</header><text>There are authorized to be appropriated to U.S.
			 Citizenship and Immigration Services such sums as may be necessary to carry out
			 this subsection and the amendments made by this subsection.</text>
				</paragraph></subsection><subsection id="HDE72234BCB06447BA0D5FDE2655AC1B"><enum>(d)</enum><header>Attestation by
			 health care workers</header>
				<paragraph id="HC449A82D47D743ACA240571C86E27849"><enum>(1)</enum><header>Attestation
			 requirement</header><text>Section 212(a)(5) of the Immigration and Nationality
			 Act (8 U.S.C. 1182(a)(5)) is amended by adding at the end the following:</text>
					<quoted-block id="H0E9964CDD41B48658700E502A73CB33F" style="OLC">
						<subparagraph id="H617E90A2DD964CD690F9EF9B96DA8EBD"><enum>(E)</enum><header>Health care
				workers with other obligations</header>
							<clause id="H9478E4B5C91A45BDABAE515129B219F9"><enum>(i)</enum><header>In
				general</header><text>An alien who seeks to enter the United States for the
				purpose of performing labor as a physician or other health care worker is
				inadmissible unless the alien submits to the Secretary of Homeland Security or
				the Secretary of State, as appropriate, an attestation that the alien is not
				seeking to enter the United States for such purpose during any period in which
				the alien has an outstanding obligation to the government of the alien’s
				country of origin or the alien’s country of residence.</text>
							</clause><clause id="H9173B760A9784B448B9DCA524E417023"><enum>(ii)</enum><header>Obligation
				defined</header><text>In this subparagraph, the term <quote>obligation</quote>
				means an obligation incurred as part of a valid, voluntary individual agreement
				in which the alien received financial assistance to defray the costs of
				education or training to qualify as a physician or other health care worker in
				consideration for a commitment to work as a physician or other health care
				worker in the alien’s country of origin or the alien’s country of
				residence.</text>
							</clause><clause id="H2BA9370422E94329A6FD62BCD510F854"><enum>(iii)</enum><header>Waiver</header><text>The
				Secretary of Homeland Security may waive a finding of inadmissibility under
				clause (i) if the Secretary determines that—</text>
								<subclause id="H957C1E60F6EF45DE9B82A17913182753"><enum>(I)</enum><text>the obligation was
				incurred by coercion or other improper means;</text>
								</subclause><subclause id="H7EF93E142F454AF6AAA562D72EFDB772"><enum>(II)</enum><text>the alien and the
				government of the country to which the alien has an outstanding obligation have
				reached a valid, voluntary agreement, pursuant to which the alien’s obligation
				has been deemed satisfied, or the alien has shown to the satisfaction of the
				Secretary that the alien has been unable to reach such an agreement because of
				coercion or other improper means; or</text>
								</subclause><subclause id="H79F249D0B4574E0B8441BF37525D237E"><enum>(III)</enum><text>the obligation
				should not be enforced due to other extraordinary circumstances, including
				undue hardship that would be suffered by the alien in the absence of a
				waiver.</text>
								</subclause></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph><paragraph id="H460F008D7DD04B78005513895F803C74"><enum>(2)</enum><header>Effective date;
			 application</header>
					<subparagraph id="H7A4F579066F94CCC89E1EB3BFA9DE7E"><enum>(A)</enum><header>Effective
			 date</header><text>The amendment made by paragraph (1) shall take effect on the
			 date that is 180 days after the date of the enactment of this Act.</text>
					</subparagraph><subparagraph id="H6968FDF6C91F4A239F8F6BA756370565"><enum>(B)</enum><header>Application by
			 the Secretary</header><text>Not later than the effective date described in
			 subparagraph (A), the Secretary of Homeland Security shall begin to carry out
			 subparagraph (E) of section 212(a)(5) of the Immigration and Nationality Act,
			 as added by paragraph (1), including the requirement for the attestation and
			 the granting of a waiver described in clause (iii) of such subparagraph (E),
			 regardless of whether regulations to implement such subparagraph have been
			 promulgated.</text>
					</subparagraph></paragraph></subsection></section><section id="H40F12E9C9209401EA76830D6D3D91CB"><enum>3.</enum><header>Nurse Training and
			 Retention Demonstration Grant Act of 2008</header>
			<subsection id="HE321697DCFFD44B1AF30C3CF20389E5C"><enum>(a)</enum><header>Findings</header><text>Congress
			 makes the following findings:</text>
				<paragraph id="H4CCDDB2E7DEC490AA7BFA03DECF7FFAE"><enum>(1)</enum><text>America’s
			 healthcare system depends on an adequate supply of trained nurses to deliver
			 quality patient care.</text>
				</paragraph><paragraph id="HC6B5C6649CF449A0A7AEDDE17C3099F"><enum>(2)</enum><text>Over the next 15
			 years, this shortage is expected to grow significantly. The Health Resources
			 and Services Administration has projected that by 2020, there will be a
			 shortage of nurses in every State and that overall only 64 percent of the
			 demand for nurses will be satisfied, with a shortage of 1,016,900 nurses
			 nationally.</text>
				</paragraph><paragraph id="HFA1008F575004275B6C900445D5F6D1D"><enum>(3)</enum><text>To avert such a
			 shortage, today’s network of healthcare workers should have access to education
			 and support from their employers to participate in educational and training
			 opportunities.</text>
				</paragraph><paragraph id="H944190194E2D4EA68352810024F1CB9"><enum>(4)</enum><text>With the
			 appropriate education and support, incumbent healthcare workers and incumbent
			 bedside nurses are untapped sources which can meet these needs and address the
			 nursing shortage and provide quality care as the American population
			 ages.</text>
				</paragraph></subsection><subsection id="H2BEAE171B3D84EF19ECC1CDCA33B8C8B"><enum>(b)</enum><header>Purposes of
			 grant program</header><text>It is the purpose of this section to authorize
			 grants to—</text>
				<paragraph id="H3555CAEA3DFC454997912CE6438B2D00"><enum>(1)</enum><text>address the
			 projected shortage of nurses by funding comprehensive programs to create a
			 career ladder to nursing (including Certified Nurse Assistants, Licensed
			 Practical Nurses, Licensed Vocational Nurses, and Registered Nurses) for
			 incumbent ancillary healthcare workers;</text>
				</paragraph><paragraph id="H9929DF5622D542FE88EB59926BDC9F61"><enum>(2)</enum><text>increase the
			 capacity for educating nurses by increasing both nurse faculty and clinical
			 opportunities through collaborative programs between staff nurse organizations,
			 healthcare providers, and accredited schools of nursing; and</text>
				</paragraph><paragraph id="HAA71770921194471B0E8E61E32274CA0"><enum>(3)</enum><text>provide training
			 programs through education and training organizations jointly administered by
			 healthcare providers and healthcare labor organizations or other organizations
			 representing staff nurses and frontline healthcare workers, working in
			 collaboration with accredited schools of nursing and academic
			 institutions.</text>
				</paragraph></subsection><subsection id="HB010FBE7D81D42828ECF3D0737FD70EC"><enum>(c)</enum><header>Grants</header><text>Not
			 later than 6 months after the date of enactment of this Act, the Secretary of
			 Labor (referred to in this section as the <quote>Secretary</quote>) shall
			 establish a partnership grant program to award grants to eligible entities to
			 carry out comprehensive programs to provide education to nurses and create a
			 pipeline to nursing for incumbent ancillary healthcare workers who wish to
			 advance their careers, and to otherwise carry out the purposes of this
			 section.</text>
			</subsection><subsection id="HBA480342122E49DF83C84313B6AF008F"><enum>(d)</enum><header>Eligible
			 entities</header><text>To be eligible to receive a grant under this section an
			 entity shall—</text>
				<paragraph id="H4CF0187E0DD94711A6F7B389F56E78F1"><enum>(1)</enum><text>be—</text>
					<subparagraph id="H558676DBEA024E9EB65D76A11D339D3F"><enum>(A)</enum><text>a healthcare
			 entity that is jointly administered by a healthcare employer and a labor union
			 representing the healthcare employees of the employer and that carries out
			 activities using labor management training funds as provided for under section
			 302 of the Labor-Management Relations Act, 1947 (18 U.S.C. 186(c)(6));</text>
					</subparagraph><subparagraph id="H504D5BF4FA704CD2A118FC67E7F02DDD"><enum>(B)</enum><text>an entity that
			 operates a training program that is jointly administered by—</text>
						<clause id="HC9D667A008664E619DBDFCC28565FB16"><enum>(i)</enum><text>one
			 or more healthcare providers or facilities, or a trade association of
			 healthcare providers; and</text>
						</clause><clause id="H9F380B34EBD042C084C4EE531913E47"><enum>(ii)</enum><text>one
			 or more organizations which represent the interests of direct care healthcare
			 workers or staff nurses and in which the direct care healthcare workers or
			 staff nurses have direct input as to the leadership of the organization;
			 or</text>
						</clause></subparagraph><subparagraph id="H2D87506BEB674699AFA9A02FBF22FDE4"><enum>(C)</enum><text>a State training
			 partnership program that consists of non-profit organizations that include
			 equal participation from industry, including public or private employers, and
			 labor organizations including joint labor-management training programs, and
			 which may include representatives from local governments, worker investment
			 agency one-stop career centers, community based organizations, community
			 colleges, and accredited schools of nursing; and</text>
					</subparagraph></paragraph><paragraph id="HAD8B389A462E4ABF8DC2B98F545D9C7C"><enum>(2)</enum><text>submit to the
			 Secretary an application at such time, in such manner, and containing such
			 information as the Secretary may require.</text>
				</paragraph></subsection><subsection id="H5236599E6DEF4049B99783BA9D81DE71"><enum>(e)</enum><header>Additional
			 requirements for healthcare employer desrribed in subsection
			 <enum-in-header>(d)</enum-in-header></header><text>To be eligible for a grant
			 under this section, a healthcare employer described in subsection (d) shall
			 demonstrate—</text>
				<paragraph id="H510E90A489824E37AC4324A7E49DCD00"><enum>(1)</enum><text>an established
			 program within their facility to encourage the retention of existing
			 nurses;</text>
				</paragraph><paragraph id="H5ED34A9A363E49EEB053007766A0D005"><enum>(2)</enum><text>it provides wages
			 and benefits to its nurses that are competitive for its market or that have
			 been collectively bargained with a labor organization; and</text>
				</paragraph><paragraph id="H8821D9CB06F64B64ACB6F5F673526BB6"><enum>(3)</enum><text>support for
			 programs funded under this section through 1 or more of the following:</text>
					<subparagraph id="HF4E04AA6A29642BC99B748736CC834E"><enum>(A)</enum><text>The provision of
			 paid leave time and continued health coverage to incumbent healthcare workers
			 to allow their participation in nursing career ladder programs, including
			 Certified Nurse Assistants, Licensed Practical Nurses, Licensed Vocational
			 Nurses, and Registered Nurses.</text>
					</subparagraph><subparagraph id="H1B7649F94EA04580B607EE61D5440016"><enum>(B)</enum><text>Contributions to a
			 joint labor-management or other jointly administered training fund which
			 administers the program involved.</text>
					</subparagraph><subparagraph id="H63867C5C92C24381AD30A989943E8817"><enum>(C)</enum><text>The provision of
			 paid release time, incentive compensation, or continued health coverage to
			 staff nurses who desire to work full- or part-time in a faculty
			 position.</text>
					</subparagraph><subparagraph id="HABC75C497C0E446990D3558929CF064E"><enum>(D)</enum><text>The provision of
			 paid release time for staff nurses to enable them to obtain a bachelor of
			 science in nursing degree, other advanced nursing degrees, specialty training,
			 or certification program.</text>
					</subparagraph><subparagraph id="HC29BED7242824069B969FB5622DD4091"><enum>(E)</enum><text>The payment of
			 tuition assistance to incumbent healthcare workers.</text>
					</subparagraph></paragraph></subsection><subsection id="HD263EB5E32E84C56857312857EFA163E"><enum>(f)</enum><header>Other
			 requirements</header>
				<paragraph id="HB608D02625EF4C8FBFB7518E17B0CED6"><enum>(1)</enum><header>Matching
			 requirement</header>
					<subparagraph id="HEAD120072557423389004545E3E67F90"><enum>(A)</enum><header>In
			 general</header><text>The Secretary may not make a grant under this section
			 unless the applicant involved agrees, with respect to the costs to be incurred
			 by the applicant in carrying out the program under the grant, to make available
			 non-Federal contributions (in cash or in kind under subparagraph (B)) toward
			 such costs in an amount equal to not less than $1 for each $1 of Federal funds
			 provided in the grant. Such contributions may be made directly or through
			 donations from public or private entities, or may be provided through the cash
			 equivalent of paid release time provided to incumbent worker students.</text>
					</subparagraph><subparagraph id="HE69EBD493FF1443498B200CFA21B2F3"><enum>(B)</enum><header>Determination of
			 amount of non-Federal contribution</header><text>Non-Federal contributions
			 required in subparagraph (A) may be in cash or in kind (including paid release
			 time), fairly evaluated, including equipment or services (and excluding
			 indirect or overhead costs).</text>
					</subparagraph><subparagraph id="H2B92D32D306F4206B7713E456B4F9CA7"><enum>(C)</enum><header>Supplement, not
			 supplant</header><text>Funds made available under this section shall
			 supplement, and not supplant, resources dedicated by an entity, or other
			 Federal, State, or localfunds available to carry out activities described in
			 this section.</text>
					</subparagraph></paragraph><paragraph id="H6FD649614DA8485EA789BFBECDAB0762"><enum>(2)</enum><header>Required
			 collaboration</header><text>Entities carrying out or overseeing programs
			 carried out with assistance provided under this section shall demonstrate
			 collaboration with accredited schools of nursing which may include community
			 colleges and other academic institutions providing associate, bachelor’s, or
			 advanced nursing degree programs or specialty training or certification
			 programs.</text>
				</paragraph></subsection><subsection id="H52980C3647464B39A6CB7B03F7CADBB2"><enum>(g)</enum><header>Activites</header><text>Amounts
			 awarded to an entity under a grant under this section shall be used for the
			 following:</text>
				<paragraph id="H2C359669A8184819A15497536E465800"><enum>(1)</enum><text>To carry out
			 programs that provide education and training to establish nursing career
			 ladders to educate incumbent healthcare workers to become nurses (including
			 Certified Nurse Assistants, Licensed Practical Nurses, Licensed Vocational
			 Nurses, and Registered Nurses). Such programs shall include one or more of the
			 following:</text>
					<subparagraph id="H9FBFE5D2BEFB43C7876F5CB69DBC2228"><enum>(A)</enum><text>Preparing
			 incumbent workers to return to the classroom through English as a second
			 language education, GED education, precollege counseling, college preparation
			 classes, and support with entry level college classes that are a prerequisite
			 to nursing.</text>
					</subparagraph><subparagraph id="H7B17E2BA50614A728D2604F842840805"><enum>(B)</enum><text>Providing tuition
			 assistance with preference for dedicated cohort classes in community colleges,
			 universities, accredited schools of nursing with supportive services including
			 tutoring and counseling.</text>
					</subparagraph><subparagraph id="H3352512AD8B44E8183AD62E6B2979BAE"><enum>(C)</enum><text>Providing
			 assistance in preparing for and meeting all nursing licensure tests and
			 requirements.</text>
					</subparagraph><subparagraph id="H961C4B1F8E564C369663B4C69E2EC8E9"><enum>(D)</enum><text>Carrying out
			 orientation and mentorship programs that assist newly graduated nurses in
			 adjusting to working at the bedside to ensure their retention post graduation,
			 and ongoing programs to support nurse retention.</text>
					</subparagraph><subparagraph id="H7087C914193842FF00E925C2004DA727"><enum>(E)</enum><text>Providing stipends
			 for release time and continued healthcare coverage to enable incumbent
			 healthcare workers to participate in these programs.</text>
					</subparagraph></paragraph><paragraph id="H627539047F564E4997625014001D48FF"><enum>(2)</enum><text>To carry out
			 programs that assist nurses in obtaining advanced degrees and completing
			 specialty training or certification programs and to establish incentives for
			 nurses to assume nurse faculty positions on a part-time or full-time basis.
			 Such programs shall include one or more of the following:</text>
					<subparagraph id="H509BA881E6154682BC8184F2A8B34D87"><enum>(A)</enum><text>Increasing the
			 pool of nurses with advanced degrees who are interested in teaching by funding
			 programs that enable incumbent nurses to return to school.</text>
					</subparagraph><subparagraph id="HBD86EDD4A03F42EBA84BEFD1829DF91D"><enum>(B)</enum><text>Establishing
			 incentives for advanced degree bedside nurses who wish to teach in nursing
			 programs so they can obtain a leave from their bedside position to assume a
			 full- or part-time position as adjunct or full time faculty without the loss of
			 salary or benefits.</text>
					</subparagraph><subparagraph id="H3ED3B9CDA6764463B41708AB900420CC"><enum>(C)</enum><text>Collaboration with
			 accredited schools of nursing which may include community colleges and other
			 academic institutions providing associate, bachelor’s, or advanced nursing
			 degree programs, or specialty training or certification programs, for nurses to
			 carry out innovative nursing programs which meet the needs of bedside nursing
			 and healthcare providers.</text>
					</subparagraph></paragraph></subsection><subsection id="HD51D21D56326459800F1DAD020BC1B23"><enum>(h)</enum><header>Preference</header><text>In
			 awarding grants under this section the Secretary shall give preference to
			 programs that—</text>
				<paragraph id="HD9F354BFEDF94C1C91AEDD635C3B38"><enum>(1)</enum><text>provide for
			 improving nurse retention;</text>
				</paragraph><paragraph id="H21D21A86E41448509C39322FB434C0B1"><enum>(2)</enum><text>provide for
			 improving the diversity of the new nurse graduates to reflect changes in the
			 demographics of the patient population;</text>
				</paragraph><paragraph id="H95015F6D12B942D8B3C007E80A9E21C"><enum>(3)</enum><text>provide for
			 improving the quality of nursing education to improve patient care and
			 safety;</text>
				</paragraph><paragraph id="H33075A81FFDE490D9DA6AD2662CA3F00"><enum>(4)</enum><text>have demonstrated
			 success in upgrading incumbent healthcare workers to become nurses or which
			 have established effective programs or pilots to increase nurse faculty;
			 or</text>
				</paragraph><paragraph id="HA46FF7A462874ACD80CE035500CA1D06"><enum>(5)</enum><text>are modeled after
			 or affiliated with such programs described in paragraph (4).</text>
				</paragraph></subsection><subsection id="H799B18B67B9E440BBF6FFF8389E3D09E"><enum>(i)</enum><header>Evaluation</header>
				<paragraph id="HB40FE187E5114AE88DB950000558D617"><enum>(1)</enum><header>Program
			 evaluations</header><text>An entity that receives a grant under this section
			 shall annually evaluate, and submit to the Secretary a report on, the
			 activities carried out under the grant and the outcomes of such activities.
			 Such outcomes may include—</text>
					<subparagraph id="H7C57F207A3AB49D580A04B824FEEF4DA"><enum>(A)</enum><text>an increased
			 number of incumbent workers entering an accredited school of nursing and in the
			 pipeline for nursing programs;</text>
					</subparagraph><subparagraph id="H04BACE16E36F47CC98E8EB87D8AE9704"><enum>(B)</enum><text>an increasing
			 number of graduating nurses and improved nurse graduation and licensure
			 rates;</text>
					</subparagraph><subparagraph id="HE545A5EED05046BBB28D034EBA985410"><enum>(C)</enum><text>improved nurse
			 retention;</text>
					</subparagraph><subparagraph id="H5E1BB88362464F4989ABDAB5D4001676"><enum>(D)</enum><text>an increase in the
			 number of staff nurses at the healthcare facility involved;</text>
					</subparagraph><subparagraph id="H5F17B032AC454EB09FBF87B5E82DCD1F"><enum>(E)</enum><text>an increase in the
			 number of nurses with advanced degrees in nursing;</text>
					</subparagraph><subparagraph id="HC27D8B10376C42C09BE1C70053634639"><enum>(F)</enum><text>an increase in the
			 number of nurse faculty;</text>
					</subparagraph><subparagraph id="HB3122B0F7F384ACC82A1712D744400BC"><enum>(G)</enum><text>improved measures
			 of patient quality as determined by the Secretary; and</text>
					</subparagraph><subparagraph id="H9C59FC9242EF4002B16E35F24504C7E8"><enum>(H)</enum><text>an increase in the
			 diversity of new nurse graduates relative to the patient population.</text>
					</subparagraph></paragraph><paragraph id="HDF29BE26CBE248408E7EB9DB0075E886"><enum>(2)</enum><header>General
			 report</header><text>Not later than September 30, 2011, the Secretary of Labor
			 shall, using data and information from the reports received under paragraph
			 (1), submit to Congress a report concerning the overall effectiveness of the
			 grant program carried out under this section.</text>
				</paragraph></subsection><subsection id="H4CBCDB37DB1C429E0023915614A37C39"><enum>(j)</enum><header>Authorization of
			 appropriations</header><text>There are authorized to be appropriated to carry
			 out this section for fiscal years 2010, 2011, and 2012, such sums as may be
			 necessary. Funds appropriated under this subsection shall remain available
			 until expended without fiscal year limitation.</text>
			</subsection></section><section id="H38F707B2F8F548A28FB8C52B6DF86C6D"><enum>4.</enum><header>Collection of
			 data and reports to Congress on foreign-trained nurses and physical therapists
			 newly admitted to the United States each fiscal year</header>
			<subsection id="HC5A412360FA74B83B414B59877F2A3F2"><enum>(a)</enum><header>Requirement To
			 collect data</header><text>With respect to each fiscal year, beginning with
			 fiscal year 2009, the Secretary of Homeland Security shall collect the
			 following data for each alien that acquires the status of a lawful permanent
			 resident or a temporary alien worker (including as a temporary professional
			 worker under the North American Free Trade Agreement) during that fiscal year
			 for employment as a professional nurse or physical therapist:</text>
				<paragraph id="HBFF23AC92CDA42F29C0832C0D9959CE9"><enum>(1)</enum><text>The country of
			 residence and country of nationality of the alien at the time such status is
			 acquired.</text>
				</paragraph><paragraph id="H8E5F7667DB0F494FB03E2D022B9588A3"><enum>(2)</enum><text>The country or
			 countries in which the alien received the professional education and training
			 to be licensed as a nurse or a physical therapist.</text>
				</paragraph><paragraph id="H15BD0FB4A0604BD08C82B6FC2E6C5E5"><enum>(3)</enum><text>The name and
			 address of the petitioning employer.</text>
				</paragraph><paragraph id="H0BBAFFDA9C8440499E29539DE1ADD1D4"><enum>(4)</enum><text>The name and and
			 address of any recruiting agency used by the petitioning employer with respect
			 to the recruitment, processing or preparation of the alien for the employment
			 involved.</text>
				</paragraph><paragraph id="HA781251050CA49C583B1765E00057108"><enum>(5)</enum><text>The processing
			 time for review and action on the petition with respect to each such
			 aliens.</text>
				</paragraph></subsection><subsection id="H08B94F532D7046D8B7137F80C3D9F5DF"><enum>(b)</enum><header>Research of data
			 from prior fiscal years</header>
				<paragraph id="HEC6F5623FB6048C2AE09014DF6EF90C7"><enum>(1)</enum><text>With respect to
			 the fiscal years 2004 through 2008, the Secretary shall determine which of the
			 data required to be collected pursuant to subsection (a) are available for
			 retrieval in electronic databases maintained by the Secretary.</text>
				</paragraph><paragraph id="H3BAA12E3C6BB4D86A0FB2BACEAF3B261"><enum>(2)</enum><text>In preparing the
			 report for fiscal year 2009 mandated by this section, the Secretary shall
			 include a summary of all such available data for fiscal years 2004 through
			 2008.</text>
				</paragraph></subsection><subsection id="HCAEAA51433484E57ABED3C3B0859179E"><enum>(c)</enum><header>Reports</header><text>The
			 Secretary shall submit annual reports aggregating the data collected under
			 subsection (a), and, with respect to the report for fiscal year 2009, such
			 additional data identified pursuant to subsection (b), along with such related
			 information as the Secretary determines to be appropriate, to the Committees on
			 the Judiciary of the House of Representatives and the Senate not later than 90
			 days after the end of each fiscal year. Such reports shall include—</text>
				<paragraph id="H9C54777FBE2142B6AF80E1DB586180"><enum>(1)</enum><text>the
			 aggregate number of aliens who acquired a status described in subsection (a)
			 during such fiscal year and subtotals of the status categories acquired;</text>
				</paragraph><paragraph id="H5ECC32B3AFF6491FAA1C08334EBF0412"><enum>(2)</enum><text>subtotals within
			 each status category for the data element collected pursuant to subsection (a);
			 and</text>
				</paragraph><paragraph id="HA7BAAC89FD074C9B9BC4E40148BCBD75"><enum>(3)</enum><text>the average
			 processing times for each different type of petition or application involved in
			 the acquisition of status.</text>
				</paragraph></subsection><subsection id="H14A7BC191CC04C908989A9C36913A9BF"><enum>(d)</enum><header>Publication in
			 the federal register</header><text>The Secretary shall cause to have published
			 in the Federal Register notice of the submittal to the Committees on the
			 Judiciary of the House of Representatives and the Senate of each report
			 required under subsection (c) and of the availability to the public of each
			 such report.</text>
			</subsection></section></legis-body>
</bill>
