[Federal Register Volume 60, Number 197 (Thursday, October 12, 1995)]
[Rules and Regulations]
[Pages 53122-53126]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-25224]



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UNITED STATES INFORMATION AGENCY

22 CFR Part 514

[Rulemaking No. 115]


Waiver of Two-Year Home-Country Physical Presence Requirement, 
Foreign Medical Graduates, Exchange Visitor Program

AGENCY: United States Information Agency.

ACTION: Final rule.

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SUMMARY: Section 220 of the Immigration and Nationality Technical 
Corrections Act of 1994 (Pub. L. 103-416) amended Section 212(e) of the 
Immigration and Nationality Act (8 U.S.C. 1182(e)) and added a new 
subsection (k) to section 214 of that Act (8 U.S.C. 1184) regarding 
waiver of the two-year foreign residence requirement as it applies to 
foreign medical graduates. An Interim Final Rule with request for 
comments was published in the Federal Register on April 3, 1995 (60 FR 
16785). This final rulemaking amends the Exchange Visitor Program 
regulations to reflect those legislative changes.

DATES: This final rule is effective October 12, 1995.

ADDRESSES: United States Information Agency, Office of the General 
Counsel, Rulemaking 115, 301 Fourth Street, SW., Room 700, Washington, 
DC 20547-0001.

FOR FURTHER INFORMATION CONTACT:
William G. Ohlhausen, Assistant General Counsel, United States 
Information Agency, 301 Fourth Street, SW., Washington, DC 20547; 
telephone (202) 619-6972.

SUPPLEMENTARY INFORMATION: Section 220 of the Immigration and 
Nationality Technical Corrections Act of 1994 (Pub. L. 103-416), 
adopted in the closing days of the 103rd Congress, amended provisions 
of the Immigration and Nationality Act which deal with the two-year 
foreign residence requirement affecting foreign medical graduates (also 
known as ``FMG's'' or ``international medical graduates'') who were 
admitted to the United States on the J visa, or who acquired such 
status after admission to the United States, and who are required to 
return to the country of their nationality or last residence upon the 
completion of their participation in an exchange visitor program.
    The Immigration and Naturalization Service may grant a waiver of 
the two-year home country physical presence requirement upon the 
favorable recommendation of the Director of the United States 
Information Agency. Prior to the recent amendment to sections 212 and 
214 of the Immigration and Nationality Act, there were three bases upon 
which an alien who is a graduate of a medical school pursuing a program 
in graduate medical education or training could seek a waiver of the 
two-year foreign residence requirement. The first basis was the so-
called ``interested Government Agency'' or ``IGA'' waiver. Under that 
basis, the Director of the United States Information Agency could 
recommend a waiver to INS pursuant to the request of an ``interested 
United States Government agency.'' (Immigration and Nationality Act, as 
amended, section 212(e) (8 U.S.C. 1182(e); 22 CFR 514.44(a) (2) and 
(c).)
    The other bases upon which a J visa foreign medical graduate could 
seek a waiver of the two-year foreign residence requirement were to 
apply to the Immigration and Naturalization Service for a waiver on the 
grounds that the departure of the alien physician from the United 
States would ``impose exceptional hardship upon the alien's spouse or 
child (if such spouse or child is a citizen of the United States or 
lawfully resident alien), or that the alien cannot return to the 
country of his nationality or last residence because he would be 
subject to persecution on account of race, religion, or political 
opinion.'' (Immigration and Nationality Act, as amended, section 212(e) 
(8 U.S.C. 1182(e).) Additionally, all three bases for seeking a waiver 
required a finding by the Attorney General that the waiver was in the 
public interest.
    The enactment of the Immigration and Nationality Technical 
Corrections Act of 1994 (Pub. L. 103-416) has now provided an 
additional basis upon which a foreign medical graduate may seek a 
waiver of the two-year home residence requirement. Section 220(a) of 
that Act added a provision that authorizes a State Department of Public 
Health or its equivalent to request the Director of USIA to recommend 
that INS grant the waiver. However, in addition, the new law requires 
that the government of the country to which the foreign medical 
graduate is otherwise contractually obligated to return must furnish 
the Director of the United States Information Agency with a statement 
in writing that it has no objection to such 

[[Page 53123]]
waiver, and the foreign medical graduate must demonstrate that he or 
she has a bona fide offer of full-time employment and must agree that 
he or she will begin employment within 90 days of receiving a waiver, 
and must agree to continue to work, for a total of not less than three 
years, at a health care facility in an area designated by the Secretary 
of Health and Human Services as having a shortage of health care 
professionals. (Immigration and Nationality Act, as amended, section 
214(k)(1) (8 U.S.C. 1184(k)(1).)
    Upon the favorable recommendation of the Director of USIA, the 
Attorney General may grant the waiver. The Attorney General may also 
change the foreign medical graduate's nonimmigrant status from J-1 to 
H-1B if the alien meets the requirements under section 248 of the 
Immigration and Nationality Act (8 U.S.C. 1258). If the foreign medical 
graduate obtains a waiver under Public Law 103-416 and thereafter fails 
to fulfill the terms of his or her employment contract with the health 
care facility named in the waiver application, then he or she again 
becomes subject to the two-year foreign residence requirement and is 
ineligible to apply for an immigrant visa, permanent residence, or any 
other change of nonimmigrant status until the two-year foreign 
residence requirement has been met. (Immigration and Nationality Act, 
section 214(k)(2) (A) and (B)). Each State is allotted no more than 
twenty such waivers each fiscal year. The federal fiscal year commences 
on October 1 and ends the following September 30. The term ``State'' 
includes the District of Columbia, Puerto Rico, Guam and the Virgin 
Islands of the United States.
    The role of the United States Information Agency under the recent 
amendments to sections 212(e) and 214 of the Immigration and 
Nationality Act is limited. Under the amendment to section 212(e), the 
Commissioner of the Immigration and Naturalization Service will now 
look to the Director of USIA for a recommendation on foreign medical 
graduate waiver cases brought ``pursuant to the request of a State 
Department of Public Health, or its equivalent.'' Section 212(e) was 
also amended by adding language that makes it clear that waivers 
requested by a State Department of Public Health, or its equivalent, 
shall be subject to the requirements of the new section 214(k).
    Under new section 214(k)(1)(A), the Attorney General will not grant 
the waiver unless the country to which the foreign medical graduate is 
otherwise contractually obligated to return furnishes the Director of 
USIA with a statement in writing that it has no objection to such 
waiver.
    Reading amended section 212(e) and new section 214(k) together, the 
Agency views its role in implementing the statute as including the 
following: (1) It is to be the recipient of State Department of Public 
Health applications for waivers for foreign medical graduates who will 
practice medicine in a geographic area or areas which are designated by 
the Secretary of Health and Human Services as having a shortage of 
health care professionals; (2) it is to be the recipient of ``no 
objection'' letters from the country to which the applicant is 
contractually obligated to return; and, (3) it is to review the 
applications and, where required, no objection letters, determine 
whether they meet the requirements of the two statutory sections, 
review the program, policy, and foreign relations aspects of the case, 
and make a recommendation to the Commissioner of the Immigration and 
Naturalization Service as to whether the waiver should be granted. The 
Agency has no statutory role or responsibility with respect to ensuring 
that the foreign medical graduate has the proper medical credentials or 
with respect to the foreign medical graduate's eligibility for change 
of nonimmigrant status or work authorization.
    Current regulations regarding requests for waiver made by an 
interested United States Government agency require the requesting 
agency to determine that the granting of the waiver would be in the 
public interest. 22 CFR 514.44(c). This Agency then reviews the 
program, policy, and foreign relations aspects of the case and forwards 
its recommendation to the Commissioner. 22 CFR 514.44(c). The Agency 
intends to follow the same practices with respect to requests for 
waivers made under the recently amended section 212(e) and the new 
section 214(k) of the Immigration and Nationality Act.
    The Agency received thirteen letters of comment on the Interim 
Final Rule. (See Appendix A for list of commenters.) The overwhelming 
majority of those letters dealt with two issues: (1) Whether the 
statute required a no objection letter in all cases; and, (2) how is 
the applicant to determine whether the geographic area in which the 
foreign medical graduate is to be employed has a ``shortage of health 
care professionals.'' All of the comment letters were fully considered.
    With respect to the no objection letters, the Agency notes that the 
new section 214(k)(1)(A) refers to ``an alien who is otherwise 
contractually obligated to return to a foreign country.'' (emphasis 
added.) The phrase ``otherwise contractually obligated'' is not defined 
in the statute and there is no legislative history preceding the 
enactment of the statute which would indicate the specific intent of 
Congress in using that terminology. Having reviewed the comment 
letters, the Agency now deems the language ``otherwise contractually 
obligated * * *'' to refer only to those cases where the foreign 
medical graduate's medical education or training is funded by the 
government of the graduate's home country. It is the Agency's 
experience that where a foreign government funds the graduate medical 
education or training abroad of one of its nationals, it also 
contractually obligates the foreign medical graduate to return to the 
home country at the conclusion of the graduate medical education or 
training.
    Thus, the Final Rule requires the applicant to furnish the Agency 
with a no objection letter from the home country only in those 
instances where the foreign medical graduate's medical education or 
training is funded by his or her home country's government. Whether or 
not there is foreign government funding can be determined by examining 
the face of the foreign medical graduate's Form IAP-66. Where there has 
been no funding from the government of the home country, there is no 
requirement that a no objection letter be furnished to the Agency.
    The new statutory provision (Sec. 220 of Public Law 103-416) gives 
this Agency no role in designating a geographic area or areas as having 
a shortage of health care professionals. Such designations are made by 
the Secretary of Health and Human Services. The Secretary of Health and 
Human Services has advised that applicants for waivers under section 
220 of Public Law 103-416 should look to the Department's listings of 
Designated Primary Care Health Professional Shortage Areas (``HPSAs'') 
and Medically Underserved Areas/Medically Underserved Populations 
(``MUAs/MUPs'') in order to determine whether the geographic area or 
areas in which the foreign medical graduate will be employed has a 
``shortage of health care professionals'' within the meaning of the 
statute. (See Notice dated September 19, 1995 at 60 FR 48515.) The HPSA 
listing was last published in the Federal Register on January 21, 1994 
(59 FR 3412). A copy of the current MUA/MUP may be obtained from the 
Division of Shortage Designation, Bureau of Primary Health Care, 
Department of Health and Human Services, 4350 East-West Highway, Room 
9-1D-1, Bethesda, Maryland 20814; Phone (301) 594-0816.

[[Page 53124]]

    Section 220 of Pub. L. 103-416 also contains the term ``health care 
facility,'' but does not define that term. At least two commenters 
suggested that the Agency explain what it means by that term. For 
purposes of this regulation, the Agency deems the Department of Health 
and Human Services' definition of ``medical facility'' to be synonymous 
with ``health care facility.'' See 42 CFR 5.2.
    Two commenters recommended that the Agency require that the foreign 
medical graduate provide health care to Medicaid and Medicare 
beneficiaries. Section 220 of Public Law 103-416 contains no such 
requirement. The Agency does not believe that it has the authority to 
impose such a requirement.
    One commenter expressed concern that the Interim Final Rule did not 
address state physician licensure as a component of this waiver program 
and suggested that the Agency adopt credentialing standards and 
procedures as a guide to the states in their screening and selecting of 
applicants. The Agency believes that licensure is a matter of state 
regulation and that the Agency has no authority under section 220 of 
Public Law 103-416 to impose licensure requirements.

The No Objection Letter--Procedures and Format

    Current regulations set forth the procedure for obtaining ``no 
objection'' letters from the home country and the manner in which such 
letters are to be sent to the Agency. 22 CFR 514.44(d). With one 
exception, this final rulemaking provides for the same procedures to be 
followed with respect to applications for waivers under Public Law 103-
416. In order to avoid confusion with other applications for waivers 
based on no objection from the home country (hitherto unavailable to 
foreign medical graduates), when required, the no objection letter 
submitted under Public Law 103-416 should note clearly that the request 
for the no objection letter was made pursuant to Public Law 103-416. 
The Agency does not require that a no objection letter be of or on a 
particular form. The following or similar language will suffice: 
``Pursuant to Public Law 103-416, the Government of 
____________________ has no objection if (name and address of foreign 
medical graduate) does not return to ____________________ to satisfy 
the two-year foreign residency requirement of Section 212(e) of the 
Immigration and Nationality Act.''

The Application Package

    The application for waiver of the two-year home country residence 
requirement under the provisions of Public Law 103-416 is to originate 
in the designated State Department of Public Health. USIA is not 
planning to develop any new forms for such application. However the 
application is to include the following: (1) A letter from the 
designated official in the State Department of Public Health which 
identifies the foreign medical graduate and states, if so determined, 
that it is in the public interest that a waiver of the two-year home 
residence requirement be granted. (Note: See Appendix B hereto for a 
list of State Departments of Public Health which, as of the date of 
this Final Rule, have advised the Agency that they intend to 
participate in this waiver program); (2) an employment contract between 
the alien and the health care facility, which includes the name and 
address of the foreign medical graduate and of the employer and the 
specific geographic area or areas in which the foreign medical graduate 
will practice medicine. The employment contract shall include a 
statement by the foreign medical graduate agreeing to the contractual 
requirements set forth in section 214(k)(1) (B) and (C) of the 
Immigration and Nationality Act. The term of the employment contract 
shall be at least three years; (3) evidence that the area or areas of 
employment stipulated in the employment contract are in a geographic 
area or areas designated by the Secretary of Health and Human Services 
as having a shortage of health care professionals; (4) copies of all 
forms IAP-66 issued to the foreign medical graduate seeking the waiver; 
(5) a completed data sheet, copies of which will be made available by 
the Agency to each State Department of Public Health; and (6) because 
of the numerical limitations on the approval of waivers under Public 
Law 103-416 each application from a State Department of Public Health 
shall be numbered sequentially. Should USIA not grant a favorable 
recommendation on a given application, the State Department of Public 
Health will be so notified and will be advised that the number may be 
used on another application.
    If a State Department of Public Health files in excess of twenty 
applications during one fiscal year, the Agency will give priority to 
the first twenty sequentially numbered applications.

Application Period Under Public Law 103-416

    Section 220(c) of Public Law 103-416 states that ``The amendments 
made by this section shall apply to aliens admitted to the United 
States under section 101(a)(15)(J) of the Immigration and Nationality 
Act, or acquiring such status after admission to the United States, 
before, on, or after the date of enactment of this Act and before June 
1, 1996.'' The Agency believes that the date of June 1, 1996 applies to 
the status of the foreign medical graduate on that date and not to the 
new waiver program itself. In other words, if the foreign medical 
graduate was admitted to the United States on a J visa or acquired a J 
visa prior to June 1, 1996 in order to pursue graduate medical 
education or training, he or she would be eligible to apply for a 
waiver under the provisions of Public Law 103-416 at any time in the 
future.

Regulatory Analysis and Notices

    In accordance with 5 U.S.C. 605(b), the Agency certifies that this 
rule does not have a significant adverse economic impact on a 
substantial number of small entities. This rule is not considered to be 
a major rule within the meaning of section 1(b) of Executive Order 
12291, nor does this rule have Federalism implications warranting the 
preparation of a Federalism Assessment in accordance with Executive 
Order 12612.
    The information collection requirements contained in this rule have 
been presented to the Office of Management and Budget for clearance 
pursuant to the provisions of the Paperwork Reduction Act.

    Dated: October 4, 1995.
Les Jin,
General Counsel.

List of Subjects in 22 CFR Part 514

    Cultural exchange programs, Reporting and recordkeeping 
requirements.

    The interim rule published at 60 FR 16785, April 3, 1995, amending 
22 CFR part 514, Sec. 514.44, is adopted as final with the following 
changes.
    1. The authority citation for part 514 continues to read as 
follows:

PART 154--[AMENDED]

    Authority: 8 U.S.C. 1101(a)(15)(J), 1182, 1184, 1258; 22 U.S.C. 
1431-1442, 2451-2460; Reorganization Plan No. 2 of 1977, 3 CFR, 1977 
Comp. p. 200; E.O. 12048 of 3/27/78, 3 CFR, 1978 Comp. p. 168.


Sec. 514.44  [Revised]

    2. Section 514.44(e) is revised to read as follows:

[[Page 53125]]

    (e) Requests for waiver from a State Department of Public Health, 
or its equivalent, on the basis of Public Law 103-416. (1) Pursuant to 
Public Law 103-416, in the case of an alien who is a graduate of a 
medical school pursuing a program in graduate medical education or 
training, a request for a waiver of the two-year home-country physical 
presence requirement may be made by a State Department of Public 
Health, or its equivalent. Such waiver shall be subject to the 
requirements of section 214(k) of the Immigration and Nationality Act 
(8 U.S.C. 1184(k)) and this Sec. 514.44.
    (2) With respect to such waiver under Public Law 103-416, if such 
alien is contractually obligated to return to his or her home country 
upon completion of the graduate medical education or training, the 
Director of the United States Information Agency is to be furnished 
with a statement in writing that the country to which such alien is 
required to return has no objection to such waiver. The no objection 
statement shall be furnished to the Director in the manner and form set 
forth in paragraph (d) of this section and, additionally, shall bear a 
notation that it is being furnished pursuant to Public Law 103-416.
    (3) The State Department of Public Health, or equivalent agency, 
shall include in the waiver application the following:
    (i) A completed ``Data Sheet.'' Copies of blank data sheets may be 
obtained from the Agency's Exchange Visitor Program office.
    (ii) A letter from the Director of the designated State Department 
of Public Health, or its equivalent, which identifies the foreign 
medical graduate by name, country of nationality or last residence, and 
date of birth, and states that it is in the public interest that a 
waiver of the two-year home residence requirement be granted;
    (iii) An employment contract between the foreign medical graduate 
and the health care facility named in the waiver application, to 
include the name and address of the health care facility, and the 
specific geographical area or areas in which the foreign medical 
graduate will practice medicine. The employment contract shall include 
a statement by the foreign medical graduate that he or she agrees to 
meet the requirements set forth in section 214(k) of the Immigration 
and Nationality Act. The term of the employment contract shall be at 
least three years and the geographical areas of employment shall only 
be in areas, within the respective state, designated by the Secretary 
of Health and Human Services as having a shortage of health care 
professionals;
    (iv) Evidence establishing that the geographic area or areas in the 
state in which the foreign medical graduate will practice medicine are 
areas which have been designated by the Secretary of Health and Human 
Services as having a shortage of health care professionals. For 
purposes of this paragraph, the geographic area or areas must be 
designated by the Department of Health and Human Services as a Health 
Professional Shortage Area (``HPSA'') or as a Medically Underserved 
Area/Medically Underserved Population (``MUA/MUP'').
    (v) Copies of all forms IAP-66 issued to the foreign medical 
graduate seeking the waiver;
    (vi) A copy of the foreign medical graduate's curriculum vitae;
    (vii) If the foreign medical graduate is otherwise contractually 
required to return to his or her home country at the conclusion of the 
graduate medical education or training, a copy of the statement of no 
objection from the foreign medical graduate's country of nationality or 
last residence; and,
    (viii) Because of the numerical limitations on the approval of 
waivers under Public Law 103-416, i.e., no more than twenty waivers for 
each State each fiscal year, each application from a State Department 
of Public Health, or its equivalent, shall be numbered sequentially, 
beginning on October 1 of each year.
    (4) The Agency's Waiver Review Branch shall review the program, 
policy, and foreign relations aspects of the case and forward its 
recommendation to the Commissioner. Except as set forth in 
Sec. 514.44(g)(4)(i), the recommendation of the Waiver Review Branch 
shall constitute the recommendation of the Agency.
* * * * *

Appendix A to the Preamble

    Comments were received from the following individuals and 
organizations:

Department of Health, State of Alabama
Illinois Department of Public Health
Indiana State Department of Health
Mezzullo & McCandlish, Attorneys at Law
Palmer & Dodge, Attorneys at Law
Department of Health and Mental Hygiene, State of Maryland
Office of Rural Health Policy, Health Resources and Services 
Administration, Public Health Service, U.S. Department of Health and 
Human Services
South Carolina Department of Health and Environmental Control
Oklahoma State Department of Health
Center for Rural Health, University of Kentucky
The Federation of State Medical Boards of the United States, Inc.
Center for Rural Health, School of Medicine, University of North 
Dakota
Hon. Kent Conrad, United States Senator

Appendix B to the Preamble

    State Public Health Departments Participating in the Pub. L. 
103-416 Waiver Program, as of date of publication of Final Rule:

Alabama

Donald E. Williamson, M.D., State Health Officer, Alabama Department 
of Public Health, 434 Monroe Street, Montgomery, AL 36130-3017

Arizona

Mr. Phil Lopez, Office Chief, Office of Health Planning, Evaluation 
and Statistics, Arizona Department of Health Services, 1740 West 
Adams, Room 312, Phoenix, AZ 85007

    Signature must be from: Jack Dillenberg, D.D.S., M.P.H.

Arkansas

Charles McGrew, Director, Section of Health Facility Services and 
Systems, Arkansas Department of Health, 4815 W. Markham, Slot 39, 
Little Rock, AR 72205

Delaware

Ms. Jane Rhoe-Jones, Office of Rural Health, Division of Public 
Health, P.O. Box 637, Dover, DE 19903

Florida

Richard G. Hunter, Ph.D., Department of Health and Rehabilitative 
Services, State Health Office, 1317 Winewood Boulevard, Tallahassee, 
FL 32399-0700

Georgia

Ms. Rita Salain, Director, Office of Rural Health and Primary Care, 
2 Peachtree Street, 6th Floor Annex, Atlanta, GA 30303

Hawaii

Mr. William H. Dendle, III, Office of Planning, Policy and Program 
Development, 1250 Punchbowl Street, Room 340, Honolulu, HI 96813

    Signature must be from: Jeanette Takamura, Ph.D., Deputy 
Director, Hawaii State Health Department of Health.

Illinois

John R. Lumpkin, M.D., Director of Public Health, Illinois 
Department of Public Health, 535 West Jefferson Street, Springfield, 
IL 62761

    Contact person: Ms. Mary Catherine Ring, Chief, Center for Rural 
Health (use same mailing address as for the Director listed above).

Indiana

Keith Main, Ed.D., Office of Policy and Research, Indiana State 
Department of Health, 1330 West Michigan Street, P.O. Box 1964, 
Indianapolis, IN 46206-1964

Kentucky

Ms. Danise Newton, Manager, Primary Care Branch, Department for 
Health Services, 275 East Main Street, Frankfort, KY 40621.

[[Page 53126]]


Maine

Kevin W. Concannon, Commissioner, Department of Human Services, #11 
State House Station, Augusta, ME 04333-0011

    Contact Person: Sophie Glidden, Director, Office of Primary 
Health Care, Department of Human Services, #11 State House Station, 
Augusta, ME 04333-0011.

Massachusetts

Ms. Sally Fogarty, Department of Public Health, 150 Tremont Street, 
Boston, MA 02111

    Applications must be signed by: Mr. David H. Mulligan, 
Commissioner of Public Health (address is the same as Sally 
Fogarty).

Michigan

Ms. Vernice Davis Anthony, Director, Michigan Department of Public 
Health, 3423 N. Martin Luther King Jr. Blvd., P.O. Box 30195, 
Lansing, MI 48909

Minnesota

Ms. Chari Konerza, Director, Minnesota Office of Rural Health and 
Primary Care, P.O. Box 64975, St. Paul, MN 55164

Mississippi

Mr. Harold Armstrong, State Department of Health, P.O. Box 1700, 
Jackson, MS 39215-1700

Missouri

Coleen Kivlahan, M.D., M.S.P.H., Director, Missouri Department of 
Health, P.O. Box 570, Jefferson City, MO 65102

    Contact: Mr. Alan Welles (at same address) may also sign 
applications).

Montana

Mr. Robert J. Robinson, Director, Department of Health and 
Environmental Sciences, Cogswell Building, P.O. Box 200901, Helena, 
MT 59620-0901

Nebraska

Mark B. Horton, M.D., M.S.P.H., Director, Nebraska Department of 
Health, 301 Centennial Mall South, P.O. Box 95007, Lincoln, NE 
68509-5007

Nevada

Donald S. Kwalick, M.D., MPH, State Health Officer, Nevada State 
Health Division, 505 E. King Street, Room 201, Carson City, NV 89701

New Mexico

J. Alex Valdez, Secretary, State of New Mexico, Department of 
Health, 1190 St. Francis Drive, P.O. Box 261110, Sante Fe, NM 8750-
6110

New York

Ms. Karen Schimke, Executive Deputy Commissioner, New York State 
Department of Health, Empire State Plaza, Corning Tower, Albany, NY 
12237

    Contact person: Edward Salsberg, Director of the Bureau of 
Health Resources Development.

North Carolina

Mr. James D. Bernstein, Director, North Carolina Office of Rural 
Health and Resource Development, 311 Ashe Avenue, Raleigh, NC 27606

North Dakota

Jon R. Rice, M.D., State Health Officer, State Department of Health 
and Consolidated Laboratories, 600 East Boulevard Avenue, Bismarck, 
ND 58505-0200

Oklahoma

Robert D. Vincent, Ph.D., Deputy Commissioner, Health Promotion and 
Policy Analysis, 1000 NE 10th Street, Oklahoma City, OK 73117-1299

Rhode Island

Patricia Nolan, M.D., M.P.H., Director, Rhode Island Department of 
Health, Cannon Building, 3 Capitol Hill, Providence, RI 02908-5097

South Carolina

Mr. Mark Jordan, Director, Office of Primary Care, Department of 
Health and Environmental Control, 2600 Bull Street, Columbia, SC 
29201

South Dakota

Ms. Barbara A. Smith, Secretary, South Dakota Department of Health, 
445 East Capitol Avenue, Pierre, SD 57501-3185

Tennessee

Dr. Fredia Wadley, Commissioner, Tennessee Department of Health, 9th 
Floor, Tennessee Tower, 312 8th Avenue North, Nashville, TN 37247-
0101

Texas

Dr. David Smith, Commissioner of Health, Texas Department of Health, 
1100 West 49th Street, Austin, TX 78756-3199

Vermont

Jan K. Carney, M.D, M.P.H., Commissioner, Vermont Department of 
Health, 108 Cherry Street, P.O. Box 70, Burlington, VT 05402

Washington

Mr. Verne A. Gibbs, Director, Washington State Department of Health, 
Community and Rural Health, P.O. Box 47834, Olympia, WA 98504-7834

West Virginia

Ms. Gretchen O. Lewis, Secretary (Signator), Department of Health 
and Human Resources, Building 3, Room 206, State Capitol Complex, 
Charleston, WV 25305

    Applications to go to following for review: Linda Atkins, 
Director, Health Professions Recruitment Program, 1411 Virginia 
Street, East, Charleston, WV 25301.

Wisconsin

John D. Chapin, Interim Administrator, Wisconsin Divison of Health, 
P.O. Box 309, Madison, WI 53701-0309

[FR Doc. 95-25224 Filed 10-11-95; 8:45 am]
BILLING CODE 8230-01-M