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 Guest Worker Program Hearings


​AHCA participated in House and Senate Committee Guest Worker Programs hearings and offered testimony about the challenges of hiring and retaining low to mid level nursing staff.


Immigration Reform

Immigration reform has long been a concern
for our AHCA/NCAL members since it would impact how we plan and recruit for our profession's future caregivers. A critical part of any immigration overhaul package must take into account ways to supply the U.S. economy with the workers it needs to recover from the downturn and grow. 

AHCA/NCAL has been working to bring attention to the need for comprehensive immigration reform by highlighting solutions to the chronic nursing shortage.

 Guiding Principles


AHCA/NCAL issued guiding principles for immigration reform earlier this year. These principles should be incorporated into any immigration reform effort:

  1. Let business and industry play a leading role. The long term and post-acute care profession is one of the largest job creators in the country and is willing and able to help drive solutions with Congress. Members of the long term care community employ immigrants and boost the economy. Any visa program must give employers, not the government, the primary say in which workers they need to staff their businesses. In addition, the labor market should also have the primary say in how many workers enter the country annually in a legal program.
  2. Create a viable guest worker program that would accommodate the needs of U.S. healthcare providers. The Health Resources and Services Administration (HRSA) projects that, absent aggressive intervention, the supply of nurses in America will fall 36 percent (more than 1 million nurses) below requirements by the year 2020.  AHCA urges the inclusion of allowing employers access to previously unused H-1B temporary work visas for nurses and physical therapists.
  3. Waive the cap on employment-based visas for nurses and physical therapists, speech therapists and those providing other therapies. The current temporary and permanent visa programs are insufficient and inadequate to accommodate the needs of U.S. health care providers. The permanent residence program provides approximately 5,000 annual visas for essential workers. Clearly, current programs cannot handle our continuing need for foreign-born, essential caregivers.

 Press Releases