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Chris Musillo on Nurse and Allied Health Immigration

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  1. DECEMBER 2017 VISA BULLETIN: ANALYSIS

    by , 11-14-2017 at 09:14 AM (Chris Musillo on Nurse and Allied Health Immigration)
    by Chris Musillo

    The Department of State has just issued the December 2017 Visa Bulletin. This is the third Visa Bulletin of Fiscal Year 2018. This blog post analyzes this month's Visa Bulletin.


    December 2017 Visa Bulletin

    Final Action Dates -- Applications with these dates may be approved for their Green Card (Permanent Residency card) or Immigrant Visa appointment.

    EB
    Class
    All Other
    CHINA
    INDIA
    MEXICO
    PHIL'PNES
    EB-1
    C
    C
    C
    C
    C
    EB-2
    C
    01JUL13
    01NOV08
    C
    C
    EB-3
    C
    08MAR14
    15OCT06
    C
    15JAN16

    MU Law Analysis

    All Other: The EB-2 has been current for many years. The EB-3 is also current and is expected to remain current for the foreseeable future.

    China (mainland-born): Both China EB-2 and EB-3 progressed about one month. The China EB-3 remains more favorable than Chinese EB-2. The odd situation of China EB-3 progressing faster than China EB-2 will remain to be the case for the foreseeable future.

    India: India EB-2 progressed about one month, which is what we except the monthly progressions will be in FY 2018. Unfortunately, India EB-3 did not move. Recently, the DOS said that EB-3's progression will be "limited." MU suspects that EB-3 will not progress at any notable rate until at least the India EB-3 date moves past the Visa Gate date of August 2007.

    Mexico: Mirrors All Other in analysis.

    Philippines: The Philippine EB-3 date stayed in January 2016, reflecting the fact that demand for the Philippine EB-3s recommenced heavy demand in 2016. This increased demand will be the cause for slower progressions in the FY2018, progressing no more than 1-2 months per Visa Bulletin.


    Please read the Musillo Unkenholt Healthcare and Immigration Law Blog at www.musillo.com and www.ilw.com. You can also visit us on Facebook, Twitter and LinknedIn.

    Updated 11-14-2017 at 09:17 AM by CMusillo

  2. REUTERS: NURSING CRISIS STRAINS U.S. HOSPITALS

    by , 11-13-2017 at 10:54 AM (Chris Musillo on Nurse and Allied Health Immigration)
    by Chris Musillo

    Reuters reports that health care facilities all across the US are facing dire nurse staffing shortages, which are leading to increased expenses related to staffing. They interviewed over 20 hospitals across the US and found nearly universal concerns tied to a lack of nurses.

    Reuters cites a Staffing Industry Analysts report that says that the “cost nationwide for travel nurses alone nearly doubled over three years to $4.8 billion in 2017”. For instance, “university-affiliated J.W. Ruby Memorial Hospital in Morgantown is spending $10.4 million in 2017 compared with $3.6 million a year earlier to hire and retain nurses.”

    The article highlights the classic reason for the shortage, which have long been on the industry’s radar. For instance:

    Baby Boom Generation Demand. The US Baby Boom generation, those born 1946-1964, has reached an age where they will increasingly demand nursing services. As The Atlantic points out:

    Today, there are more Americans over the age of 65 than at any other time in U.S. history. Between 2010 and 2030, the population of senior citizens will increase by 75 percent to 69 million, meaning one in five Americans will be a senior citizen; in 2050, an estimated 88.5 million people in the U.S. will be aged 65 and older.

    Aging Nursing Workforce. Out of the 3 million US nurses, one million are over age 50 and will be expected to retire in the next 10-15 years.

    Few Nurse Educators. Nursing Ph.D. programs have been unable to attract nursing faculty. These nurses Ph.D’s have traditionally made up large numbers of nursing school faculty. Part of the reason for this is that a Bachelor nursing graduate is usually offered a job at graduation, thus reducing that graduate’s incentive to seek out graduate nursing education. Without a dramatic increase in nurse faculty, it will be impossible for the US to supply enough nurses to meet the demand.

    Distribution Challenges. Some of the American nursing problem stems from the lack of mobility ion the nursing force. Nurses are often unwilling to leave their hometowns for jobs in rural areas or high-nurse demand areas, even if those positions pay better.

    Lack of Foreign-Nurses. Because of a terribly though-out US immigration policy, it takes a nurse from the Philippines many years to legally obtain a visa, in spite of the nursing shortage. The Philippines has traditionally been the greatest supplier of US nurses. The story is even worse for India, which would certainly be able to supply the US with many nurses if it did not take 10 years for a fully-qualified nurse to obtain a US visa. As a result of the lack of US nursing visa options, foreign-trained nurses have declined sitting for the US licensing exams.


    Please read the Musillo Unkenholt Healthcare and Immigration Law Blog at www.musillo.com and www.ilw.com. You can also visit us on Facebook, Twitter and LinknedIn.
  3. DIVERSITY VISA LOTTERY PROGRAM

    by , 11-10-2017 at 09:25 AM (Chris Musillo on Nurse and Allied Health Immigration)
    by Maria Schneider

    After the tragic terrorist attack in New York, President Trump recommended eliminating the Diversity Visa Lottery program (DV Lottery). Many of our blog readers have likely not heard of the DV Lottery. Here are some key points about the DV Lottery:


    • The DV Lottery was established by an Act of Congress in 1990. Fifty Thousand green cards are allocated to the DV Lottery and are reserved for countries with a historically low rate of immigration to the US. The DV Lottery countries are identified each year by the US Department of State.
    • DV Lottery applicants must register on-line for the lottery. There is no fee to register or apply for the DV Lottery.
    • In addition to being a native of one of the named countries, DV Lottery applicants must meet certain educational or skilled work requirements.
    • In 2015, which is the last year for which we have statistics, close to 14.5 million people around the world applied for the 50,000 DV Lotter green cards.
    • Those who are selected will be notified through the Entrant Status Check, E-DV Website. DV Lottery winners are never notified by hard copy mail or email. There is widespread fraud around the DV Lottery program, so applicants must ensure that their notification of lottery winning is in fact from the US Department of State.
    • DV Lottery winners must still meet all eligibility requirements before obtaining a green card. The requirements include the same security screening undergone by family-based and employment-based green card applicants before obtaining a green card.
    • In addition to the standard screening, all DV Lottery winners must appear for an in-person interview with an Immigration of Embassy Officer.
    • If processing of the DV Lottery winner’s application cannot be completed before the end of the US government’s fiscal year, due to background checks, resource limitations, or other issues, the DV Lottery winner's application will be denied, and the opportunity to obtain the green card will be lost.


    Please read the Musillo Unkenholt Healthcare and Immigration Law Blog at www.musillo.com and www.ilw.com. You can also visit us on Facebook, Twitter and LinknedIn.
  4. AFTER LONG DELAYS CISSNA SWORN IN AS DIRECTOR OF USCIS; NIELSEN NOMINATED FOR DHS

    by , 10-19-2017 at 02:29 PM (Chris Musillo on Nurse and Allied Health Immigration)
    by Chris Musillo

    To little fanfare, L. Francis Cissna was finally sworn in as Director of the USCIS. Pres. Trump originally nominated Cissna in April. There was little news coming out of Washington explaining the delay in Cissna’s appointment. The lack of information led to plenty of speculation about the delay. Cissna served in various capacities within the Department of Homeland Security, most recently as the Director, Immigration Policy within the DHS Office of Policy,

    Delayed appointments are nothing new for this administration. The DHS has been without a leader since Secy. Kelly became Pres. Trump’s Chief of Staff in July. The administration finally nominated Kirstjen Nielsen earlier in October, more than two months since Secy. Kelly’s promotion.

    Axios did not have favorable reporting on Ms. Nielsen,

    “Nielsen is not a beloved figure at DHS; just as she wasn't inside the White House. She has a very sharp-elbowed approach to doing business and doesn't command anywhere near the respect that her predecessor, Kelly, did, according to more than half a dozen sources who've worked with her.”

    Please read the Musillo Unkenholt Healthcare and Immigration Law Blog at www.musillo.com and www.ilw.com. You can also visit us on Facebook, Twitter and LinknedIn.
  5. NOVEMBER 2017 VISA BULLETIN: ANALYSIS AND PREDICTIONS

    by , 10-12-2017 at 10:15 AM (Chris Musillo on Nurse and Allied Health Immigration)
    by Chris Musillo

    The Department of State has just issued the November 2017 Visa Bulletin. This is the second Visa Bulletin of Fiscal Year 2018. This blog post analyzes this month's Visa Bulletin.

    November 2017 Visa Bulletin

    Final Action Dates -- Applications with these dates may be approved for their Green Card (Permanent Residency card) or Immigrant Visa appointment.


    EB
    Class
    All Other CHINA INDIA MEXICO PHIL'PNES
    EB-1 C C C C C
    EB-2 C 15JUN13 08OCT08 C C
    EB-3 C 01FEB14 15OCT06 C 15JAN16


    MU Law Analysis

    All Other: The EB-2 has been current for many years. The EB-3 is also current and is expected to remain current for the foreseeable future.

    China (mainland-born): China EB-1 reverted to Current. Our sense is that it will stay Current for much of the fiscal year. Both China EB-2 and EB-3 progressed one month. The China EB-3 remains more favorable than Chinese EB-2. The odd situation of China EB-3 progressing faster than China EB-2 will remain to be the case for the foreseeable future.

    India: India EB-2 progressed about one month, which is what we except the monthly progressions will be in FY 2018. Unfortunately, India EB-3 did not move. A few weeks ago, the DOS said that EB-3's progression will be "limited." MU suspects that EB-3 will not progress at any notable rate until at least the India EB-3 date moves past the Visa Gate date of August 2007.

    Mexico: Mirrors All Other in analysis.

    Philippines: The Philippine EB-3 number essentially cleaned out all of the 2010 through 2015 EB-3 visas in FY2017. The demand for Philippines EB-3 numbers increased dramatically in 2016-17. This increased demand will be the cause for slower progressions in the FY2018, probably progressing 1-2 months per Visa Bulletin.

    Please read the Musillo Unkenholt Healthcare and Immigration Law Blog at www.musillo.com and www.ilw.com. You can also visit us on Facebook, Twitter and LinknedIn.
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