H.R. 1585 (119th)Bill Overview

Conrad State 30 and Physician Access Reauthorization Act

Immigration|Immigration
Cosponsors
Support
Lean Democratic
Introduced
Feb 25, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on the Judiciary.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill reauthorizes and expands the Conrad State 30 J-1 physician waiver program and updates related immigration rules. It eases pathways for foreign physicians to work and later seek immigrant classification, requires employment-contract protections, adjusts state waiver allotments, and mandates annual reporting to Congress.

Why people may split

Libs emphasize access and worker protections; conservatives stress immigration expansion concerns

Watch point

Narrow, bipartisan‑appearing healthcare workforce goal and technical fixes increase House prospects.

This bill reauthorizes and expands the Conrad State 30 J-1 physician waiver program and updates related immigration rules.

It eases pathways for foreign physicians to work and later seek immigrant classification, requires employment-contract protections, adjusts state waiver allotments, and mandates annual reporting to Congress.

Passage45/100

Technocratic, targeted reforms favorability among healthcare stakeholders helps; standalone immigration changes face Senate obstacles.

CredibilityPartial

How solid the drafting looks.

Contention55/100

Libs emphasize access and worker protections; conservatives stress immigration expansion concerns

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedFederal agencies · Employers

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitLikely increases physician retention in rural and underserved areas by expanding waiver availability and incentives.
  • Potential benefitCreates clearer immigration and residency pathways, encouraging international medical graduates to remain in U.S. pract…
  • Potential benefitImproves working conditions via contract protections like on‑call limits, malpractice coverage, and non‑compete bans.
Likely burdened
  • Potential burdenExpanding waivers and status changes may increase immigration benefits without corresponding offsets.
  • Federal agenciesImplementing new allotment formulas and reporting will increase administrative workload for federal and State agencies.
  • EmployersEmployers may face higher compliance costs adapting contracts and providing malpractice assurances.
03 · Why people split

Why the argument around this bill splits.

Libs emphasize access and worker protections; conservatives stress immigration expansion concerns
Progressive90%

Overall supportive.

The bill strengthens rural and underserved care access, adds worker protections, and helps immigrant physicians and their families secure stability.

It is seen as a targeted, pragmatic federal intervention addressing health inequity.

Leans supportive
Centrist75%

Cautiously favorable.

The bill advances pragmatic fixes to physician shortages while adding sensible employment safeguards and reporting.

It balances workforce needs with administrative controls, but requires clear implementation and cost oversight.

Leans supportive
Conservative35%

Skeptical.

While recognizing the need for more doctors in rural areas, this bill expands immigration exceptions and family benefits, restricts employer contractual rights, and increases waivers, raising concerns about immigration policy and employer flexibility.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood45/100

Technocratic, targeted reforms favorability among healthcare stakeholders helps; standalone immigration changes face Senate obstacles.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • No cost estimate or CBO score included
  • Senate cloture/filibuster risk for immigration changes
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Libs emphasize access and worker protections; conservatives stress immigration expansion concerns

Technocratic, targeted reforms favorability among healthcare stakeholders helps; standalone immigration changes face Senate obstacles.

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for Conrad State 30 and Physician Access Reauthorization Act.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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