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United States · Law · HR

H.R. 441 (106th)

Nursing Relief for Disadvantaged Areas Act of 1999

enactedUnited States· United States Congress· EN

Introduced

2 February 1999

Last action

12 November 1999 · President

Status

Became Public Law No: 106-95.

Sponsors

Rep. Rush, Bobby L. [D-IL-1], Rep. Hyde, Henry J. [R-IL-6]

Subjects

Healthcare, Immigration, Taxation, Education

Source updated

10 August 2026

Healthcare · Immigration · Taxation · Education

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Summary

Nursing Relief for Disadvantaged Areas Act of 1999 - Amends the Immigration and Nationality Act to establish a four-year nonimmigrant (H-1C visa) classification for nonimmigrant registered nurses in health professional shortage areas. Requires that an alien: (1) have a full foreign nursing license or has received U.S. nursing education; (2) have passed an appropriate examination or is a licensed nurse in the State of intended employment; and (3) be fully eligible to begin work in the petitioning facility. Requires the facility to file an employment attestation with the Department of Labor with respect to such alien (or aliens) evidencing that: (1) similarly employed nurse's wages and conditions will not be adversely affected; (2) the alien's wages will be the same as other similarly employed nurses; (3) steps are being taken to recruit U.S. nurses (as set forth by this Act); (4) no labor dispute is involved; (5) no more than one-third of the facility's registered nurses will be H-1C aliens; and (6) employment will not be performed at a facility other than the petitioning facility. Directs the Secretary of Labor to: (1) compile a public list of petitioning facilities; (2) establish a process for complaint receipt, investigation, and disposition (including civil monetary penalties) against a noncomplying facility; and (3) impose an attestation filing fee of up to $250. Limits: (1) aggregate fiscal year H-1C entrants to 500; and (2) fiscal year entrants in any one State to 25 and 50 in States with less or more than nine million inhabitants, respectively. Defines "facility" as a hospital: (1) in a health shortage area; (2) with at least 190 acute care beds; and (3) with at least 35 percent and 28 percent of its patients being Medicare and Medicaid patients, respectively. Repeals the nonimmigrant nursing program (H-1A visa). (Sec. 3) Directs the Secretary and the Secretary of Health and Human Services to recommend: (1) an alternative to the H-1C program as a permanent remedy to the registered nurse shortage; and (2) a more effective program enforcement system. (Sec. 4) Amends the Immigration and Nationality Act to exempt certain nurses and physical therapists from foreign health care worker certification requirements.

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Timeline

  1. 2 February 1999

    Introduced

    Referred to the House Committee on the Judiciary.

    Source: IntroReferral

  2. 2 February 1999

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 2 February 1999

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 25 February 1999

    Referred

    Referred to the Subcommittee on Immigration and Claims.

    Source: Committee

  5. 18 March 1999

    Committee

    Forwarded by Subcommittee to Full Committee by Voice Vote.

    Source: Committee

  6. 18 March 1999

    Committee

    Subcommittee Consideration and Mark-up Session Held.

    Source: Committee

  7. 24 March 1999

    Reported

    Ordered to be Reported by Voice Vote.

    Source: Committee

  8. 24 March 1999

    Committee

    Committee Consideration and Mark-up Session Held.

    Source: Committee

  9. 12 May 1999

    Calendars

    Placed on the Union Calendar, Calendar No. 75.

    Source: Calendars

  10. 12 May 1999

    Reported

    Reported by the Committee on Judiciary. H. Rept. 106-135.

    Source: Committee

  11. 12 May 1999

    Reported

    Reported by the Committee on Judiciary. H. Rept. 106-135.

    Source: Committee

  12. 24 May 1999

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

  13. 24 May 1999

    Passed

    On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H3474-3476)

    Source: Floor

  14. 24 May 1999

    Passed

    Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.(text: CR H3474-3476)

    Source: Floor

  15. 24 May 1999

    Floor

    DEBATE - The House proceeded with forty minutes of debate on H.R. 441.

    Source: Floor

  16. 24 May 1999

    Floor

    Considered under suspension of the rules. (consideration: CR H3474-3478)

    Source: Floor

  17. 24 May 1999

    Floor

    Mr. Rogan moved to suspend the rules and pass the bill.

    Source: Floor

  18. 27 May 1999

    Introduced

    Received in the Senate and read twice and referred to the Committee on Judiciary.

    Source: IntroReferral

  19. 24 June 1999

    Reported

    Committee on Judiciary. Reported to Senate by Senator Hatch without amendment. Without written report.

    Source: Committee

  20. 24 June 1999

    Calendars

    Placed on Senate Legislative Calendar under General Orders. Calendar No. 168.

    Source: Calendars

  21. 24 June 1999

    Reported

    Committee on Judiciary. Reported to Senate by Senator Hatch without amendment. Without written report.

    Source: Committee

  22. 22 October 1999

    Floor

    Measure laid before Senate by unanimous consent. (consideration: CR S13604-13605)

    Source: Floor

  23. 22 October 1999

    Passed

    Passed/agreed to in Senate: Passed Senate with amendments by Unanimous Consent.

    Source: Floor

  24. 25 October 1999

    Floor

    Message on Senate action sent to the House.

    Source: Floor

  25. 2 November 1999

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: ResolvingDifferences

  26. 2 November 1999

    Passed

    On motion that the House suspend the rules and agree to the Senate amendment Agreed to by voice vote. (consideration: CR H11321-11324)

    Source: ResolvingDifferences

  27. 2 November 1999

    Passed

    Resolving differences -- House actions: On motion that the House suspend the rules and agree to the Senate amendment Agreed to by voice vote.(consideration: CR H11321-11324)

    Source: NotUsed

  28. 2 November 1999

    Floor

    DEBATE - The House proceeded with forty minutes of debate on the Senate amendment to H.R. 441.

    Source: Floor

  29. 2 November 1999

    ResolvingDifferences

    Mr. Smith (TX) moved that the House suspend the rules and agree to the Senate amendment.

    Source: ResolvingDifferences

  30. 3 November 1999

    Floor

    Presented to President.

    Source: Floor

  31. 3 November 1999

    President

    Presented to President.

    Source: President

  32. 12 November 1999

    Became law

    Became Public Law No: 106-95.

    Source: President

  33. 12 November 1999

    Became law

    Signed by President.

    Source: BecameLaw

  34. 12 November 1999

    President

    Signed by President.

    Source: President

Votes

No vote records are attached yet.

Versions

Documents

18 official files

Enrolled Bill (text)

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  • Enrolled Bill (text)

    Enrolled Bill · EN

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  • Enrolled Bill (PDF)

    Enrolled Bill · EN

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  • Public Law (text)

    Public Law · EN · 12 November 1999

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  • Public Law (PDF)

    Public Law · EN · 12 November 1999

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  • Engrossed Amendment Senate (text)

    Engrossed Amendment Senate · EN · 22 October 1999

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  • Engrossed Amendment Senate (PDF)

    Engrossed Amendment Senate · EN · 22 October 1999

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  • Passed Senate amended

    summary · EN · 22 October 1999

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  • Reported to Senate (text)

    Reported to Senate · EN · 24 June 1999

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  • Reported to Senate (PDF)

    Reported to Senate · EN · 24 June 1999

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  • Referred in Senate (text)

    Referred in Senate · EN · 27 May 1999

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  • Referred in Senate (PDF)

    Referred in Senate · EN · 27 May 1999

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  • Engrossed in House (text)

    Engrossed in House · EN · 24 May 1999

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  • Engrossed in House (PDF)

    Engrossed in House · EN · 24 May 1999

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  • Reported in House (text)

    Reported in House · EN · 12 May 1999

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  • Reported in House (PDF)

    Reported in House · EN · 12 May 1999

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  • Introduced in House (text)

    Introduced in House · EN · 2 February 1999

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  • Introduced in House (PDF)

    Introduced in House · EN · 2 February 1999

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  • Introduced in House

    summary · EN · 2 February 1999

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