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About the Conrad 30 Program

States can recommend waivers in order to get physicians into hard-to-fill placements where they will be serving the

medically undeserved. There has to be an element of expanding the safety net.

There are 30 waivers per year for each state. The waivers become available October 1. Some states fill all 30 slots

very quickly (a few hours); others never fill all 30 slots. Consult with the Primary Care Office (PCO) regarding state-

specific details.

Some states allow up to 10 waivers to be used for non-medically underserved placements (Flex waivers). The

balance can only be used for placements in medically designated areas.

Whether the waiver is a Flex or normal waiver, the underlying goal is to show that the IMG will provide safety-net

clinical services – i.e., serve the indigent and medically underserved and fill gaps in the medical delivery system.

If the J-1 waiver is granted, an IMG has a minimum three-year service obligation that needs to be fulfilled in H-1B

status (could be more by state).

How States Determine Areas of Need

HPSAs and Medically Underserved Areas (MUAs) are federal designations used to determine (among other things)

where J-1 waivers are applicable.



Also see:

to determine if your facility is

located in a designated shortage area.

Your state PCO will have further information regarding areas of need.

Potential State Variations

• Primary care vs. specialty care

• Application periods and filing deadlines

• Non-compete clauses

• Liquidated damages

• Filing fees

• Reporting requirements

• Mandatory period of service

• Eligible employer requirements

Other Agencies That Offer Waivers

• United States Department of Health and Human Services (US DHHS) - Information about the program can be found


and specific clinical care requirements can be found here: we-do/visitor-exchange-program/requirements-for-waiver-for-clinical-care.html

• Appalachian Regional Commission (ARC)

• Delta Regional Authority (DRA)

Conrad 30 J-1 Visa Waiver Program