Appendix H Conrad 30 State Chart

• Jurisdiction: United States

ALABAMA

http://www.alabamapublichealth.gov/ruralhealth/j1visa.html

Niko Phillips

334-206-3807

niko.phillips@adph.state.al.us

Designation Areas Accepted

HPSA or MUA

Definition of Primary Care

Family Practice, Internal Medicine, Pediatrics, OB/GYN & Psychiatry; Geriatrics considered part of Internal Medicine and qualifies as PC

Accept Sub-Specialties

Up to 20 slots, only 2 slots per employer (2 more slots may be granted after April 1). Slots granted on a first come, first served basis based on need. Rural hospitals participating in the Medicare Rural Hospital Flexibility Program and other employers located in non-Metropolitan Statistical Areas are allowed to submit sub- specialty applications year round.

Required Contract Terms

Must include a specified liquidated damages clause; incorporate all the terms and conditions of the AL Waiver Program; cannot include non-compete restrictions

Required Recruitment

Advertising required at 3 levels: national, in-state, & AL med schools, all in the 6 months before applying. Web ads not accepted as proof. Must submit actual copies & written proof of receipt from Alabama medical schools.

Flexibility Slot Policy

Does not use FLEX slots.

Other

Applications for primary care, mental health, & rural facility sub- specialist applications accepted beginning Oct. 2, 2017; sub-specialist applications for non- rural facilities accepted beginning Jan 9, 2017. Physician must be BE/BC in the specialty. Sub-specialists must certify they are BE/BC in the sub-specialty. Primary care physicians must provide 40 hours of direct primary care per week. Sub-specialty practice does not count towards the 40 hours. Primary care may be based in a hospital emergency department if a triage system is in place. Physician must have unrestricted Alabama medical license or proof the application was submitted. Employer must certify that it is licensed and located in Alabama.

ALASKA

http://dhss.alaska.gov/dph/HealthPlanning/Pages/workforce/workforce_home.aspx

Jerrine

Regester

907-465-5669

jerrine.regester@alaska.gov

Designation Areas Accepted

HPSA or MUA

Definition of Primary Care

N/A

Accept Sub-Specialties

Up to 10 slots

Required Contract Terms

40 hours a week for 3 years. Must contain signatures of the physician and the head of the facility.

Required Recruitment

Must submit proof of unsuccessful efforts, such as copes of ads, labor certification or description in cover letter.

Flexibility Slot Policy

Must submit proof that a significant amount of care is provided to those residing in a HPSA or MUA.

Other

Statement from facility director and physician that they will submit a letter every 6 months confirming physician’s employment.

ARIZONA

http://www.azdhs.gov/hsd/workforce/j-1-waiver/index.htm

Ana Lyn Roscetti

602-542-1066

ana.lyn.roscetti@azdhs.gov

Designation Areas Accepted

Primary Care HPSA, MHPSA, Federal MUA or MUP

Definition of Primary Care

Family Practice, General Practice, Pediatrics, OB/GYN, Internal Medicine Hospitalists & Psychiatry

Accept Sub-Specialties

Up to 7 slots reserved for full-time specialists

Required Contract Terms

40 hours a week (160 hours per month) for 3 years; must specify that approved PC/SS services will be provided; must start work within 90 days; must specify work site address; no non- compete clause; termination only for cause, not by mutual agreement; may not change the essential terms of the contract as required by the ADHS J-1 Visa Waiver Program; both physician and employer must sign

Required Recruitment

Must include a description of efforts & copies of ads. Must list the number of U.S. physicians who applied & the outcome of any interviews. Must show a good faith effort to recruit U.S. physicians in the same salary range

Flexibility Slot Policy

Does not support FLEX waivers. Site must be located in HPSA, MUA or MUP.

Other

Applications accepted October 1 through November 30, 2018. Facility must complete service site application. Physician should first contact Department to verify eligibility before applying. Must submit quarterly reviews.

ARKANSAS

https://www.healthy.arkansas.gov/programs-services/topics/j-1-visa-waiver-program

Jane Gaskill

501-661-2201

Jane.Gaskill@arkansas.gov

Designation Areas Accepted

HPSA, MHPSA, MUA, MUP or Facility Designation

Definition of Primary Care

Family Practice, Internal Medicine, Pediatrics, Gerontology, OB/GYN & Psychiatry. No distinction between primary care & specialties.

Accept Sub-Specialties

Yes

Required Contract Terms

40 hours a week for 3 years; salary; physician & employer must agree to comply with INA §214; physician & employer must sign & date; no non-compete/non-solicitation clauses.

Required Recruitment

Detailed description of efforts for the 6 months prior to application. Submit copies of ads, vacancy announcements, agreements with placement services, medical school postings, etc.

Flexibility Slot Policy

10 slots will be available if any slots remain after March 31. They are filled on a first come, first served basis. Must submit evidence that a min of 30% of their current patient base resides in a HPSA or MUA/P.

Other

Applications accepted Oct 1 through Sep 15. Facility must be in operation 6 months prior to application.

CALIFORNIA

http://www.dhcs.ca.gov/services/rural/Pages/J-1VisaWaiver.aspx

April Freitas

916-449-5757

April.freitas@dhcs.ca.gov

Designation Areas Accepted

HPSA, MUA or MUP

Psychiatrists must work in a federally designated MHPSA

Definition of Primary Care

Family Medicine, General Pediatrics, General OB/ GYN, General Internal Medicine, General Psychiatry

Accept Sub-Specialties

Accepts sub- specialists only if slots remain after July 1

Required Contract Terms

40 hours a week for 3 years; must start work within 90 days

Required Recruitment

Describe efforts to recruit a US physician and submit copies of ads, placement agreements etc. Must also provide long-range plans for retention of foreign physician.

Flexibility Slot Policy

5 slots may be used if slots remain. Must show a significant percentage of the physician’s patients reside in one or more designated underserved areas.

Other

Applications accepted for PC only from Oct 1. SS applications accepted from July 1. Facility’s patients must be 30% Medicaid (MediCal) or a combination of at least 30% MediCal and uninsured.

COLORADO

https://www.colorado.gov/pacific/cdphe/j-1-visa-waiver-program

Kent O’Connor

303-692-6399

kent.oconnor@state.co.us

Designation Areas Accepted

HPSA, MHPSA, MUA or MUP

Definition of Primary Care

Family Practice, General Practice, Internal Medicine, OB/GYN, Pediatrics, Psychiatry

Accept Sub-Specialties

Yes, but preference for primary care. Employer must show a shortage of the specialty in the area of service.

Required Contract Terms

40 hours a week for 3 years, must start work within 90 days, describe primary or specialty care & amount of time providing direct patient care, describe service provided to underserved patients, no non- compete clauses.

Required Recruitment

Must show efforts for 6 months prior to application including length of time position was vacant, evidence and description of efforts to recruit a US physician, proof of efforts to recruit through NHSC, and proof proposed salary meets the prevailing wage.

Flexibility Slot Policy

10 slots may be used if evidence of a shortage in physician’s specialty is provided & facility can show a history of treating uninsured, Medicaid & Medicare patients.

Other

Applications accepted Oct 1 to Sep 30 on a first-come, first-served basis. Fee of $1,000. Must have plan for physician retention.

CONNECTICUT

http://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/J1-Visa-Program/J-1-Visa-Waiver-Program

Steve Carragher

860-509-7590

stephen.carragher@po.state.ct.us

Designation Areas Accepted

HPSA, MUA or MUP

Definition of Primary Care

N/A

Accept Sub-Specialties

Yes

Required Contract Terms

40 hours a week for 3 years; physician must agree to abide by INA; must agree to start within 90 days of the waiver

Required Recruitment

Evidence that efforts have failed

Flexibility Slot Policy

5 slots for those who show 30% of the patients reside in a designated shortage area; application cover page must state it is a Flex 5 Application.

Other

The state is currently revising the application process. Waiver applications will not be accepted until the new waiver process is approved in early 2019. The physician must be licensed in Connecticut. The program will not accept a pending medical license application.

DELAWARE

http://dhss.delaware.gov/dhss/dph/hsm/j1visahome.html

Joan Barnwell

302-744-4555

joan.barnwell@state.de.us

Designation Areas Accepted

HPSA or MUA

Definition of Primary Care

Family Practice, General Internal Medicine, Pediatrics or OB/GYN

Accept Sub-Specialties

Yes, if need is shown

Required Contract Terms

40 hours a week for 3 years; not less than 4 days a week; cannot include a restrictive covenant or non-compete clause or similar language, regardless of how they are labeled

Required Recruitment

Proof of failed attempts to recruit a U.S. physician

Flexibility Slot Policy

10 FLEX waivers are used in areas that are not designated as a HPSA, but nevertheless have been identified by the state as being underserved.

Other

Site applications must be submitted by June 30. Applications submitted after June 30 will be reviewed for emergent need only. Sites will be notified by September 15 if they may apply for a waiver. Waiver applications are accepted from October 1; 2 non-refundable fees: site application - $200; waiver application - $250.

DISTRICT OF COLUMBIA

https://dchealth.dc.gov/service/j1-visa-waiver-program

Ginger Pierce

202-442-5892

geraldine.pierce@dc.gov

Designation Areas Accepted

HPSA, MHPSA or MUA or MUP

Definition of Primary Care

Internal Medicine, OB/GYN, Family Medicine, Pediatrics & Psychiatry; priority for Primary Care

Accept Sub-Specialties

SS considered if they practice in areas related to Heart disease, Cancer, Cerebro- vascular disease, Accidents, HIV/...