Bipartisan legislation would strengthen the Conrad 30 program, expanding flex waivers and creating a national match portal to connect physicians with underserved communities

The Association for Advancing Physician and Provider Recruitment (AAPPR), the leading authority on physician recruitment, onboarding and retention, today announced its support for the Physician Workforce Optimization Act, bipartisan legislation introduced by Sen. Kevin Cramer (R-ND) and Sen. Amy Klobuchar (D-MN) to strengthen the Conrad 30 J-1 Visa Waiver Program and expand access to care in underserved communities.

The Conrad 30 Program allows states to request waivers of the two-year home residency requirement for J-1 visa physicians in exchange for at least three years of full-time service in health professional shortage areas. Each state receives up to 30 waivers annually, including flex waivers for physicians serving underserved patient populations outside designated shortage areas. However, states frequently exhaust their flex waiver allocations while other Conrad waiver slots remain unused, a structural imbalance that disproportionately affects smaller and rural states that depend on flex waivers to deliver care to their communities. Additionally, physicians who apply to states where waiver slots fill quickly have no structured pathway to connect with states that have unfilled slots.

The Physician Workforce Optimization Act addresses these challenges by increasing the number of flex waivers available to each state from 10 to 15 and establishing a national secondary physician match portal. The portal would allow physicians who were not selected or unable to apply in their preferred state to be matched with states that have unused waiver slots, improving physician placement efficiency in medically underserved areas.

“AAPPR strongly supports the Physician Workforce Optimization Act,” said Carey Goryl, AAPPR CEO. “By expanding flex waiver capacity and creating a structured secondary match portal, this legislation provides a practical solution for smaller states that have historically struggled to attract applicants or fully utilize their programs. AAPPR is committed to ensuring that every community has access to the physician workforce it needs, and this bill is a meaningful step toward strengthening healthcare access nationwide.”

AAPPR thanks Sen. Cramer and Sen. Klobuchar for their bipartisan leadership on this issue and looks forward to working with Congress to advance policies that strengthen physician recruitment and ensure every community can access the healthcare providers it needs.

For more information about AAPPR and its advocacy efforts, visit aappr.org/government-affairs/.

About The Association for Advancing Physician and Provider Recruitment

The Association for Advancing Physician and Provider Recruitment (AAPPR) is the mission-aligned authority on addressing clinical workforce shortages and expanding access to care. For more than 30 years, AAPPR has connected and supported physician and provider recruitment professionals who serve as strategic partners within hospitals and health systems nationwide. Today, AAPPR represents over 2,700 members. Fully integrated into their organizations, AAPPR members lead the full recruitment continuum, designing hiring, onboarding, and retention strategies that mitigate vacancy impacts and strengthen care delivery. Guided by our RECRUIT values – Respect, Equity, Collaboration, Responsibility, Understanding, Inclusion, and Trust – AAPPR and its members cultivate a diverse, data-informed workforce dedicated to ensuring equitable access to care. To learn more or to become an organizational member of AAPPR, please visit https://aappr.org/join-now.

Media Contact:

Alexis Schuchert
Franco
aschuchert@franco.com

Alysia Gradney
AAPPR
agradney@aappr.org