Several health workforce pipeline issues are actively moving in both Congress and the Administration, even as Congressional Republicans focus on a reconciliation package addressing immigration and FY27 appropriations negotiations remain underway. With roughly six weeks of legislative session before the July 4th recess and a compressed calendar through November, the window to shape these measures and other issues requires sustained engagement.

Trump Administration Exempts International Physicians from Travel Ban 

Earlier this month, the Trump Administration quietly reversed policy permitting foreign doctors to receive visas to practice in the United States. A Department of Homeland Security policy stemming from a travel ban that was put in place in January had frozen decisions on visa extensions, work permits and green cards for citizens of 39 countries. Some physicians were subsequently placed on administrative leave by hospitals, and many others faced the imminent threat of being forced to stop working. Foreign physicians make up 25 percent of all doctors working in the United States, and more than 60 percent practice primary care.

While international medical graduates from the 39 affected countries should be able to move forward with visa processing, it may take a few weeks for the Administration to clear those backlogs. Please reach out if you are experiencing delays for impacted physicians or have any questions.

Department of Education Finalizes Rule on Graduate Loan Caps 

The Education Department issued a final rule last week that limits how much graduate students can borrow each year. Graduate nursing students will be capped at $20,500 annually, while medical students can access up to $50,000. The Grad PLUS program, which lets students borrow up to the full cost of attendance, ends in July.

Why this matters: Health systems are already facing shortages. Tighter borrowing limits may make it harder for future nurses, nurse practitioners, nurse anesthetists, and nurse midwives to pay for school, which could slow the pipeline, especially in rural and underserved areas. Recruiters should watch for enrollment shifts and consider whether scholarships, tuition support, or partnerships can help keep candidates on track. AAPPR will continue tracking the impact on the workforce in the months ahead.

H-1B Bill Continues to Grow Support, Senate Introduction Imminent

Support is growing for the bipartisan H 1Bs for Physicians and the Healthcare Workforce Act (H.R. 7961), which would exempt physicians and other health professionals from the $100,000 H 1B filing fee. International medical graduates are often the backbone of care in rural and underserved communities, filling primary care and specialty gaps where recruitment is hardest. Slapping a $100,000 H 1B filing fee onto each new hire would strain hospital and practice budgets, leading to fewer hires, longer wait times, and deeper shortages for patients who already face limited access.

Reps. Mike Lawler (R NY), Sanford D. Bishop, Jr. (D GA), Maria Elvira Salazar (R FL), and Yvette Clarke (D NY) are leading the House effort, with a bipartisan Senate introduction expected soon.

ICYMI – One Big Beautiful Bill Medicaid Implementation Webinar 

Last week’s webinar gave a high-level walkthrough of the Big Beautiful Bill (BBB), its biggest Medicaid and care-delivery changes, key implementation timelines, and what healthcare recruiters need to know now. We covered how BBB will shape workforce needs and recruitment strategies over the next several years, with practical guidance to prepare organizations for these changes. You can view the webinar by clicking here.