H.R. 1585 · 119th Congress

Conrad State 30 and Physician Access Reauthorization Act

Introduced on Feb 25, 2025 by David G. Valadao (R-CA-22). 66 cosponsors, 57 of them from another party. Latest action (Feb 25, 2025): Referred to the House Committee on the Judiciary.

Stage
Introduced
Introduced
Feb 25, 2025
Cosponsors
66
57 from the other party
Policy area
Immigration
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To provide incentives to physicians to practice in rural and medically underserved communities, and for other purposes.

Summary

By the Congressional Research Service (Introduced in House, Feb 25, 2025). Public domain.

Conrad State 30 and Physician Access Reauthorization Act

This bill modifies the Conrad 30 Waiver program, which incentivizes qualified foreign physicians to serve in underserved communities. It also extends statutory authority for the program for three years from this bill's enactment.

Individuals coming to the United States under a J-1 nonimmigrant visa to receive medical training typically must leave the country and reside for two years abroad before being eligible to apply for an immigrant visa or permanent residence. The Conrad program waives this requirement for individuals who meet certain qualifications, including serving for a number of years at a health care facility in an underserved area.

The bill increases the number of waivers that a state may obtain each fiscal year from 30 to 35 if a certain number of waivers were used the previous year, and provides for further adjustments depending on demand.

A physician may be employed at an academic medical center to meet the Conrad program's employment requirements if the physician's work is in the public interest, even if the medical center is not in an underserved area.

Employment contracts for physicians under the Conrad program shall contain certain information, such as the maximum number of on-call hours per week the physician shall have to work.

Certain physicians (along with the physician's spouse and children) shall be exempt from the direct annual numerical limits on immigration, including those physicians that have met certain requirements related to visas for physicians to serve in underserved areas.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

David G. ValadaoR-CA-22Sponsor

Democrats · 57

Republicans · 9

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Feb 25, 2025Introduced in House
  2. Feb 25, 2025Introduced in House
  3. Feb 25, 2025 · HouseReferred to the House Committee on the Judiciary.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. AMERICAN COLLEGE OF PHYSICIAN SERVICES, INC6 reports
    $1.4M reported (all issues)
  2. AMERICAN COLLEGE OF PHYSICIANS6 reports
    $551.1K reported (all issues)
  3. AMERICAN COLLEGE OF RHEUMATOLOGY6 reports
    $560K reported (all issues)
  4. AMERICAN HOSPITAL ASSOCIATION6 reports
    $36M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  5. AMERICAN PSYCHIATRIC ASSOCIATION6 reports
    $1.4M reported (all issues)Federal contractor: AMERICAN PSYCHIATRIC ASSOCIATION$645K in contracts, FY2026AI match · 100%
  6. American Medical Association6 reports
    $36.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  7. Association of American Medical Colleges6 reports
    $4.4M reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%
  8. MASSACHUSETTS MEDICAL SOCIETY6 reports
    $330K reported (all issues)
  9. PREMIER INC.6 reports
    $1.1M reported (all issues)
  10. Sanford Health6 reports
    $480K reported (all issues)Federal contractor: SANFORD HEALTH$34.5K in contracts, FY2026AI match · 100%
  11. Society of Hospital Medicine6 reports
    $240K reported (all issues)
  12. TRINITY HEALTH5 reports
    $1.2M reported (all issues)Federal contractor: TRINITY HEALTH$226.3K in contracts, FY2026AI match · 95%
  13. COLLEGE OF AMERICAN PATHOLOGISTS4 reports
    $646.3K reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  14. Society for Human Resource Management4 reports
    $1.3M reported (all issues)Federal contractor: SOCIETY FOR HUMAN RESOURCE MANAGEMENTAI match · 100%
  15. Vanteo fka BDV SOLUTIONS LLC4 reports
    $585K reported (all issues)
  16. Americans for Prosperity3 reports
    $1.1M reported (all issues)
  17. BDV SOLUTIONS LLC2 reports
    $110K reported (all issues)
  18. California Medical Association Inc.2 reports
    $161.9K reported (all issues)
  19. Stony Brook University, SUNY Stony Brook2 reports
    $225K reported (all issues)Federal contractor: STONY BROOK UNIVERSITY HOSP$324.2K in contracts, FY2026AI match · 94%
  20. THE SOCIETY OF THORACIC SURGEONS2 reports
    $516.2K reported (all issues)
  21. AMERICAN ACADEMY OF NEUROLOGY1 report
    $460K reported (all issues)
  22. American College of Obstetricians and Gynecologists1 report
    $660K reported (all issues)
  23. CHRISTIANACARE1 report
    $8,000 reported (all issues)
  24. FEDERATION OF AMERICAN HOSPITALS1 report
    $1M reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.