At Zneimer & Zneimer P.C., our experienced immigration attorneys often guide physicians through the complicated process of moving from a J-1 visa waiver to a green card. Many physicians who secure a Conrad 30 waiver, DHHS waiver, or other J-1 waiver believe they can immediately apply for adjustment of status, but the law is clear that a J-1 physician must complete the full three-year service obligation before filing for a green card through adjustment of status.
Understanding this requirement is critical for avoiding delays, denials, and immigration complications.
Why Does the Three-Year Service Requirement Exist?
The legal foundation comes directly from the Immigration and Nationality Act (INA) and its regulations. According to the INA, a physician who received a J-1 waiver based on agreeing to serve in an underserved area may not apply for a green card until completing the required service. The INA specifically prohibits a J-1 waiver physician from applying for adjustment of status until completing at least three years of full-time employment in a designated shortage area.
Federal regulations bar J-1 waiver physicians from filing Form I-485 until the service is completed and require physicians to submit evidence proving that they have fulfilled the three-year commitment before adjustment of status can be filed.
In other words, physicians cannot adjust status while still working toward completion of their waiver service. Filing early will result in a denial.
Physician National Interest Waivers (PNIW): Is There an Exception?
Some physicians pursue a Physician National Interest Waiver (PNIW) to obtain permanent residence without employer sponsorship. However, even for PNIW applicants, the three-year service completion rule applies. Specifically, the National Interest Waiver for physicians requires:
- The physician to work full-time in a medically underserved area or a Veterans Affairs facility.
- The physician to complete either three or five years of service (depending on when the petition was filed).
- The physician must complete the required service before adjustment of status can be granted.
A physician applying for a PNIW may file the I-140 petition before completing the service. However, the Form I-485 adjustment of status application cannot be approved until the physician satisfies the full three- or five-year service requirement. USCIS will hold the I-485 pending until the service is completed. There is no exception that allows a physician who has not completed the service obligation (whether for a J-1 waiver or PNIW) to actually receive a green card through adjustment.
To summarize the NIW and J-1 waiver interaction: Continue reading →