Page:United States Statutes at Large Volume 95.djvu/1639

 PUBLIC LAW 97-116—DEC. 29, 1981

95 STAT. 1613

"(ii) the alien may, once and not later than two years after the date the alien enters the United States as an exchange visitor or acquires exchange visitor status, change the alien's designated program of graduate medical education or training u the Director approves the change and if a commitment and written assurance with respect to the alien's new program have been provided in accordance with subparagraph (C)."; (6) by inserting after subparagraph (D) the following new subparagraph: "(E) The alien furnishes the Attorney General each year with an affidavit (in such form as the Attorney General shall prescribe) that attests that the alien (i) is in good standing in the program of graduate medical education or training in which the alien is participating, and (ii) will return to the country of his nationality or last residence upon completion of the education or training for which he came to the United States."; (7)(A) by striking out "(ii)" in paragraph dXB) and inserting in lieu thereof "(iiXIT; (B) by inserting, in paragraph (I)(B), "(II)" before "has competency", "(HI)" before ^*will be able to adapt", and "(IV)" before "has adequate prior education"; (C) by striking out "December 31, 1981" in paragraph (2)(A) and inserting in lieu thereof "December 31, 1983: (D) by stnking out "and (B) of paragraph (1) in paragraph , (2)(A) and inserting in lieu thereof "and (B)(iiXD of paragraph (1)"; (E) by inserting after "if' in paragraph (2)(A) the following: "(i) the Secretary of Health and Humaui Services determines, on a case-by-case oasis, that"; (F) by striking out the period at the end of paragraph (2)(A) and inserting in lieu thereof the following: ", and (ii) the program has a comprehensive plan to reduce reliance on alien physicians, which plan the Secretary of Health and Human Services finds, in accordance with criteria published by the Secretary, to be satisfactory and to include the following: "(I) A detidled discussion of specific problems that the program ,, anticipates without such waiver and of the alternative resources and methods (including use of physician extenders and other paraprofessionals) that have been considered and have been and will be applied to reduce such disruption in the delivery of health services. "(II) A detailed description of those changes of the program (including improvement of educational and medical services training) which have been considered and which have been or will be applied which would make the program more attractive to graduates of medical schools who are citizens of the United States. "(Ill) A detailed description of the recruiting efforts which have been and will be undertaken to attract graduates of medical schools who are citizens of the United States. "(IV) A detailed description and analysis of how the program, on a year-by-year basis, has phased down and will phase down its dependence upon aliens who are graduates of foreign medical schools so that the program will not be dependent upon the admission to the program of any additional such aliens after December 31, 1983."; and (G) by inserting at the end of paragraph (2)(B) the following:

Affidavit.

Plan to reduce reliance on alien physicians.

�