[Federal Register Volume 60, Number 197 (Thursday, October 12, 1995)]
[Rules and Regulations]
[Pages 53122-53126]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-25224]
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UNITED STATES INFORMATION AGENCY
22 CFR Part 514
[Rulemaking No. 115]
Waiver of Two-Year Home-Country Physical Presence Requirement,
Foreign Medical Graduates, Exchange Visitor Program
AGENCY: United States Information Agency.
ACTION: Final rule.
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SUMMARY: Section 220 of the Immigration and Nationality Technical
Corrections Act of 1994 (Pub. L. 103-416) amended Section 212(e) of the
Immigration and Nationality Act (8 U.S.C. 1182(e)) and added a new
subsection (k) to section 214 of that Act (8 U.S.C. 1184) regarding
waiver of the two-year foreign residence requirement as it applies to
foreign medical graduates. An Interim Final Rule with request for
comments was published in the Federal Register on April 3, 1995 (60 FR
16785). This final rulemaking amends the Exchange Visitor Program
regulations to reflect those legislative changes.
DATES: This final rule is effective October 12, 1995.
ADDRESSES: United States Information Agency, Office of the General
Counsel, Rulemaking 115, 301 Fourth Street, SW., Room 700, Washington,
DC 20547-0001.
FOR FURTHER INFORMATION CONTACT:
William G. Ohlhausen, Assistant General Counsel, United States
Information Agency, 301 Fourth Street, SW., Washington, DC 20547;
telephone (202) 619-6972.
SUPPLEMENTARY INFORMATION: Section 220 of the Immigration and
Nationality Technical Corrections Act of 1994 (Pub. L. 103-416),
adopted in the closing days of the 103rd Congress, amended provisions
of the Immigration and Nationality Act which deal with the two-year
foreign residence requirement affecting foreign medical graduates (also
known as ``FMG's'' or ``international medical graduates'') who were
admitted to the United States on the J visa, or who acquired such
status after admission to the United States, and who are required to
return to the country of their nationality or last residence upon the
completion of their participation in an exchange visitor program.
The Immigration and Naturalization Service may grant a waiver of
the two-year home country physical presence requirement upon the
favorable recommendation of the Director of the United States
Information Agency. Prior to the recent amendment to sections 212 and
214 of the Immigration and Nationality Act, there were three bases upon
which an alien who is a graduate of a medical school pursuing a program
in graduate medical education or training could seek a waiver of the
two-year foreign residence requirement. The first basis was the so-
called ``interested Government Agency'' or ``IGA'' waiver. Under that
basis, the Director of the United States Information Agency could
recommend a waiver to INS pursuant to the request of an ``interested
United States Government agency.'' (Immigration and Nationality Act, as
amended, section 212(e) (8 U.S.C. 1182(e); 22 CFR 514.44(a) (2) and
(c).)
The other bases upon which a J visa foreign medical graduate could
seek a waiver of the two-year foreign residence requirement were to
apply to the Immigration and Naturalization Service for a waiver on the
grounds that the departure of the alien physician from the United
States would ``impose exceptional hardship upon the alien's spouse or
child (if such spouse or child is a citizen of the United States or
lawfully resident alien), or that the alien cannot return to the
country of his nationality or last residence because he would be
subject to persecution on account of race, religion, or political
opinion.'' (Immigration and Nationality Act, as amended, section 212(e)
(8 U.S.C. 1182(e).) Additionally, all three bases for seeking a waiver
required a finding by the Attorney General that the waiver was in the
public interest.
The enactment of the Immigration and Nationality Technical
Corrections Act of 1994 (Pub. L. 103-416) has now provided an
additional basis upon which a foreign medical graduate may seek a
waiver of the two-year home residence requirement. Section 220(a) of
that Act added a provision that authorizes a State Department of Public
Health or its equivalent to request the Director of USIA to recommend
that INS grant the waiver. However, in addition, the new law requires
that the government of the country to which the foreign medical
graduate is otherwise contractually obligated to return must furnish
the Director of the United States Information Agency with a statement
in writing that it has no objection to such
[[Page 53123]]
waiver, and the foreign medical graduate must demonstrate that he or
she has a bona fide offer of full-time employment and must agree that
he or she will begin employment within 90 days of receiving a waiver,
and must agree to continue to work, for a total of not less than three
years, at a health care facility in an area designated by the Secretary
of Health and Human Services as having a shortage of health care
professionals. (Immigration and Nationality Act, as amended, section
214(k)(1) (8 U.S.C. 1184(k)(1).)
Upon the favorable recommendation of the Director of USIA, the
Attorney General may grant the waiver. The Attorney General may also
change the foreign medical graduate's nonimmigrant status from J-1 to
H-1B if the alien meets the requirements under section 248 of the
Immigration and Nationality Act (8 U.S.C. 1258). If the foreign medical
graduate obtains a waiver under Public Law 103-416 and thereafter fails
to fulfill the terms of his or her employment contract with the health
care facility named in the waiver application, then he or she again
becomes subject to the two-year foreign residence requirement and is
ineligible to apply for an immigrant visa, permanent residence, or any
other change of nonimmigrant status until the two-year foreign
residence requirement has been met. (Immigration and Nationality Act,
section 214(k)(2) (A) and (B)). Each State is allotted no more than
twenty such waivers each fiscal year. The federal fiscal year commences
on October 1 and ends the following September 30. The term ``State''
includes the District of Columbia, Puerto Rico, Guam and the Virgin
Islands of the United States.
The role of the United States Information Agency under the recent
amendments to sections 212(e) and 214 of the Immigration and
Nationality Act is limited. Under the amendment to section 212(e), the
Commissioner of the Immigration and Naturalization Service will now
look to the Director of USIA for a recommendation on foreign medical
graduate waiver cases brought ``pursuant to the request of a State
Department of Public Health, or its equivalent.'' Section 212(e) was
also amended by adding language that makes it clear that waivers
requested by a State Department of Public Health, or its equivalent,
shall be subject to the requirements of the new section 214(k).
Under new section 214(k)(1)(A), the Attorney General will not grant
the waiver unless the country to which the foreign medical graduate is
otherwise contractually obligated to return furnishes the Director of
USIA with a statement in writing that it has no objection to such
waiver.
Reading amended section 212(e) and new section 214(k) together, the
Agency views its role in implementing the statute as including the
following: (1) It is to be the recipient of State Department of Public
Health applications for waivers for foreign medical graduates who will
practice medicine in a geographic area or areas which are designated by
the Secretary of Health and Human Services as having a shortage of
health care professionals; (2) it is to be the recipient of ``no
objection'' letters from the country to which the applicant is
contractually obligated to return; and, (3) it is to review the
applications and, where required, no objection letters, determine
whether they meet the requirements of the two statutory sections,
review the program, policy, and foreign relations aspects of the case,
and make a recommendation to the Commissioner of the Immigration and
Naturalization Service as to whether the waiver should be granted. The
Agency has no statutory role or responsibility with respect to ensuring
that the foreign medical graduate has the proper medical credentials or
with respect to the foreign medical graduate's eligibility for change
of nonimmigrant status or work authorization.
Current regulations regarding requests for waiver made by an
interested United States Government agency require the requesting
agency to determine that the granting of the waiver would be in the
public interest. 22 CFR 514.44(c). This Agency then reviews the
program, policy, and foreign relations aspects of the case and forwards
its recommendation to the Commissioner. 22 CFR 514.44(c). The Agency
intends to follow the same practices with respect to requests for
waivers made under the recently amended section 212(e) and the new
section 214(k) of the Immigration and Nationality Act.
The Agency received thirteen letters of comment on the Interim
Final Rule. (See Appendix A for list of commenters.) The overwhelming
majority of those letters dealt with two issues: (1) Whether the
statute required a no objection letter in all cases; and, (2) how is
the applicant to determine whether the geographic area in which the
foreign medical graduate is to be employed has a ``shortage of health
care professionals.'' All of the comment letters were fully considered.
With respect to the no objection letters, the Agency notes that the
new section 214(k)(1)(A) refers to ``an alien who is otherwise
contractually obligated to return to a foreign country.'' (emphasis
added.) The phrase ``otherwise contractually obligated'' is not defined
in the statute and there is no legislative history preceding the
enactment of the statute which would indicate the specific intent of
Congress in using that terminology. Having reviewed the comment
letters, the Agency now deems the language ``otherwise contractually
obligated * * *'' to refer only to those cases where the foreign
medical graduate's medical education or training is funded by the
government of the graduate's home country. It is the Agency's
experience that where a foreign government funds the graduate medical
education or training abroad of one of its nationals, it also
contractually obligates the foreign medical graduate to return to the
home country at the conclusion of the graduate medical education or
training.
Thus, the Final Rule requires the applicant to furnish the Agency
with a no objection letter from the home country only in those
instances where the foreign medical graduate's medical education or
training is funded by his or her home country's government. Whether or
not there is foreign government funding can be determined by examining
the face of the foreign medical graduate's Form IAP-66. Where there has
been no funding from the government of the home country, there is no
requirement that a no objection letter be furnished to the Agency.
The new statutory provision (Sec. 220 of Public Law 103-416) gives
this Agency no role in designating a geographic area or areas as having
a shortage of health care professionals. Such designations are made by
the Secretary of Health and Human Services. The Secretary of Health and
Human Services has advised that applicants for waivers under section
220 of Public Law 103-416 should look to the Department's listings of
Designated Primary Care Health Professional Shortage Areas (``HPSAs'')
and Medically Underserved Areas/Medically Underserved Populations
(``MUAs/MUPs'') in order to determine whether the geographic area or
areas in which the foreign medical graduate will be employed has a
``shortage of health care professionals'' within the meaning of the
statute. (See Notice dated September 19, 1995 at 60 FR 48515.) The HPSA
listing was last published in the Federal Register on January 21, 1994
(59 FR 3412). A copy of the current MUA/MUP may be obtained from the
Division of Shortage Designation, Bureau of Primary Health Care,
Department of Health and Human Services, 4350 East-West Highway, Room
9-1D-1, Bethesda, Maryland 20814; Phone (301) 594-0816.
[[Page 53124]]
Section 220 of Pub. L. 103-416 also contains the term ``health care
facility,'' but does not define that term. At least two commenters
suggested that the Agency explain what it means by that term. For
purposes of this regulation, the Agency deems the Department of Health
and Human Services' definition of ``medical facility'' to be synonymous
with ``health care facility.'' See 42 CFR 5.2.
Two commenters recommended that the Agency require that the foreign
medical graduate provide health care to Medicaid and Medicare
beneficiaries. Section 220 of Public Law 103-416 contains no such
requirement. The Agency does not believe that it has the authority to
impose such a requirement.
One commenter expressed concern that the Interim Final Rule did not
address state physician licensure as a component of this waiver program
and suggested that the Agency adopt credentialing standards and
procedures as a guide to the states in their screening and selecting of
applicants. The Agency believes that licensure is a matter of state
regulation and that the Agency has no authority under section 220 of
Public Law 103-416 to impose licensure requirements.
The No Objection Letter--Procedures and Format
Current regulations set forth the procedure for obtaining ``no
objection'' letters from the home country and the manner in which such
letters are to be sent to the Agency. 22 CFR 514.44(d). With one
exception, this final rulemaking provides for the same procedures to be
followed with respect to applications for waivers under Public Law 103-
416. In order to avoid confusion with other applications for waivers
based on no objection from the home country (hitherto unavailable to
foreign medical graduates), when required, the no objection letter
submitted under Public Law 103-416 should note clearly that the request
for the no objection letter was made pursuant to Public Law 103-416.
The Agency does not require that a no objection letter be of or on a
particular form. The following or similar language will suffice:
``Pursuant to Public Law 103-416, the Government of
____________________ has no objection if (name and address of foreign
medical graduate) does not return to ____________________ to satisfy
the two-year foreign residency requirement of Section 212(e) of the
Immigration and Nationality Act.''
The Application Package
The application for waiver of the two-year home country residence
requirement under the provisions of Public Law 103-416 is to originate
in the designated State Department of Public Health. USIA is not
planning to develop any new forms for such application. However the
application is to include the following: (1) A letter from the
designated official in the State Department of Public Health which
identifies the foreign medical graduate and states, if so determined,
that it is in the public interest that a waiver of the two-year home
residence requirement be granted. (Note: See Appendix B hereto for a
list of State Departments of Public Health which, as of the date of
this Final Rule, have advised the Agency that they intend to
participate in this waiver program); (2) an employment contract between
the alien and the health care facility, which includes the name and
address of the foreign medical graduate and of the employer and the
specific geographic area or areas in which the foreign medical graduate
will practice medicine. The employment contract shall include a
statement by the foreign medical graduate agreeing to the contractual
requirements set forth in section 214(k)(1) (B) and (C) of the
Immigration and Nationality Act. The term of the employment contract
shall be at least three years; (3) evidence that the area or areas of
employment stipulated in the employment contract are in a geographic
area or areas designated by the Secretary of Health and Human Services
as having a shortage of health care professionals; (4) copies of all
forms IAP-66 issued to the foreign medical graduate seeking the waiver;
(5) a completed data sheet, copies of which will be made available by
the Agency to each State Department of Public Health; and (6) because
of the numerical limitations on the approval of waivers under Public
Law 103-416 each application from a State Department of Public Health
shall be numbered sequentially. Should USIA not grant a favorable
recommendation on a given application, the State Department of Public
Health will be so notified and will be advised that the number may be
used on another application.
If a State Department of Public Health files in excess of twenty
applications during one fiscal year, the Agency will give priority to
the first twenty sequentially numbered applications.
Application Period Under Public Law 103-416
Section 220(c) of Public Law 103-416 states that ``The amendments
made by this section shall apply to aliens admitted to the United
States under section 101(a)(15)(J) of the Immigration and Nationality
Act, or acquiring such status after admission to the United States,
before, on, or after the date of enactment of this Act and before June
1, 1996.'' The Agency believes that the date of June 1, 1996 applies to
the status of the foreign medical graduate on that date and not to the
new waiver program itself. In other words, if the foreign medical
graduate was admitted to the United States on a J visa or acquired a J
visa prior to June 1, 1996 in order to pursue graduate medical
education or training, he or she would be eligible to apply for a
waiver under the provisions of Public Law 103-416 at any time in the
future.
Regulatory Analysis and Notices
In accordance with 5 U.S.C. 605(b), the Agency certifies that this
rule does not have a significant adverse economic impact on a
substantial number of small entities. This rule is not considered to be
a major rule within the meaning of section 1(b) of Executive Order
12291, nor does this rule have Federalism implications warranting the
preparation of a Federalism Assessment in accordance with Executive
Order 12612.
The information collection requirements contained in this rule have
been presented to the Office of Management and Budget for clearance
pursuant to the provisions of the Paperwork Reduction Act.
Dated: October 4, 1995.
Les Jin,
General Counsel.
List of Subjects in 22 CFR Part 514
Cultural exchange programs, Reporting and recordkeeping
requirements.
The interim rule published at 60 FR 16785, April 3, 1995, amending
22 CFR part 514, Sec. 514.44, is adopted as final with the following
changes.
1. The authority citation for part 514 continues to read as
follows:
PART 154--[AMENDED]
Authority: 8 U.S.C. 1101(a)(15)(J), 1182, 1184, 1258; 22 U.S.C.
1431-1442, 2451-2460; Reorganization Plan No. 2 of 1977, 3 CFR, 1977
Comp. p. 200; E.O. 12048 of 3/27/78, 3 CFR, 1978 Comp. p. 168.
Sec. 514.44 [Revised]
2. Section 514.44(e) is revised to read as follows:
[[Page 53125]]
(e) Requests for waiver from a State Department of Public Health,
or its equivalent, on the basis of Public Law 103-416. (1) Pursuant to
Public Law 103-416, in the case of an alien who is a graduate of a
medical school pursuing a program in graduate medical education or
training, a request for a waiver of the two-year home-country physical
presence requirement may be made by a State Department of Public
Health, or its equivalent. Such waiver shall be subject to the
requirements of section 214(k) of the Immigration and Nationality Act
(8 U.S.C. 1184(k)) and this Sec. 514.44.
(2) With respect to such waiver under Public Law 103-416, if such
alien is contractually obligated to return to his or her home country
upon completion of the graduate medical education or training, the
Director of the United States Information Agency is to be furnished
with a statement in writing that the country to which such alien is
required to return has no objection to such waiver. The no objection
statement shall be furnished to the Director in the manner and form set
forth in paragraph (d) of this section and, additionally, shall bear a
notation that it is being furnished pursuant to Public Law 103-416.
(3) The State Department of Public Health, or equivalent agency,
shall include in the waiver application the following:
(i) A completed ``Data Sheet.'' Copies of blank data sheets may be
obtained from the Agency's Exchange Visitor Program office.
(ii) A letter from the Director of the designated State Department
of Public Health, or its equivalent, which identifies the foreign
medical graduate by name, country of nationality or last residence, and
date of birth, and states that it is in the public interest that a
waiver of the two-year home residence requirement be granted;
(iii) An employment contract between the foreign medical graduate
and the health care facility named in the waiver application, to
include the name and address of the health care facility, and the
specific geographical area or areas in which the foreign medical
graduate will practice medicine. The employment contract shall include
a statement by the foreign medical graduate that he or she agrees to
meet the requirements set forth in section 214(k) of the Immigration
and Nationality Act. The term of the employment contract shall be at
least three years and the geographical areas of employment shall only
be in areas, within the respective state, designated by the Secretary
of Health and Human Services as having a shortage of health care
professionals;
(iv) Evidence establishing that the geographic area or areas in the
state in which the foreign medical graduate will practice medicine are
areas which have been designated by the Secretary of Health and Human
Services as having a shortage of health care professionals. For
purposes of this paragraph, the geographic area or areas must be
designated by the Department of Health and Human Services as a Health
Professional Shortage Area (``HPSA'') or as a Medically Underserved
Area/Medically Underserved Population (``MUA/MUP'').
(v) Copies of all forms IAP-66 issued to the foreign medical
graduate seeking the waiver;
(vi) A copy of the foreign medical graduate's curriculum vitae;
(vii) If the foreign medical graduate is otherwise contractually
required to return to his or her home country at the conclusion of the
graduate medical education or training, a copy of the statement of no
objection from the foreign medical graduate's country of nationality or
last residence; and,
(viii) Because of the numerical limitations on the approval of
waivers under Public Law 103-416, i.e., no more than twenty waivers for
each State each fiscal year, each application from a State Department
of Public Health, or its equivalent, shall be numbered sequentially,
beginning on October 1 of each year.
(4) The Agency's Waiver Review Branch shall review the program,
policy, and foreign relations aspects of the case and forward its
recommendation to the Commissioner. Except as set forth in
Sec. 514.44(g)(4)(i), the recommendation of the Waiver Review Branch
shall constitute the recommendation of the Agency.
* * * * *
Appendix A to the Preamble
Comments were received from the following individuals and
organizations:
Department of Health, State of Alabama
Illinois Department of Public Health
Indiana State Department of Health
Mezzullo & McCandlish, Attorneys at Law
Palmer & Dodge, Attorneys at Law
Department of Health and Mental Hygiene, State of Maryland
Office of Rural Health Policy, Health Resources and Services
Administration, Public Health Service, U.S. Department of Health and
Human Services
South Carolina Department of Health and Environmental Control
Oklahoma State Department of Health
Center for Rural Health, University of Kentucky
The Federation of State Medical Boards of the United States, Inc.
Center for Rural Health, School of Medicine, University of North
Dakota
Hon. Kent Conrad, United States Senator
Appendix B to the Preamble
State Public Health Departments Participating in the Pub. L.
103-416 Waiver Program, as of date of publication of Final Rule:
Alabama
Donald E. Williamson, M.D., State Health Officer, Alabama Department
of Public Health, 434 Monroe Street, Montgomery, AL 36130-3017
Arizona
Mr. Phil Lopez, Office Chief, Office of Health Planning, Evaluation
and Statistics, Arizona Department of Health Services, 1740 West
Adams, Room 312, Phoenix, AZ 85007
Signature must be from: Jack Dillenberg, D.D.S., M.P.H.
Arkansas
Charles McGrew, Director, Section of Health Facility Services and
Systems, Arkansas Department of Health, 4815 W. Markham, Slot 39,
Little Rock, AR 72205
Delaware
Ms. Jane Rhoe-Jones, Office of Rural Health, Division of Public
Health, P.O. Box 637, Dover, DE 19903
Florida
Richard G. Hunter, Ph.D., Department of Health and Rehabilitative
Services, State Health Office, 1317 Winewood Boulevard, Tallahassee,
FL 32399-0700
Georgia
Ms. Rita Salain, Director, Office of Rural Health and Primary Care,
2 Peachtree Street, 6th Floor Annex, Atlanta, GA 30303
Hawaii
Mr. William H. Dendle, III, Office of Planning, Policy and Program
Development, 1250 Punchbowl Street, Room 340, Honolulu, HI 96813
Signature must be from: Jeanette Takamura, Ph.D., Deputy
Director, Hawaii State Health Department of Health.
Illinois
John R. Lumpkin, M.D., Director of Public Health, Illinois
Department of Public Health, 535 West Jefferson Street, Springfield,
IL 62761
Contact person: Ms. Mary Catherine Ring, Chief, Center for Rural
Health (use same mailing address as for the Director listed above).
Indiana
Keith Main, Ed.D., Office of Policy and Research, Indiana State
Department of Health, 1330 West Michigan Street, P.O. Box 1964,
Indianapolis, IN 46206-1964
Kentucky
Ms. Danise Newton, Manager, Primary Care Branch, Department for
Health Services, 275 East Main Street, Frankfort, KY 40621.
[[Page 53126]]
Maine
Kevin W. Concannon, Commissioner, Department of Human Services, #11
State House Station, Augusta, ME 04333-0011
Contact Person: Sophie Glidden, Director, Office of Primary
Health Care, Department of Human Services, #11 State House Station,
Augusta, ME 04333-0011.
Massachusetts
Ms. Sally Fogarty, Department of Public Health, 150 Tremont Street,
Boston, MA 02111
Applications must be signed by: Mr. David H. Mulligan,
Commissioner of Public Health (address is the same as Sally
Fogarty).
Michigan
Ms. Vernice Davis Anthony, Director, Michigan Department of Public
Health, 3423 N. Martin Luther King Jr. Blvd., P.O. Box 30195,
Lansing, MI 48909
Minnesota
Ms. Chari Konerza, Director, Minnesota Office of Rural Health and
Primary Care, P.O. Box 64975, St. Paul, MN 55164
Mississippi
Mr. Harold Armstrong, State Department of Health, P.O. Box 1700,
Jackson, MS 39215-1700
Missouri
Coleen Kivlahan, M.D., M.S.P.H., Director, Missouri Department of
Health, P.O. Box 570, Jefferson City, MO 65102
Contact: Mr. Alan Welles (at same address) may also sign
applications).
Montana
Mr. Robert J. Robinson, Director, Department of Health and
Environmental Sciences, Cogswell Building, P.O. Box 200901, Helena,
MT 59620-0901
Nebraska
Mark B. Horton, M.D., M.S.P.H., Director, Nebraska Department of
Health, 301 Centennial Mall South, P.O. Box 95007, Lincoln, NE
68509-5007
Nevada
Donald S. Kwalick, M.D., MPH, State Health Officer, Nevada State
Health Division, 505 E. King Street, Room 201, Carson City, NV 89701
New Mexico
J. Alex Valdez, Secretary, State of New Mexico, Department of
Health, 1190 St. Francis Drive, P.O. Box 261110, Sante Fe, NM 8750-
6110
New York
Ms. Karen Schimke, Executive Deputy Commissioner, New York State
Department of Health, Empire State Plaza, Corning Tower, Albany, NY
12237
Contact person: Edward Salsberg, Director of the Bureau of
Health Resources Development.
North Carolina
Mr. James D. Bernstein, Director, North Carolina Office of Rural
Health and Resource Development, 311 Ashe Avenue, Raleigh, NC 27606
North Dakota
Jon R. Rice, M.D., State Health Officer, State Department of Health
and Consolidated Laboratories, 600 East Boulevard Avenue, Bismarck,
ND 58505-0200
Oklahoma
Robert D. Vincent, Ph.D., Deputy Commissioner, Health Promotion and
Policy Analysis, 1000 NE 10th Street, Oklahoma City, OK 73117-1299
Rhode Island
Patricia Nolan, M.D., M.P.H., Director, Rhode Island Department of
Health, Cannon Building, 3 Capitol Hill, Providence, RI 02908-5097
South Carolina
Mr. Mark Jordan, Director, Office of Primary Care, Department of
Health and Environmental Control, 2600 Bull Street, Columbia, SC
29201
South Dakota
Ms. Barbara A. Smith, Secretary, South Dakota Department of Health,
445 East Capitol Avenue, Pierre, SD 57501-3185
Tennessee
Dr. Fredia Wadley, Commissioner, Tennessee Department of Health, 9th
Floor, Tennessee Tower, 312 8th Avenue North, Nashville, TN 37247-
0101
Texas
Dr. David Smith, Commissioner of Health, Texas Department of Health,
1100 West 49th Street, Austin, TX 78756-3199
Vermont
Jan K. Carney, M.D, M.P.H., Commissioner, Vermont Department of
Health, 108 Cherry Street, P.O. Box 70, Burlington, VT 05402
Washington
Mr. Verne A. Gibbs, Director, Washington State Department of Health,
Community and Rural Health, P.O. Box 47834, Olympia, WA 98504-7834
West Virginia
Ms. Gretchen O. Lewis, Secretary (Signator), Department of Health
and Human Resources, Building 3, Room 206, State Capitol Complex,
Charleston, WV 25305
Applications to go to following for review: Linda Atkins,
Director, Health Professions Recruitment Program, 1411 Virginia
Street, East, Charleston, WV 25301.
Wisconsin
John D. Chapin, Interim Administrator, Wisconsin Divison of Health,
P.O. Box 309, Madison, WI 53701-0309
[FR Doc. 95-25224 Filed 10-11-95; 8:45 am]
BILLING CODE 8230-01-M
