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CFR  

Code of Federal Regulations Pertaining to U.S. Department of Labor

Title 20  

Employees' Benefits

 

Chapter V  

Employment and Training Administration, Department of Labor

 

 

Part 655  

Temporary Employment of Aliens In the United States

 

 

 

Subpart D  

Attestations by Facilities Using Nonimmigrant Aliens as Registered Nurses


20 CFR 655.302 - Definitions.

  • Section Number: 655.302
  • Section Name: Definitions.

    For the purposes of subparts D and E of this part:

    Accepted for filing means that the attestation and supporting 

documentation submitted by the health care facility have been received 

by the Employment and Training Administration of the Department of Labor 

(DOL) and have been found to be in compliance with the attestation 

requirements in Sec. 655.310 of this part.

    Act and INA mean the Immigration and Nationality Act, as amended, 8 

U.S.C. 1101 et seq.

    Administrative law judge means an official appointed pursuant to 5 

U.S.C. 3105.

    Administrator means the Administrator of the Wage and Hour Division, 

Employment Standards Administration, Department of Labor, and such 

authorized representatives as may be designated to perform any of the 

functions of the Administrator under subparts D and E of this part.

    Attorney General means the chief official of the U.S. Department of 

Justice or the Attorney General's designee.

    Board of Alien Labor Certification Appeals (BALCA) means a panel of 

one or more administrative law judges who serve on the permanent Board 

of Alien Labor Certification Appeals established by 20 CFR Part 656. 

BALCA consists of administrative law judges assigned to the Department 

of Labor and designated by the Chief Administrative Law Judge to be 

members of the Board of Alien Labor Certification Appeals.

    Bona fide medical emergency means a situation in which the services 

of one or more H-1A contract nurses are necessary at a worksite facility 

(which itself does not employ an H-1A nurse) to prevent death or serious 

impairment of health, and, because of the danger to life or health, 

nursing services for such situation are not elsewhere available in the 

geographic area.

    Certifying Officer means a Department of Labor official, or such 

official's designee, who makes determinations about whether or not H-1A 

attestations are acceptable for filing.

    Chief Administrative Law Judge means the chief official of the 

Office of the Administrative Law Judges of the Department of Labor or 

the Chief Administrative Law Judge's designee.

    Chief, Division of Foreign Labor Certifications, USES means the 

chief official of the Division of Foreign Labor Certifications within 

the United States Employment Service, Employment and Training 

Administration, Department of Labor, or the designee of the Chief, 

Division of Foreign Labor Certifications, USES.

    Date of filing means the date an attestation is ``accepted for 

filing'' by ETA.

    Department and DOL mean the United States Department of Labor.

    Director means the chief official of the United States Employment 

Service (USES), Employment and Training Administration, Department of 

Labor, or the Director's designee.

    Division means the Wage and Hour Division of the Employment 

Standards Administration, DOL.

    Employer means a person, firm, corporation, or other association or 

organization involved in the direct provision of health care services, 

which:

    (1) Suffers or permits a person to work;

    (2) Has a location within the United States to which U.S. workers 

may be referred for employment;

    (3) Proposes to employ workers at a place within the United States; 

and

    (4) Has an employer-employee relationship with respect to employees 

under subpart D and E of this part, as indicated by the fact that it may 

hire, pay, fire, supervise or otherwise control the work of such 

employee.

    Employment means full-time work by an employee for an employer/

health care facility other than oneself. ``Full-time work'' means work 

where the nurse is regularly scheduled to work 40 hours or more per 

week, unless the facility documents as part of its attestation that it 

is common practice for the occupation at the facility or for the 

occupation in the geographic area for nurses to work fewer hours per 

week.

    Employment and Training Administration (ETA) means the agency within 

the Department of Labor (DOL) which includes the United States 

Employment Service (USES).

    Employment Standards Administration (ESA) means the agency within 

the Department of Labor (DOL) which includes the Wage and Hour Division.

    Facility means a user of nursing services with either a single site 

or a group of contiguous locations at which it provides health care 

services. ``Facility'' includes an employer of registered nurses which 

provides health care services in a home or other setting, such as a 

hospital, nursing home, or other site of employment, not owned or 

operated by the employer (e.g., a visiting nurse association or a 

nursing contractor). ``Facility'' also includes a private household 

which employs or seeks to employ one or more H-1A nurses, but does not 

include a private household which uses H-1A nurses only through a 

nursing contractor. Groups of structures which form a campus or separate 

buildings across the street from one another are a single facility. 

However, separate buildings or areas which are not physically connected 

or in immediate proximity are a single health care facility if they are 

in reasonable geographic proximity, used for the same purpose, and share 

the same nursing staff and equipment. An example is an entity which 

manages a nursing home and a hospital in the same area and which 

regularly shifts or rotates the nurses between the two. Non-contiguous 

sites, even within the same geographic area, which do not share the same 

nursing staff and operational purposes are not a single facility. For 

example, hospitals which are located on opposite sides of a 

municipality, but which are managed or owned by a single entity, are 

separate facilities if they do not regularly share nursing staff and 

operational purpose.

    Geographic area means the area within normal commuting distance of 

the place (address) of the intended worksite. If the geographic area 

does not include a sufficient number of facilities to make a prevailing 

wage determination, the term ``geographic area'' shall be expanded (by 

the State employment service, unless directed not to do so by the 

Director) with respect to the attesting facility to include a sufficient 

number of facilities to permit a prevailing wage determination to be 

made. If the place of the intended worksite is within a Metropolitan 

Statistical Area (MSA), any place within the MSA may be deemed to be 

within normal commuting distance of the place of intended employment.

    Governor means the chief elected official of a State or the 

Governor's designee.

    H-1A nurse means any nonimmigrant alien admitted to the United 

States to perform services as a nurse under section 101(a)(15)(H)(i)(a) 

of the Act (8 U.S.C. 1101(a)(15)(H)(i)(a)).

    Immigration and Naturalization Service (INS) means the component of 

the Department of Justice which makes the determination under the Act on 

whether to grant visa petitions to petitioners seeking the admission of 

nonimmigrant nurses under H-1A visas.

    Layoff means any involuntary separation of one or more staff nurses 

without cause/prejudice. If a staff nurse is separated from one 

specialized activity and is offered retraining and retention at the same 

facility in another activity involving direct patient care at the same 

wage and status, but refuses such training and retention, such 

separation shall not constitute a layoff. The layoff provision applies 

to staff nurses only, not to other health occupations. If the position 

occupied by the staff nurse is covered by a collective bargaining 

agreement, the collective bargaining

agreement definition of ``layoff'' (if any) shall apply to that 

position.

    Lockout means a labor dispute involving a work stoppage, wherein an 

employer withholds work from its employees in order to gain a concession 

from them.

    Nurse means a person who is or will be authorized by a State Board 

of Nursing to engage in registered nursing practice in a State or U.S. 

territory or possession at a facility which provides health care 

services. A staff nurse means a nurse who provides nursing care directly 

to patients. In order to qualify under this definition of ``nurse'' the 

alien shall:

    (1) Have obtained a full and unrestricted license to practice 

nursing in the country where the alien obtained nursing education, or 

have received nursing education in the United States or Canada;

    (2) Have passed the examination given by the Commission on Graduates 

for Foreign Nursing Schools (CGFNS), or have obtained a full and 

unrestricted (permanent) license to practice as a registered nurse in 

the state of intended employment, or have obtained a full and 

unrestricted (permanent) license in any state or territory of the United 

States and received temporary authorization to practice as a registered 

nurse in the state of intended employment; and,

    (3) Be fully qualified and eligible under the laws (including such 

temporary or interim licensing requirements which authorize the nurse to 

be employed) governing the place of intended employment to practice as a 

registered nurse immediately upon admission to the United States, and be 

authorized under such laws to be employed by the employer. For purposes 

of this paragraph, the temporary or interim licensing may be obtained 

immediately after the alien enters the United States and registers to 

take the first available examination for permanent licensure.

    Nursing contractor means an entity that employs registered nurses 

and supplies these nurses, on a temporary basis and for a fee, to health 

care facilities or private homes.

    Prevailing wage means the average wage paid to similarly employed 

registered nurses within the geographic area.

    Secretary means the Secretary of Labor or the Secretary's designee.

    Similarly employed means employed by the same type of facility 

(acute care or long-term care) and working under like conditions, such 

as the same shift, on the same days of the week, and in the same 

specialty area.

    State means one of the 50 States, the District of Columbia, Puerto 

Rico, the U.S. Virgin Islands, and Guam.

    State employment security agency (SESA) means the State agency 

designated under section 4 of the Wagner-Peyser Act to cooperate with 

USES in the operation of the national system of public employment 

offices.

    Strike means a labor dispute wherein employees engage in a concerted 

stoppage or work (including stoppage by reason of the expiration of a 

collective-bargaining agreement) or engage in any concerted slowdown or 

other concerted interruption of operations.

    United States Employment Service (USES) means the agency of the 

Department of Labor, established under the Wagner-Peyser Act, which is 

charged with administering the national system of public employment 

offices.

    United States (U.S.) nurse means any nurse who is a U.S. citizen; is 

a U.S. national; is lawfully admitted for permanent residence; is 

granted the status of an alien admitted for temporary residence under 8 

U.S.C. 1160(a), 1161(a), or 1255a(a)(1); is admitted as a refugee under 

8 U.S.C. 1157; or is granted asylum under 8 U.S.C. 1158.

    United States (U.S.) worker means any worker who is a U.S. citizen; 

is a U.S. national; is lawfully admitted for permanent residence; is 

granted the status of an alien lawfully admitted for temporary residence 

under 8 U.S.C. 1160(a), 1161(a), or 1255(a)(1); is admitted as a refugee 

under 8 U.S.C. 1157; or is granted asylum under 8 U.S.C. 1158.

    United States is defined at 8 U.S.C. 1101(a)(38).

    Worksite means the health care facility or home where the nurse is 

involved

in the practice of nursing. It is possible, in the case of nursing 

contractors, that the employer's physical location and the worksite 

facility's physical location will differ.
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