Showing posts with label MU News. Show all posts
Showing posts with label MU News. Show all posts

Thursday, September 11, 2025

HEALTHCARE WORKFORCE RESILIENCE ACT REINTRODUCED INTO CONGRESS

Musillo Unkenholt is pleased to report that the Healthcare Workforce Resilience Act (HWRA) has been reintroduced into Congress. The HWRA has bipartisan sponsorship of Senators Durbin and Cramer in the Senate and Representatives Brad Schneider and Don Bacon in the House.

As America grapples with a devastating nursing shortage that is directly undermining the quality, accessibility, and affordability of healthcare for millions of Americans in rural communities across the country, Musillo Unkenholt endorses policymakers taking immediate action.

The HWRA offers an immediate response to this crisis by recapturing 25,000 previously authorized but unused immigrant visas (Green Cards) for highly-qualified international nurses who meet strict professional requirements. The bill does not displace any U.S. nurses or increase the total number of available immigrant visas (Green Cards).

This bipartisan solution will help to ensure rural and elderly Americans receive the nursing care they need today while policymakers seek additional solutions to help America produce more nurses in the future and end this crisis once and for all.

Musillo Unkenholt endorses the HWRA, an efficient and long-awaited step toward immigration reform that will work to meet the country’s growing need for a strong US health care workforce.

Wednesday, August 27, 2025

USCIS to Consider “Anti-Americanism” in Certain Immigration Decisions

On August 19, 2025, USCIS issued a policy alert that the agency will review “anti-Americanism” as a  discretionary factor when reviewing certain benefit requests.

“Anti-Americanism” will be reviewed in requests such as employment authorization applications, F visa extension applications and changes of status, requests for National Interest Waivers, and employment-based adjustments of status.

 

USCIS dictates that officers should give “overwhelmingly negative weight” to evidence of an applicant’s support for or promotion of terrorist ideologies, antisemitism, or other conduct USCIS may consider “anti-American”. The agency asserts that such conduct will likely lead to denial of the requested benefit.

 

The policy explicitly allows officers to consider public behavior, including social media activity, as part of this discretionary review, making it important for applicants to be mindful of their digital footprint when applying for immigration benefits.

Wednesday, July 2, 2025

Webinar: Immigration Updates for the Healthcare Industry

MU will be hosting a FREE webinar on Thursday, July 10 at 3PM Eastern for our friends and clients.  Please join us! 

IMMIGRATION UPDATES AND THE STATE OF THE HEALTHCARE INDUSTRY

Join us for an information-packed webinar designed for HR leaders, immigration professionals, and staffing companies navigating today’s complex immigration landscape.

In just half an hour, we’ll deliver critical updates and actionable strategies on:

  • 🚦 Green Card Processing Timelines & Prevailing Wage Determinations – how to stay ahead and avoid any delays in filing
  • 📈 RFE Rates & Trends under the Trump Administration – and how to minimize your risk
  • 💸 "Ability to Pay" Challenges – especially for staffing firms during retrogression, with proven solutions
  • 👩‍⚕️ H-1B Options for Registered Nurses – what you need to know now
  • 📰 Policy Shifts & Breaking News from Washington – decoded and explained
  • 🏛️ Legislative Outlook – what’s coming and how it could impact your workforce strategy

Reserve your spot today!

Monday, June 2, 2025

Foreign-Trained Nurses Can Help Fill Critical Gaps in the Healthcare Sector

As the U.S. healthcare system grapples with a critical nursing shortage, maintaining lawful, streamlined immigration pathways for foreign-trained nurses is essential to ensuring effective and continuous patient care.

A recently published article by Digital Health Insights (DHI) highlights the severity of this shortage, which is exacerbated by tightening immigration policies and a growing number of nurses leaving the profession.

 

Drawing on data from the Migration Policy Institute, DHI notes that as of 2021, nearly 20%, approximately 2.8 million, of healthcare workers in the United States are immigrants.

 

The total supply of RNs in the U.S. decreased by more than 100,000 from 2020 to 2021, which is the greatest drop in the past 40 years. Between 2020-2022, nursing turnover skyrocketed to 27% nationwide.

 

Due to high demand and Department of State backlogs, foreign-trained nurses who qualify for a Green Card are currently waiting more than two years to enter the U.S. after their cases are approved. An approved case indicates the foreign-trained nurse meets all U.S. requirements to enter the profession and has a U.S. employer sponsor.

 

To address these barriers, DHI proposes innovative solutions, such as extending the National Interest Waiver for Physicians to include other healthcare professionals. Likewise, it suggests that the U.S. follow the example of countries like Canada and the United Kingdom, which have implemented dedicated healthcare visa programs.

 

Meeting the U.S. healthcare workforce shortage—particularly in nursing—requires accessible and effective legal pathways for foreign-trained professionals.

Friday, March 28, 2025

Healthcare Workforce Coalition meets with Lawmakers on Increasing Nurse Visas

In March 2025, the Healthcare Workforce Coalition issued a press release on their recent meetings on Capitol Hill. The purpose of their meetings was to urge lawmakers to swiftly pass legislation to ease serious US healthcare workforce shortages.

The Healthcare Workforce Coalition is made up of healthcare industry leaders, including Ascend Learning, Brickyard Health, Fisher Titus Medical Center, Greater Baltimore Medical Center, LifeBridge Health, MedPro International, MedStar Health, Meritus Health, PRS Global, and St. Joseph’s University.

Representatives of the Healthcare Workforce Coalition met with the offices of US Senators and Representatives from both parties to urge support for measures to make visas for foreign-educated Registered Nurses and physicians immediately available.

Wednesday, February 26, 2025

CGFNS International to Change Its Name to TruMerit™

The Commission on Graduates of Foreign Nursing Schools (CGFNS) announced it will change its name to TruMerit™.

Immigration regulations require that when filing an immigration petition for certain healthcare occupations, including Registered Nurses, the Petitioner must include a healthcare worker’s certificate (sometimes called a Visa Screen) from an authorized credentialing organization, such as CGFNS.

CGFNS indicated the name change will be the centerpiece of a comprehensive rebranding of the organization, which will also involve changes to its website, customer portals, credentials and certificates, and social media channels. The rebranding effort will begin rolling out in mid-March and will be completed by the summer.

Tuesday, January 21, 2025

H-1B 2025 Cap Webinar

MU Law will be hosting a FREE webinar for our clients and friends on Tuesday, February 11, 2025 at 2PM Eastern (1PM Central).

Join us for this FREE webinar to learn more about:

  • H-1B Cap Basics, Registration Process, and 2025 Changes
  • What is a Specialty Occupation?
  • Special Issues for Staffing Companies, Third Party Placements
  • Cap-gap for F-1s as well as CPT/OPT maintenance
  • Q&A

PLEASE JOIN US!

Wednesday, December 4, 2024

US Health Care Labor Shortage Could be Alleviated by Immigration Policy Reform

Rice University’s Baker Institute for Public Policy has recently published a report on current and future US health care labor shortages, as well as the role immigration policy reform could play in meeting the challenges of a labor shortage.

Health Care Industry Labor Shortages

Research from the Bureau of Labor Statistics (BLS) shows that fewer people are working in the health care sector, in part as a result of COVID-19 pandemic job losses. While the industry showed progress in 2023, the sector’s overall employment rates have not fully recovered to pre-pandemic rates.

Rice University’s report gathers data from the Association of American Medical Colleges (AAMC), Forbes, ADA Health Policy Institute, and the National Association for Home Care and Hospice that predict health care labor shortages in the coming 10-15 years across many positions in the industry, including physicians, nurses, clinical laboratory specialists, dental hygienists, pharmacists, and home care workers.

Proposed Immigration Policy Reform Targeting Health Care Industry Needs

Rice University cites the Migration Policy Institute’s research that immigrants made up 18% of employees in a health care occupation in the US in 2021, including 26% of physicians and surgeons and almost 40% of home health aides. Immigrants make up roughly 14% of the US population, meaning immigrants’ representation is outsized in the health care sector.

To alleviate the labor shortages in the health care workforce, Rice University’s report recommends immigration policy reforms, including:

  • Raising the annual cap for H-1B visas for health care workers;
  • Creating new sector-specific visa categories with expedited processing;
  • Leveraging existing programs, such as the TN visa program, for RNs who are citizens of Mexico or Canada to work temporarily in the US;
  • Reforming the public charge rule to exclude direct care health workers, such as frontline workers, to reduce the chance of entry denial based on potential use of public assistance;
  • Increasing funding and resources for immigration processing to shorten lengthy processing periods, reduce delays, and ensure timely entry for health care workers. 

Musillo Unkenholt endorses the report’s contention that implementing comprehensive reforms such as these would help to meet the country’s growing health care needs, support economic growth by improving access to efficient health care, maintain high-quality patient services while promoting greater access to care, and create a more flexible and responsive health care workforce.

 

Tuesday, October 8, 2024

NCHWA: NURSE SHORTAGE TO CONTINUE THROUGH AT LEAST 2036

The National Center for Health Workforce Analysis projects a 9 percent nursing workforce shortage through 2036.  The problem will be particularly acute in non-metro areas, where the shortage is expected to grow to 14%.  The ten states with the largest projected RN shortages in 2036 are: Georgia (29%), California (26%), Washington (26%), New Jersey (25%), North Carolina (23%), New Hampshire (23%), South Carolina (21%), Maryland (20%), Michigan (19%), and Oregon (16%).

The current shortage is about 250,000 and is expected to grow to a shortage of 350,00 full-time registered nurses in 2026.

The National Center for Health Workforce Analysis (NCHWA) collects data, conducts research, and generates information about the U.S. health care workforce to inform and support Public- and private-sector decision making. Learn about the National Center for Health Workforce Analysis.

Legislation proposed by Rep. Bayer (D-VA) calls for 20,000 nurse visas for rural shortage areas.  Unfortunately, that legislation has probably been introduced too late in this congressional term to pass both houses of Congress before the term ends on December 31, 2024.

Wednesday, October 2, 2024

PHILIPPINE NURSES CHOOSING TO WORK ABROAD

Philippines nurses seem to be choosing contract positions with an aim toward moving abroad.   ABS-CBN News reports that ACT-Teachers party-list Rep. France Castro questioned why there did not appear to be an increase in permanent (Plantilla) healthcare positions in the last year.   

Rep. Angelica Natasha Co speculated that healthcare workers opt for temporary or contractual positions when they have plans to work abroad.  Last year saw one of the greatest numbers of Philippine nurses enter the US in many years, as the American nursing shortage continues to get worse.  As of 2021, about 300,000 Philippine nurses worked abroad.

Thursday, September 19, 2024

USCIS EXTENDS GREEN CARD VALIDITY TO 36 MONTHS FOR RENEWALS

On September 18, 2024, USCIS issued a news alert that Lawful Permanent Residents (aka Green Card holders) who properly file Form-I-90 to replace an expired or soon-to-expire Green Card will receive an automatic 36-month extension, as opposed to the previous 24-month extension.

Receipt notices received on or after September 10, 2024 for Form I-90 should now include updated language granting Green Card holders the automatic 36-month extension. On September 10, 2024, USCIS began printing amended receipt notices for individuals with pending I-90s.

To evidence their lawful status, Green Card holders may present the updated I-90 receipt notice with their expired green card. This will allow Green Card holders to continue working and traveling, despite experiencing long processing delays to replace their expired Green Card.

Lawful Permanent Residents who no longer have their Green Card are not eligible for the automatic 36-month extension, but they may request an appointment at a USCIS Field Office by contacting the USCIS Contact Center in order to obtain an Alien Documentation, Identification, and Telecommunications (ADIT) stamp to prove their status while waiting to receive their replacement Green Card.

Friday, September 16, 2022

MUSILLO UNKENHOLT FINALIST FOR BEST PLACES TO WORK

MU was recognized by the Cincinnati Business Courier as one of the best places to work in the Greater Cincinnati area for 2022. MU was one of just 77 finalists! Businesses that are finalists for this award all ranked exceptionally high in workforce satisfaction by a very large percentage of their employees.

To celebrate being nominated as a finalist, MU was invited to an award ceremony this past Tuesday, September 13, 2022, at TQL Stadium, home of FC Cincinnati Football Club. MU strives to be an enjoyable and diligent workplace and was very honored to receive this recognition. MU hopes to always be a great place to work for all its employees!


Monday, November 16, 2020

UPDATE: SCHEDULED WEBINAR PLATFORM CHANGED

The platform for MU’s webinar scheduled for Monday, November 16th at 2PM Eastern (1PM Central) discussing the Recap of Changes from the USCIS, DOL, AND DOS has changed from Livestorm to Zoom.
  
If you have already registered for Monday’s webinar, you will receive an email with your invite to the Zoom webinar. If you had not previously registered, you can still join the webinar. Click on Join the Webinar below.  No registration required.

Friday, November 13, 2020

UPDATE: SCHEDULED WEBINAR PLATFORM CHANGED

The platform for MU’s webinar scheduled for Monday, November 16th discussing the Recap of Changes from the USCIS, DOL, AND DOS has changed from Livestorm to Zoom.

  
If you have already registered for Monday’s webinar, you will receive an email with your invite to the Zoom webinar. If you have not yet registered, there is still time to register by clicking on the link below.

Monday, March 23, 2020

UPDATE ON MU’s RESPONSE TO THE COVID-19 CRISES


As you may have heard, the State of Ohio has issued a Stay At Home Order.  This Order compels all non-essential businesses to close through April 6, 2020.  Under the Order, “Legal Services” is an essential business and therefore allowed to operate.  Accordingly, MU will remain open although we have increased our work from home program for all employees.

The health and safety of our staff is of primary importance.  We believe that by increasing our employee’s ability to work from home, we can continue to timely file all petitions and be as responsive as ever to client’s needs and concerns.  We hope that all MU clients and friends continue to stay safe during this extraordinary time.

Monday, March 16, 2020

MUSILLO UNKENHOLT’S RESPONSE TO THE CORONAVIRUS


Musillo Unkenholt LLC continues to monitor the Coronavirus (COVID-19) situation closely and how it may impact our teams, clients, and operations.  The health and safety of our staff is of primary importance.  Here in Ohio, the governor has taken the extraordinary step of not only closing all schools, but also closing all restaurants and bars.  The experts are telling us that the one thing that we can all do to fight the spread of this disease is to reduce social contact.

Similar to many of the unprecedented changes taking place here in Ohio and across the globe, MU is enacting a new work policy aimed at reducing social contact. 

Starting Tuesday March 17, we are asking all employees to mainly work from home.  Employees will come to the office in 2-hour daily shifts in order to photocopy, scan, print, and file immigration petitions.  By reducing our employees contact with each other by two-thirds, MU is doing our part to emphasize social distancing.

Employees will still be working regular hours and so while some inefficiencies are inevitable, rest assured that all petitions will be timely filed, with priority given to urgencies and legal deadlines.  We hope that all MU clients and friends stay safe during this unprecedented time.

Friday, November 8, 2019

MU IS MOVING OUR OFFICE – WE WILL BE CLOSED NOV 14, 15

Musillo Unkenholt will be moving its offices on Thursday November 14 and Friday November 15.  Accordingly, the law office will be closed over those two days.

Our new office will be at 302 W. Third Street.  The official address is:

Musillo Unkenholt LLC
302 West Third Street, Suite 710
Cincinnati, OH 45202

All government agencies have been notified about the move, including USCIS and DOL.  We do not expect any interruption in mail or service.

We are very excited for the move.  We have outgrown our current space.  Our new space is 50% larger than our current space.

If you are in the Cincinnati area on December 13, please let us know.  We will be having an open house in the afternoon.

Wednesday, September 18, 2019

MUSILLO UNKENHOLT WELCOMES LINDA ASH AND ELIZA STONE

Musillo Unkenholt (MU) is pleased to welcome Linda Ash and Eliza Stone to the law firm.  Ash and Stone met more than a decade ago while working at a large regional law firm in Cincinnati.  In 2017, they formed Ash & Stone, LLP where they practiced primarily business-based immigration law. 

Born in Canada, Ash has a twenty-nine year legal career and has lived in Argentina and Iran, as well as Canada and the US.  Ash provides both foreign and domestic employers, across a wide range of industries, with immigration advice and expertise.  Ash is a graduate of the University of Arizona and Salmon P. Chase College of Law.  Stone started her practice at an established regional law firm before becoming in-house counsel for an international company and later a large university.  Stone provides employment immigration advice to clients of varying sizes.  Stone is fluent in both Polish and German and graduated from New York University and the University of Cincinnati College of Law.


MU recently celebrated its ten year anniversary.  MU attorneys practice almost exclusively employment-based immigration and the firm’s clients include large public and private companies as well as small start-up, entrepreneurial ventures. 

Tuesday, July 23, 2019

MUSILLO UNKENHOLT TURNS TEN - MU WILL BE CLOSED ON JULY 26

By Chris Musillo

July 1, 2019 marks ten years since Musillo Unkenholt began.  America itself was founded on July 4, 1776.  It was serendipitous to birth an immigration law firm over the same week as the country itself was birthed.  In celebration of our tenth birthday, MU will be closed on Friday July 26.  We will be having a food and drink tasting event out of the office.  We are being chauffeured to a number of cool places here in Cincinnati!

I hope that you will indulge me with a little history on our special birthday. 

Cindy Unkenholt and I launched the firm by choosing a name that continues to confuse the legal profession: Musillo Unkenholt.  Very Italian, and very, very German.  

Besides the two of us, we started with five paralegals: Rita, Jenna, Amy, Kathryn, and Mary.  Three of these five are still here at MU: Rita, Jenna, and Amy.  The fact that I remain working with these three stars fills me with daily happiness.

These three set the MU culture, and the others who work here embody it and enhance it.  It is fashionable right now to talk about an office “growing” a culture.  We have had a great culture from MU’s first day.  We are creative and dedicated.  We don’t cheat the work – we work hard.  Everyone takes tremendous pride and ownership over a successful case.

We are dedicated, and yet we have fun too.  We go to ballgames, happy hours, firm lunches, road trips, and parties.  We give back to our community. We treat each other with immense respect.  And we also eat a lot of cupcakes. 

The culture is evident in a significant way: the long tenure of these special people.  In ten years, we have never had an attorney quit the law firm.  We have had very few paralegals leave the firm.  The consistency of our team is because of the culture that is set by the people.  Let me tell you a little about these amazing people.

In spite of retiring a few years ago, Cindy remains one of my closest friends.  It would have been impossible to start this firm without her.  Her willingness to take this chance with me is something that will fill me for the rest of my life.  She supported me when I needed to be supported.  She also challenged me when I needed to be challenged.  Some of my favorite memories with Cindy are the early days, when she and I worked through the processes that are necessary to start a business: websites, payroll, insurance, leases, budgets, bank accounts, and a thousand other things.  I am so glad that she continues to be a part of the firm, regularly showing up at MU events. 

These ten years have been a rich journey that would not have been rich without Rita, Jenna, and Amy.  These three outstanding women are the lifeblood of the firm.  They have worked on the hardest cases, and for the largest and most demanding clients.  They have put in countless hours in these ten years (As I type this, on a Saturday morning at my desk, Jenna is across the hall working on a case).  I cannot thank them enough. 

Rita recently earned a promotion to become MUs Human Resource Manager, although she still pitches in as a paralegal during busy times.  She was my first hire back in 1999.  She has a dedication, an energy, and a sense of ownership of MU that is incomparable.  She is always the first one at the office, and sometimes, the last to leave. 

Jenna constantly goes far beyond what any employer should ask of her.  Her passion for the work has brought clients to tears of joy.  These thankful clients have sent her beautiful emails and gifts to recognize her part in making their American dream come true.  Like Rita, Jenna’s work ethic is unbounded.

Amy has a unique sense of honing in on exactly what the client needs. It is most evident in her ability to communicate confusing immigration concepts in a clean style.  This ability has put many, many client’s minds at ease.  But that’s not her only talent: Amy’s baking skills are responsible for the cupcakes.

Our attorney team is outstanding.  I was proud to invite Maria into the partnership this past January.  She has been at MU since 2011, and quickly fell into the MU way of doing things.  She is a smart, hardworking lawyer, who has blossomed into much more than just a co-leader.  She takes her leadership skills beyond the MU doors.  She founded the Cincinnati Bar Association’s Immigration Committee.  That proved so successful that they asked her to join the CBA Board.  She teaches at the University of Cincinnati’s Law School as an Adjunct Professor.  She came into the firm with a passion for immigrants -- a passion that even drove her to marry one! 

Anshu is our next longest tenured lawyer.  Her ability to work through any problem with grace under fire is something that everyone should envy.  She never gets frazzled, no matter the challenge in front of her.  She concentrates entirely on the solution.  It’s remarkable.  Maria and I can’t wait to bring her into the partnership.

Shabnam was our first student law clerk that we offered the opportunity to join MU, a decision that has worked out so well that we repeated it with Allyson, Olivia, Rob, and soon, Megan.  John is our only lateral attorney, and we’re lucky that he left Montreal to come back to Cincinnati.  This group shares strategies, and genuinely cares about each other’s success.  We have great and productive attorney meetings where the energy for the work really shows.

Beyond the three originals, we have an enormously talented group of paralegals.  Nicole was an old friend who took a few years away from paralegal work, came back, and hasn’t missed a beat.  She is laser-focused on getting cases filed and approved.  We plucked Annalisa right out of paralegal school and, as with Shabnam and the attorneys, has been such a pleasure to work with that we repeated the practice with Heather, Candice, Julia, Ally, and Tyler. 

Ana, Mary, Tina, Denna, Gwendolyn, Aigerim, and Tess, came to MU from a variety of different backgrounds.  Some are immigrants or come from first-generation families.  Some are natives.  All are Americans.  And all are very much appreciated.  Like the US itself, the diversity of our team’s personality, race, gender, vibrancy, and background, enhances the experience that we all have with each other.

This entire experience would be impossible without our inspiring clients.  These businesses are not just from here in Greater Cincinnati, but from Florida, Texas, New York, New Jersey, Iowa, California, Washington DC, Maine, Alabama, Missouri, Tennessee, Pennsylvania, and, well now that I think about it, every state.  We have even secured a visa for healthcare worker in rural Alaska.

Many of the business clients started with us from the day that we opened the law firm’s doors.  Many started small and have developed into exciting companies.  Together they employ thousands of immigrants, and tens of thousands of Americans.  They serve literally millions of people.  They have grown as we have grown.  The product of these client relationships is exponential.  

The owners and leaders of these companies are not just business colleagues, but genuine friends.  We call and email and text at weird hours and on weekends.  I have been to many of their homes.  I have met their spouses, children, and parents. 

Our clients are from countless countries around the world, most often from the Philippines and India.  I have worked with thousands of wonderful people from these two lovely countries helping them achieve what my own family achieved a generation ago: legal passage to the US to a place that lets them maximize their talents.  I have had the chance to visit both countries and have a deep appreciation for their values and ethos, and maybe a little too much of an appreciation for their food. 

Beyond these two incredible countries, MU has worked with clients from nearly every country in Europe, much of Asia, Africa, and North and South America.  Still we can do more.  We have not yet immigrated any penguins from Antarctica. 

The next ten years will be exciting.  Immigration is a dynamic area of law.  We will be moving our office into larger space in the fall, having outgrown our home at 205 W Fourth Street. 

We have a stalwart group of experienced employees who continue set a model tone.  We have a collection of younger employees who infuse this place with enormous energy.  Thank you to everyone who has been a part of ten wonderful years.  I can’t wait to see what happens over the next ten.

With an incredible amount of thankfulness and gratitude,
Chris

Tuesday, January 8, 2019

H-1B COMMENT PERIOD CLOSED

Last month USCIS published two proposed rules to the H-1B cap process.  As we noted on December 5, 2018:

 The two rules are:

1.    Electronic pre-registration for the H-1B cap.  This is a proposed rule that has been considered by USCIS since 2011.  Under the proposal, all H-1B lottery petitions will need to be electronically pre-registered during the H-1B pre-registration period from April 1-7.  After the pre-registration period has concluded, USCIS will run the H-1B lottery.  All H-1B lottery winners will then have 60 days to submit the actual H-1B petition.  If implemented properly, this should save petitioners and the industry significant expense.

2.    H-1B Masters Cap Allocation Preference.  USCIS will technically re-engineer the way that it conducts the H-1B lottery.  The result of the re-engineering should mean that a slightly greater number of H-1B petitions will be approved for US Masters Degree H-1B Beneficiaries than under the current H-1B lottery.  We previously explained this process on an earlier blog.

Now that the comment period has ended the USCIS must read and consider all of the comments, which were plentiful.  Many of the comments focused on the fact that rushing this proposal forward for the April 1, 2019 H-1B cap is a bad idea.  MU Law agrees that the USCIS is moving too fast with these recommendations.

The USCIS has not announced a timetable for a decision as to whether the proposed changes will be adopted and, if so, whether they will go into effect for April 2019.  It is however expected that they will make a decision by February.