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Legislation before the U.S. Congress could negatively impact nurse immigration from many countries, according to the American Hospital Association (AHA). and , the Fairness for High-Skilled Immigrants Act of 2019, would eliminate the per-country cap for immigrant visas. In a letter to the U.S. Senate last week expressing its members’ concerns, the AHA that this change would have dramatic consequences, “including eliminating the future ability of foreign-trained nurses to obtain visas for five to seven years or more.” Foreign-trained nurses make up roughly 5% of the newly licensed nurse workforce each year and fill a critical staffing need in inner city and rural hospitals. If Congress decides to move ahead with the legislation, the AHA requested that lawmakers amend the law to create “a carve-out from visa caps for a reasonable number of immigrant nurses each year.” (AHA , 9/19/19)