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10/07/2002 HEALTHCARE IMMIGRATION ALERT:
A RESOLUTION TO THE OBSTACLE OF A SOCIAL SECURITY NUMBER FOR FOREIGN NURSES

The National Council of State Boards of Nursing is attempting to resolve a problem created by conflicting rules on the part of the Immigration and Naturalization Service, the Social Security Administration and several state boards of nursing. The obstacle that many foreign nurses face is that many state boards of nursing require foreign nurses to have a social security number while the Social Security Administration has strict requirements to obtain a social security number. Several hundred nursing applicants have demonstrated competency to practice in the U.S. but are unable to obtain the state license until the nurse obtains a social security number.

Currently forty-four states require a nurse to have a social security number before it will issue a state license to the nurse. The requirement of a social security license places many nurses in a catch-22 situation. Specifically, if a foreign nurse wants to obtain a green card the INS requires the nurse to have either a certificate from the Commission on Graduates of Foreign Nursing Schools or a license to practice in the state where the nurse has a job offer. However, the state nursing boards in forty-four states will not issue a license unless the nurse has a social security number and yet the Social Security Administration will not issue the nurse a social security number without proof of work authorization from the INS.

Last year foreign nationals who wanted to work as public high school teachers faced the same problem of not being able to obtain a state license without a social security number. The Assistant Commissioner of the INS responded by instructing all INS officers to approve a petition for temporary employment authorization on behalf of a foreign national if the only obstacle to obtaining the state license was the fact that the foreign national cannot obtain a social security card. The Assistant Commissioner said the INS could approve a one-year period of work authorization and then extend the work authorization if the foreign national obtains the social security number and the state license within the one-year period. While INS officers have followed this policy for public school teachers requesting temporary work authorization, the INS officers have not consistently followed this policy for foreign nurses who apply for a green card.

During its annual meeting in August, the National Council of State Boards of Nursing issued a resolution to work with the INS, the Social Security Administration and other federal agencies to resolve the problem.

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