September 2024 Immigration Update

September 2024 Immigration Update

Want to keep up with immigration news in the U.S.? Every month, Global Cleveland publishes our immigration update so that you can stay informed about the latest immigration news.

This month’s Immigration Update at a glance:

  • Governor DeWine Pens Op-Ed on Springfield Rhetoric
  • Trump Says He’ll End Legal Status for Immigrants Currently in the U.S. on Two Programs
  • Rep Duarte Proposes Bill with Pathway for Dreamers, DACA Recipients

Congress Passes Funding without SAVE Act

  • Congress passed a funding measure that will keep the government open without attaching the SAVE Act, a voting-related bill.
  • The SAVE Act would require proof of citizenship to register as a voter. Voting in federal elections is already limited to US citizens, and critics of the bill said that it would make it harder for citizens to vote who may lack specific forms of documentation.
  • The effort to pass the bill had support from House Republicans, but did not have enough support to pass the Senate.
  • The funding bill means that the government is funded until after the November election, where voters will elect the president as well as Congress.
  • https://www.cnbc.com/2024/09/22/republican-house-speaker-johnson-trump-government-shutdown-funding-bill.html

Report: Immigration Reform Needed for STEM Industries

Ohio lawmaker Proposes bill to Require Cities Cooperated with Federal Immigration Authorities

  • State Rep. Josh Williams introduced the Protecting Ohio Communities Act, which would require that state and local authorities cooperate with the federal government in the enforcement of immigration laws.
  • Under the bill, municipalities would lose some state funding for noncompliance with the law
  • Williams said that Ohio municipalities were encouraging undocumented immigration, and that cities that refused to cooperate with the federal authorities were costing the state money, as it had to do more to enforce laws.
  • Casey Weinstein opposed the bill, saying it was trying to prevent something that isn’t happening in the state anyway and that it infringed on home rule.
  • https://www.nbc4i.com/news/your-local-election-hq/immigration-targeted-by-proposed-ohio-bill/

Oregon’s Non-Citizen Registration was largely due to government mistake; almost no non-citizens voted

  • A new report found that while over 300 non-citizens had been mistakenly registered to vote in Oregon, only two of those people actually voted, and the issue was attributed to a legislative issue, not an attempt to illegally influence an election
  • Oregon has had automatic voter registration at the Department of Motor Vehicles since 2016. In 2019, a change in state laws led to proof of citizenship not being required to be shown at the DMV, causing for some non-citizens to be mistakenly added to the voter rolls.
  • Tobias Read, the Democratic nominee for Secretary of State, called on the Secretary of State’s office to work quickly to prevent the accidental registration from happening in the future.
  • https://www.opb.org/article/2024/09/13/noncitizens-registered-oregon-error/ 

Bill Requiring Undocumented Immigrants with History of Domestic Violence, Sex Crimes, Be Deported Passes the House

Rep Duarte Proposes Bill with Pathway for Dreamers, DACA Recipients

  • Republican Congressman John Duarte discussed proposed legislation that would pair funding for border security with a pathway for legal status available to some DACA recipients and Dreamers
  • Those who married a US Citizen, have children, or have been working in the US for five years would be eligible for a green card if they have no criminal history.
  • “Dreamers and DACA recipients would be eligible for a Conditional Permanent Residency.,” which could be upgraded into a Lawful Permanent Residency if the applicant has “obtain(ed) a college degree, serve(d) at least three years in the military, or (have been) employed for at least four years,” Your Central Valley reported
  • https://www.yourcentralvalley.com/news/local-news/get-our-families-out-of-the-shadows-rep-john-duarte-presents-immigration-bill-in-kerman/

Governor DeWine Pens Op-Ed on Springfield

  • Ohio Governor Mike DeWine published a New York Times op-ed on the controversy surrounding immigration in Springfield, Ohio, which had become a topic in the ongoing presidential campaign
  • DeWine, who grew up in nearby Yellow Springs, said “it is disappointing to me that Springfield has become the epicenter of vitriol over America’s immigration policy” and criticized false statements about Haitian immigrants in the city.
  • DeWine has also sent state-level assistance to local authorities in the city.
  • https://www.nytimes.com/2024/09/20/opinion/springfield-haitian-migrants-ohio.html

Trump Says He’ll End Legal Status for Immigrants Currently in the U.S. on Two Programs

  • Former President and current candidate Donald Trump told reporters if elected he would end two humanitarian parole programs instituted by President Biden, thus ending the legal status of about one million people.
  • The program that allows for migrants to use the CBP One app to enter the country and seek asylum, as well as the CHNV program that is open to nationals from Cuba, Haiti, Nicaragua, and Venezuela, would be ended under this plan.
  • Both programs have been the subject of ongoing litigation.
  • Immigration advocates criticized the former President’s statement, saying that the revoking of parole on this scale would be “unprecedented, and simply cruel”.
  • https://apnews.com/article/trump-immigration-border-cuba-haiti-nicaragua-venezuela-biden-kamala-election-2b0a533fd9f4e96789f96f3e36021cf5

Naturalization Rate Hits High

Appeals Court: Law on non-citizens firearm ownership constitutional


Miscellaneous News

American Immigration Council: Almost Half of Fortune 500 Founded by Immigrants or Their Children

  • A new report from the American Immigration Council found that 230 of the 500 companies listed on the Fortune 500 list were founded by immigrants or the children of immigrants.
  • Several of America’s largest companies were in the list, including Apple (found by the son of a Syrian immigrant), Google (founded by a Russian immigrant), JPMorgan Chase (who’s co-founder’s father was born in Austria).
  • Firms founded by immigrants and their children have a higher revenue than the entire GDP of Germany.
  • https://www.americanimmigrationcouncil.org/research/new-american-fortune-500-2024


Global Cleveland, City of Cleveland and Cuyahoga County condemn hateful rhetoric

CLEVELAND, OHGlobal Cleveland, the City of Cleveland, and Cuyahoga County strongly condemn the hateful, dishonest rhetoric voiced by political leaders regarding Haitian refugees and immigrants of the Springfield, OH community.

There is no space for such dangerous language and rhetoric in this country, one built upon and survived by immigrants.

We call on all leaders, elected officials, and those in positions of influence to renounce and cease the spread of fabrications about the immigrants and refugees of Springfield. The Haitians impacted by these false statements have committed their work ethic, culture, families, hopes, and dreams to an important Ohio community. Our responsibility is to ensure that America is a safe and welcoming place for those seeking to build productive and fruitful lives, communities, and homes in this great country.

Together, Global Cleveland, the City of Cleveland, and Cuyahoga County stand by the Haitian community of Springfield and the immigrant and refugee community. You are welcome here.


August 2024 Immigration Update

August 2024 Immigration Update

Want to keep up with immigration news in the U.S.? Every month, Global Cleveland publishes our immigration update so that you can stay informed about the latest immigration news.

This month’s Immigration Update at a glance:

  • A proposed STEM bill would extend the period of OPT for STEM students from 29 months to 48 months
  • EB3 visas have hit their cap for Fiscal Year 2024, leading to a pause on the issuance of visas until October of this year
  • A group of Republican-run states have challenged a new rule in court that allows recipients of Deferred Action for Childhood Arrival (DACA) to access healthcare through the Affordable Care Act

Rep Thanedar Introduces Keep STEM Graduates in America Act

  • Congressman Shri Thanedar, a Michigan Democrat, introduced a new bill that would reform the H1B process as well as make changes for international students
  • The bill would extend the period of OPT for STEM students from 29 months to 48.
  • It would also change the H-1B system, reforming the lottery as well as increasing the number of STEM H-1B visas from 20,000 to 30,000
  • The Bill, which has one co-sponsor, Dan Goldman (D-NY) is currently in the judiciary committee
  • https://bizlegalservices.com/2024/08/01/new-bill-introduced-to-keep-stem-graduates-in-u-s/

California Bill would Allow Those without Documentation to Use Homebuyer Loan Program

EB3s and EWs Hit Cap

  • EB3 visas have hit their cap for Fiscal Year 2024, leading to a pause on the issuance of visas until October of this year
  • The caps are set annually by the Immigration and Nationality Act, and will be reset in the new FY2025, which starts this fall
  • Limits are set to be 28.6% of the worldwide employment limit. No more than 10,000 of these can be EW visas
  • https://www.boundless.com/blog/eb-3-and-ew-visa-categories-reach-annual-cap/

AIC and Scientists to DHS – Expand STEM List

  • The American Immigration Council joined five major organizations in the immigration and scientific spaces in calling for the SEVP to add to the list of STEM programs that qualify for more post-graduate training
  • The letter specifically cited the needs of the Artificial Intelligence sector as making an update necessary
  • The letter said that the retention of STEM talent was “critical for technological development and U.S. competitiveness.”
  • https://immigrationimpact.com/wp-content/uploads/2024/07/stem-opt-letter-ai-240603.pdf

Naturalized Citizen says Ohio Not Following Law in Voter Audits

  • A British-born naturalized citizen said that a letter challenging his registration from the Ohio’s Secretary of State office was unlawful.
  • Andrew Pearson, a teacher from Cincinnati, has lived in the US since he was 5 after his family relocated from the UK. He was naturalized as a US citizen last year.
  • The voting audit seems to have obtained citizenship information from the individual’s citizenship status recorded on their last visit to the Department of Motor Vehicles.
  • https://stateline.org/2024/08/20/naturalized-citizen-says-ohio-secretary-of-state-is-not-following-law-in-voter-audits/

Judge in Texas pauses Biden program offering legal status to spouses of U.S. citizens

  • A Biden administration order that allowed a new path for immigrant spouses of US citizens to acquire citizenship was paused by a US Federal judge
  • Sixteen attorneys general challenged the program in a lawsuit. The states argued that the order caused increased unauthorized immigration.
  • Judge J. Campbell Barker said that the claims “were substantial and warrant closer consideration.”
  • https://www.texastribune.org/2024/08/26/federal-judge-pauses-spouses-citizens/

H1B Spouses Work Authorization Upheld in Federal Court

  • A US Court of Appeals upheld an earlier decision in favor of the Department of Homeland Security, declining to block a DHS rule that allows spouses of H-1B visa holders to gain work authorization provided they meet certain criteria
  • The decision followed a lawsuit from a group called Save Jobs USA, which argued that the Department of Homeland Security “exceeded its authority under the Immigration and Nationality Act”
  • The ruling was seen as having broader implications, as an earlier Supreme Court decision this summer overturned the “Chevron” doctrine in favor of a more narrow criteria of how federal agencies can regulate. It had been speculated that this change may have aided Save Jobs USA’s argument.
  • https://www.forbes.com/sites/stuartanderson/2024/08/05/court-ruling-good-news-for-h-1b-spouses-employers-and-students/#

Fraud Concerns Lead to Pause of Migrant Sponsorship Program

  • President Biden’s administration paused a program that allowed for 30,000 migrants from specific countries to enter the US if they had a sponsor agree to support them financially.
  • The program, which dates to 2022, is limited to nationals of Cuba, Haiti, Venezuela, and Nicaragua.
  • DHS cited concerns about fraud among program sponsors as its reasons for the pause, which it says will be temporary
  • https://www.cbsnews.com/news/us-migrant-sponsorship-program-paused-cuba-haiti-nicaragua-venezuela/

States take action to Block DACA recipients from ACA

  • A group of Republican-run states have challenged a new rule in court that allows recipients of Deferred Action for Childhood Arrival (DACA) to access healthcare through the Affordable Care Act.
  • The Affordable Care Act, passed in 2010, allows those who are “lawfully present” to access its care. In 2012, the government issued a rule that made DACA recipients ineligible, but this changed in May 2024.
  • The group, led by Kansas Attorney General Kris Kobach, said that DACA recipients are not ‘lawfully present’ and therefore are not eligible under the Affordable Care Act.
  • https://immigrationimpact.com/2024/08/23/states-sue-to-block-daca-affordable-health-insurance/


Remembering Kwame Botchway

Remembering Kwame Botchway

Kwame Botchway wasn’t just a friend to Global Cleveland; he was part of our family. As our team – like so many others in our region and around the globe – try to comprehend this loss, we wanted to share about Kwame and the light he brought to our lives.

Kwame Botchway radiated positivity, intelligence, laughter, and kindness. For Global Cleveland, Kwame was a constant presence, an ardent supporter, and a steadfast advocate. Above all else, he was a friend and brother to our team and to so many international newcomers in Northeast Ohio.

It was during his time as an inaugural member of our Global Rising International Leadership Program that Kwame first became beloved by our staff. His work ethic, compassion, and drive to make a difference was abundantly clear. Kwame became one of our go-tos when seeking advice or guidance. He was always willing to help Cleveland’s international community, and he touched countless lives in the process.

Kwame embodied our mission. One only had to look at Kwame to see the truth in our tagline: We Strengthen Our City By Welcoming Our World. Cleveland and Northeast Ohio were strengthened by Kwame’s presence here. We were changed by his work, inspired by his commitment and drive. He made us smile. He made us laugh. He made us stronger. How lucky we were to have him in our lives…

A native of Ghana, Kwame came to Cleveland to study at Case Western Reserve University. He supported many projects and endeavors and spoke frequently as an international leader here in Cleveland. He helped advise us on what it was like being an international newcomer and how we could all make the ride smoother and less steep for fellow immigrants and international students.

Kwame’s work on community and economic development in cities captured the attention of the globe. He spoke at the Davos World Economic Forum, one of only 50 people from around the world and one of four from the US to participate. He was a force for good in lifting the voices of young leaders, of Black leaders, and of seeing truly seeing the African immigrant community here in northeast Ohio for the blessing it is and teaching us what a welcoming community looks like.

Kwame, with Crystal Bryant, forged the relationship between Tema, Ghana and Cleveland Ohio as the newest of Cleveland’s Sister Cities. The Tema Ghana Sister City relationship is so critical as it embodies the close ties between great cities, places, and people. For Kwame it was always about people – with his smile and sense of humor AND keen ears, he showed up at meetings, forums, and events to get to know the people who were like him a few years ago: new to the city and nation, seeking connections and futures. He was always finding friends in cups of coffee, gatherings, and doing the biggest, best thing one can do: see our international sisters and brothers for who they are and for what dreams they worked to pursue.

Kwame was a source of life and light. His superpowers came from his brilliant analytical mind and the way he worked to improve conditions in Cleveland for all Clevelanders. His superpowers came from his heart; he showed up, he cared, and he lifted as he rose. What a blessing we have been given to know him and see him and experience his energy, even if it was too short – too painfully short for those lucky enough to call him friend and brother.

Kwame lived in a way that directs us to do the work of building this city and region by welcoming the world. We pick up where he left off, and our work is a tribute to him.

If you or someone you know is in crisis, call or text 988, or chat 988Lifeline.org for 24/7, confidential support.

  • Call – Dial 988 on your mobile or home phone for immediate support
    • For the Veterans Crisis Line, dial 988 then press 1. You do not have to be enrolled in Veterans Affairs (VA) benefits or health care to call.
    • Para acceder al apoyo en español, marque 988 y presione 2.
  • Text – To text with a crisis counselor, send a text to 988 on you mobile phone. (English and Spanish)
    • Para iniciar una conversación de mensaje de texto en español con el 988 Lifeline, envía la palabra AYUDA a 988.
  • Chat – To reach a crisis counselor through the 988 National website


July 2024 Immigration Update

July 2024 Immigration Update

Want to keep up with immigration news in the U.S.? Every month, Global Cleveland publishes our immigration update so that you can stay informed about the latest immigration news.

This month’s Immigration Update at a glance:

  • Harris Would Keep Biden’s EO on Border
  • Court Shields Catholic Charities from Deposition
  • USCIS Updates Acquisition of Citizenship Guidelines

California considers sending in local health inspectors to Immigration facilities

  • Legislators in California are debating a bill that would give local health inspectors the authority to inspect detention centers operated by private companies, which includes all six federal immigration centers in the state
  • Senator Maria Elena Durazo says conditions in the facilities are bad, often involving communicable disease problems, and can hurt both those inside and the surrounding communities
  • The Bill was passed unanimously out of the State senate and is pending in the State Assembly, the lower house of the California legislature.
  • https://californiahealthline.org/news/article/federal-immigration-detention-facilities-ice-local-health-inspectors-complaints-deaths/

US Conference of Mayors Endorses Heartland Visas

  • A resolution from the US Conference of Mayors endorsed the idea of a Heartland Visa that would, as the USCM’s statement described it “provide a new pathway for skilled immigrants and immigrant entrepreneurs who wish to settle in welcoming communities facing population stagnation or decline that would opt-in to such a policy if it aligns with their local economic development goals.”
  • The resolution was sponsored by a bipartisan group of Mayors, including Justin Bibb of Cleveland, John Giles of Mesa (Arizona), Tishuara Jones of St. Louis, and Regina Romero of Tuscon.
  • The US Conference of Mayors is a nonpartisan national organization of Mayors of large cities, and recently had its annual meeting in Kansas City.
  • https://legacy.usmayors.org/resolutions/92nd_Conference/proposed-review-list-full-print-committee-individual.php?resid=a0FKY000000sZ4b2AE

USCIS Updates Acquisition of Citizenship Guidelines

  • The US Citizenship and Immigration Services (USCIS) issued updated guidelines for how children can acquire citizenship
  • The changes clarify that a US Citizen parent may meet the requirement of physical presence in the US before the child’s birth regardless of immigration status as well as the citizenship related regulations for a variety of circumstances, including children born out of wedlock and instances in which a child no longer has a legal relationship with a parent or guardian because of neglect or cruelty
  • It also affirms that those who’s claim was denied, but who’s claims may have been accepted under new policy, can file a motion to reopen their case.
  • https://www.uscis.gov/newsroom/alerts/uscis-issues-policy-guidance-on-childrens-acquisition-of-citizenship

Processing Time Down, 9 Million eligible to become citizen

Harris Would Keep Biden’s EO on Border

  • President Joe Biden, who had planned to seek reelection, announced that he would instead retire in the fall, endorsing Vice President Kamala Harris
  • Asked by CBS News, a campaign manager for the Vice President indicated that the President’s Executive order that restricted the ability for some migrants to claim asylum would be retained by Harris if elected.
  • The campaign manager, Julie Chávez Rodriguez, cited the policy’s “positive impact” on border security and implied it would continue.
  • https://www.cbsnews.com/news/kamala-harris-campaign-chief-signals-biden-border-crackdown-continued-if-elected/

Border Crossings Plunge in July

  • Unauthorized crossings of the US Mexico Border dropped snigifcantly this month, and near a level at which restrictions on asylum claims would be lifted
  • The drop continues after an executive order from President Joe Biden suspended access to the asylum system to those who did not enter at official ports of entry. The measures would be in place when unauthorized crossings hit a specified level.
  • Unauthorized crossings have reached a three-year low this summer.
  • https://www.cbsnews.com/news/migrant-crossings-plunge-near-level-lift-biden-border-crackdown/

US to pay for flights from Panama

  • The United States signed an agreement with Panama agreeing to assist the country remove migrants traversing the Darien Gap.
  • Panama’s new president José Raúl Mulino has vowed to halt crossings of the Darién Gap, a rugged and dangerous wilderness that has emerged as a major route for migrants seeking to travel northwards
  • Secretary of State Alejandro Mayorkas signed an MoU with Panama on the subject while in the country to attend Mulino’s inauguration
  • https://apnews.com/article/immigration-removal-homeland-security-panama-9b6056567ec797140dfae1d7efe4f693

Death of Undocumented Wyoming Man Prompts Lawsuit

Chevron Ruling’s Immigraiton Impact

Oklahoma Immigration Law Put on Hold, Appeal Filed

  • Oklahoma’s House Bill 4156 was put on hold by a federal judge
  • The bill makes it illegally for someone to willfully enter the state without legal authorization to be in the United States.
  • Oklahoma’s Attorney General, Gentner Drummond, said that it was necessary to counter criminal activity, and filed an appeal. Opponents of the law say that it encroaches on the federal government’s authority to enforce immigration law.
  • https://oklahomavoice.com/briefs/oklahoma-attorney-general-appeals-immigration-law-injunction/

Court Shields Catholic Charities from Deposition

DOJ Files Lawsuit Abuse at Migrant Housing

  • The Department of Justice issued a disturbing report documenting pervasive abuse of migrant children at facilities run by Southwest Key Programs.
  • Southwest Key is the largest provider of housing for unaccompanied minors
  • The Department of Justice filed a lawsuit in a Texas Federal Court on July 19th
  • Health and Human Services Secretary Xavier Becerra said that the complain raised serious concerns about Southwest Key, and reiterated that the HHS has a zero tolerance policy towards abuse
  • https://apnews.com/article/migrant-children-provider-lawsuit-0bfd45735aa6d41a4233abe6059f0e1f


Ohio Healthcare Shortages & International Medical Graduates

Immigration Policy as a Matter of Public Health: Reducing Barriers for International Medical Graduates in Ohio

Want to know how IMGs can help address the Ohio healthcare shortage? Read our full paper exploring the topic here:

Read the Full Paper

How International Medical Grads Can Solve Ohio’s Healthcare Shortage

There is an Ohio Healthcare Shortage - Why We Need IMGS

Ohio healthcare shortages cannot be ignored.

Current statistics report that by 2025, Ohio will be short of 1,200 primary care physicians, 70% of nurses are seriously considering leaving the profession, and the United States is expected to have a deficit of 139,000 physicians by 2023.

With approximately 102 million people living in a primary care health provider shortage area (HPSA), 167 million people living in a mental health HPSA, and 77 million people living in a dental health HPSA, this local problem is reflected by ongoing workforce shortages across the nation, spelling bad news for Ohio if a solution is not found quickly.

Counties across Ohio are impacted, with a lack of workers increasing consumer health costs, decreasing the quantity of care, and making care less accessible. During the pandemic, when the healthcare workforce shortage became especially apparent, hospitals and clinics resorted to calling physicians out of retirement, waiving out-of-state practice requirements, and expanding the capabilities of many practices. However, these solutions are simply unsustainable for the long term.

International Medical Graduates Can Address the Cleveland & Ohio Healthcare Shortage

International medical graduates, or IMGs, as well as international newcomers, are the key to fixing a Cleveland’s lack of physicians, nurses, nurse practitioners, EMTs, phlebotomists, pharmacists, dentists, nursing home staff, home care workers, dental hygienists, technicians, and mental health providers.

IMGs can hit the ground running, considering their previous training, rather than require local governments to allocate additional time and resources searching for new talent.

In addition, international newcomers who lack extensive career training and professional experience in the United States should be encouraged to pursue healthcare professions—careers with high demand and strong benefits—and barriers should be reduced for these individuals seeking training opportunities.

IMGs are already being utilized to fill gaps in the healthcare workforce, proving their clear competency in assuming these positions. The National Institute of Health found that IMGs constitute 25% of the current healthcare workforce in the United States. Between 2010 and 2021 the number of IMGs increased by 18%, while the number of U.S. medical graduates only increased by 15%. According to the Annals of Internal Medicine, 18% of academic physicians are IMGs.

International Medical Grads Are Underutilized in Cleveland’s Healthcare Workforce

Despite their undeniable impact on the field, IMGs are unfortunately severely underutilized in the United States with current estimates stating that “brain waste” is impacting over 250,000 individuals, meaning refugees and immigrants are working jobs far below their skill level. It is further estimated that 225,000 doctors, nurses, and home health aides lack lawful immigration status and 190,000 individuals working in custodial and administrative healthcare roles lack lawful immigration status, meaning thousands of individuals within the field are at risk of deportation.

Policies reducing barriers to entry for these individuals are a necessity to ensure that workers providing necessary services to their local communities have proper paths to citizenship and long-term residency. With the Ohio healthcare shortage, ensuring that international medical graduates can work jobs indicative of their training and professional success is essential.

The Ohio Healthcare Shortage is a Bi-Partisan Issue – International Medical Grads Can Benefit All

A recent summary published by the Economic Innovation Group shares that 75% of American voters support increasing immigration levels for the benefit of highly skilled innovation. With 71% of Trump voters and 86% of Biden voters in support, this issue is inarguably bipartisan.

Further, reducing the barriers to education for short-term training positions within the health workforce (phlebotomy, emergency health services, technician work, home care aids, custodial work, etc.) will allow international newcomers to attain much-needed jobs with strong benefits, opportunities for career growth, and the ability to support their families. The United States, particularly Ohio, must pull from a large employee market to fill these positions, and with fewer and fewer natural-born citizens choosing this line of work, international individuals must be considered in the healthcare professional applicant pool.

Educating International Medical Grads to Fill Cleveland’s Nursing Shortage

International newcomers want the ability to work and study within the United States and are both capable and willing to fill these positions when given the chance. Funding education programs at local community colleges that push these certifications, offering services to help international newcomers navigate the bureaucracy of applying for these positions, and educating healthcare providers on the importance of hiring international talent is imperative.

Our Exploration of How IMGs Will Solve the Ohio Healthcare Shortage

If the Ohio healthcare shortage remains unaddressed, disastrous effects will ripple across Northeast Ohio and the greater Cleveland area in the near future. Thousands of Ohioans are already suffering from acute workforce shortages within healthcare. Medical professionals across Northeast Ohio continue to provide quality care, but growing gaps in the workforce impact their ability to perform their jobs to the highest extent, due to an overburdened system that needs more labor.

The solution is here: public health workforce policy that provides provisional licensure to international medical graduates and increased opportunities for training within the job market.


Want to learn more about how IMGs can solve Ohio healthcare shortages?

Immigration Policy as a Matter of Public Health: Reducing Barriers for International Medical Graduates in Ohio

Read the Full Paper

June 2024 Immigration Update

June 2024 Immigration Update

Want to keep up with immigration news in the U.S.? Every month, Global Cleveland publishes our immigration update so that you can stay informed about the latest immigration news.

This month’s Immigration Update at a glance:

  • Ex-President Donald Trump proposed giving green cards to non-citizens who graduate college
  • Biden Eases Visa Process for US Grads and Dreamers
  • Biden Executive Order Limits Asylum Seeking

Ohio Legislators Introduce Bill to Mandate E-Verify

  • Ohio lawmakers introduced House Bill 327, which would require public works contractors, nonresidential construction contractors, and businesses with more than 75 employees in the state to use E-Verify to confirm that employees are legally authorized to work in the United States.
  • E-Verify is a federal system that matches an I-9 document to government records to ensure that they have legal authorization to work in the country.
  • The bill had support from both parties in the house, some of whom said that it could crack down on bad business practices, with one Rep highlighting companies in construction who take advantage of workers.

Ohio Bill Would Require College to Adapt Anti Racial, Ethnic, and Religious Harassment Policy

  • A bipartisan bill in the Ohio House of Representatives would require state universities to adapt and enforce a policy to prevent racial, religious, and ethnic harassment and intimidation
  • The bill, called the Enact Campus Act, follows a complaint made by several nonprofits and civil rights organizations against Ohio State, who said that Jewish students at the university faced antisemitic harassment and sometimes even violence since war broke out between Israel and Hamas on October 7th of last year.
  • The bill is sponsored by Republican Justin Pizzulli and Democrat Dontavius Jarrells.

Biden Executive Order Limits Asylum Seeking

Biden Announced New Policy for Undocumented Spouses

Border Patrol: Unauthorized crossings down after aslyum restrictions

  • Apprehensions involving illegal border crossings plummeted by almost half in the aftermath of President Biden’s executive order to restrict asylum access when border crossings reached a certain level
  • Border Patrol statistics showed that daily arrests by the Border Patrol have fallen below 2,400 on average, marking the lowest number since January of 2021.

Trump: Give College Graduates Green Cards

  • Former President Donald Trump proposed giving green cards to non-citizens who graduate college in an interview on the All-In Podcast.
  • “What I want to do and what I will do is you graduate from a college, I think you should get automatically as part of your diploma, a green card to be able to stay in this country,” Trump said. “And that includes junior colleges, too.”
  • Trump said that without being able to stay here, many foreign students return to their home countries, creating companies there.

Biden Eases Visa Process for US Grads and Dreamers

  • A new Biden administration policy eases the path towards getting a work visa for foreign nationals educated here.
  • The policy would prioritize graduates from US Colleges and Universities who are working in the same field they were educated for, would prioritize ‘national interest’ skills and would provide certainty to the waiver process for those with prior unlawful presence in the US
  • DACA recipients are eligible for this if they meet the requirements

USCIS Adds Overseas Field Offices in Middle East

SCOTUS Limits US Citizens Abilities to Challenge Visa Denial

  • In a 6-3 ruling, the Supreme Court found that US Citizens do not have the constitutional right to challenge their spouses visa denials.
  • The Case, Muñoz v. Dept. Of State, involved an American woman and her Salvadorian husband, who was denied a visa as the state department suspected him of having ties to organized crime, which her husband denied.
  • The Court decided that Muñoz could not challenge this visa denial, under the principle of consular nonreviewability, which limits the ways in which decisions by consular officials can be challenged in court.

Panama’s President-Elect Plans to Halt Darién Gap Crossings

  • Last Month, José Raúl Mulino was elected president of Panama
  • The Darién Gap, a remote and rugged forested area, separates Panama and Colombia. Impassible by road, it has emerged as a passageway on foot for migrants seeking to enter the US, but traversing the territory is often very dangerous.
  • Mulino has promised to close the Darién Gap to migrants and is seeking to work with President Biden’s administration to accomplish this. Mulino also said that he wants US funding to repatriate migrants, an idea that former US Ambassador to Panama John Feeley was supportive of.

Ecuador Suspends Visa-Free Access for Chinese Citizens

  • Ecuador’s Foreign ministry announced they would suspend their agreement with China that allowed them to visit the South American country without a visa.
  • The Foreign ministry noted that Ecuadorian authorities found that around half of Chinese nationals did not leave the country “through regular routes”, and many likely attempted to travel through Central America to the US.
  • The US-Mexico border has seen an increase in Chinese citizens trying to cross into the US over the past year and a half.


May 2024 Immigration Update

May 2024 Immigration Update

Want to keep up with immigration news in the U.S.? Every month, Global Cleveland publishes our immigration update so that you can stay informed about the latest immigration news.

This month’s Immigration Update at a glance:

  • Boundless Immigration reported the number of visas issued by the us in the first half of this fiscal year had reached a record high
  • The Biden administration unveiled a new plan to speed up the immigration court cases of certain single adults caught crossing the US Mexico border without authorization to do so
  • The Cato Institute, a libertarian leaning thinktank, reported that immigrants seeking an employer sponsored green card faced a wait time of over three years

Employer Sponsored Green Card Processing Takes Three Years, Think Tank Reports

  • The Cato Institute, a libertarian leaning thinktank, reported that immigrants seeking an employer sponsored green card faced a wait time of over three years

  • This is a significant worsening of the situation over the last decade and the process has become 15 months longer than it was in 2016.

  • The report warned that the US would risk “los(ing) the global talent competition” if changes were not made to streamline the system

  • https://www.cato.org/blog/employer-sponsored-green-card-processing-takes-31-years

DeWine Calls Legislator Back into Session

USCIS Expands STEM Professionals Green Card Opportunities

  • The US Citizenship and Immigration Services updated the eligibility of people for a streamlined green card process, which is geared toward individuals with “exceptional ability” in STEM fields
  • The changes expand the definition of “science or art” to enable a broader range of STEM professionals to qualify.
  • The Schedule A, Group II process, of which these applicants can be a part, offers a faster and simpler process to obtain a green card
  • https://www.boundless.com/blog/uscis-expands-green-card-eligibility-for-stem-professionals/

Federal Government Seeks to Speed Up Immigration Cases

  • The Biden administration unveiled a new plan to speed up the immigration court cases of certain single adults caught crossing the US Mexico border without authorization to do so.
  • Single adults with court dates in Atlanta, Boston, Chicago, Los Angeles and New York City will be eligible to be put in a special docket with the aim of resolving their case in 180 days
  • At least ten judges will be placed in the new program initially
  • DHS Secretary Alejandro Mayorkas said the program would not be a substitute for a legislative solution
  • https://www.reuters.com/world/us/us-speed-up-immigration-cases-recent-border-crossers-new-program-2024-05-16/

US Sanctions Nicaragua for Migrant Smuggling, Political Repression

  • The US government sanctioned 250 Nicaraguan government officials and three organizations on their grounds that they had repressed human rights in the country and had permitted human smuggling in the country’s territory.
  • The government of Daniel Ortega, who has been in power for two different periods going back to 1979, has been accused of violently suppressing political opposition by means of extrajudicial killings, death squads, and suppression of peaceful protest.
  • Nicaragua lies on one of the main migrant routes to the US, and some smugglers have promoted routes through the country online.
  • https://www.reuters.com/world/americas/us-imposes-visa-restrictions-other-penalties-nicaraguan-government-2024-05-15/

US Issued “Record Number” of Visas so Far in 2024

  • Boundless Immigration reported the number of visas issued by the us in the first half of this fiscal year had reached a record high.
  • Among the categories of visa hitting record highs are:
    • Visitor visas for tourism or business travel (B-1s and B-2s)
    • H-2 visas, for temporary seasonal workers
    • Employment based green cards, which, while small in number, represented a major increase (75% over 2019)
    • Family reunification visas
    • J and F visas for academic and cultural exchanges
  • https://www.boundless.com/blog/state-department-record-number-visas-first-half-fiscal-year-2024/

Biden Opens Up ACA to DACA Recipients

  • President Joe Biden issued an order amending the definition of “lawfully present” to include recipients of the Deferred Action for Child Arrivals (DACA)
  • The change makes the recipients eligible to enroll in health insurance under the Affordable Care Act
  • DACA is a policy allowing for immigrants who came to the US as children and are here without lawful immigrant status to avoid deportation
  • DACA has been subject to court challenges at various times in the past decade
  • https://www.politico.com/news/2024/05/03/biden-obamacare-daca-00155881

Bipartisan Bill Seeks to Allow International Student Athletes to Benefit from NIL by Modifying F-1 Visas

  • A bipartisan and bicameral group of lawmakers, including Reps. Mike Flood (R-Texas), Valerie Foushee (D-NC), and Senators Richard Blumenthal (D-Conn.) and Pete Ricketts (R-Nebraska) introduced a bill allowing international student athletes to benefit from Name, Image, and Likeness revenue
  • Back in 2021, the National Collegiate Athletic Association (NCAA) adapted a new policy allowing student athletes to earn money from their name, image, or likeness, such as endorsing a product and being paid to do so.
  • However, International Students, who are usually here on an F-1 visa, are prohibited from doing so.
  • The bill, called the Name, Image, and Likeness for International Collegiate Athletes Act, would change the laws surrounding the F-1 visa to enable students to make money from NIL agreements without affecting their visa status.
  • https://spectrumlocalnews.com/nc/charlotte/news/2024/05/14/nil-name-image-likeness

Border Bill Fails to Advance in Senate

  • A border security bill rooted in the unsuccessful aid and border security package negotiated this year failed to advance out of the Senate amid GOP opposition
  • The bill would raise standards for migrants to qualify for asylum, give the president power to shut down the border entirely if border crossings reached certain thresholds, and empowered border control officials to quickly dismiss asylum seekers who fail to meet certain standards
  • Several members of the Senate who had supported the bill in principle voted no on this vote, claiming the vote was a political stunt.
  • Republican House Speaker Mike Johnson has stated his opposition to the proposal.
  • https://www.nbcnews.com/politics/congress/senate-republicans-block-border-security-bill-campaign-border-chaos-rcna153607

Georgia Governor Signs House Bill 1105

Blackburn Calls for Deporting of Student Protesters

  • Republican Senator Marsha Blackburn called for the US government to revoke the visas of international students sympathetic to Hamas.
  • Blackburn cited slogans including “We are Hamas” and “River to the sea” as examples
  • Campuses across the country have seen widespread protests over the Israel Hamas War
  • Blackburn introduced a bill that would ban such protesters who were convicted of crimes from having their student loans forgiven, but it does not appear to contain a provision about international students or immigration. Blackburn’s proposal to designate them as being on the No-Fly list also does not show up in the bill
  • https://thehill.com/policy/international/4634492-gop-senator-calls-for-deporting-certain-foreign-student-protesters/

Key Provision of Florida Immigration Law Blocked

  • US District Judge Roy Altman temporarily blocked parts of a Florida immigration bill that would prohibit the transportation of an undocumented immigrant into Florida.
  • Altman, who was appointed by former President Donald Trump, said that the law “extends beyond the state’s authority to make arrests for violations of federal immigration law”
  • A spokesperson for the Florida Attorney General said the state would appeal the ruling
  • https://www.politico.com/news/2024/05/22/ron-desantis-immigration-court-case-00159552

SCOTUS to Review Case on Spouse Visas

  • The case Bouarfa v. Mayorkas will go to the Supreme Court
  • The case involves Amina Bouarfa, a US Citizen who is married to a non-citizen who had attempted to get a visa through a previous marriage. Bouarfa’s petition for her husband was denied on these grounds. Bouafara sued the Secretary of Homeland Security in federal court
  • The court will hear the question on whether US courts can review a visa revocation.
  • https://news.bloomberglaw.com/us-law-week/justices-consider-juridical-review-for-sham-marriage-finding


Cleveland's Healthcare Shortage - Here's Our Solution

The Healthcare Shortage In Cleveland

Cleveland may be renowned around the world for our exceptional healthcare providers and hospitals, but it is no secret that Ohio is experiencing a demand for physicians.

In fact, the data shows that workforce shortages in healthcare aren’t unique to Northeast Ohio; they are affecting the entirety of the U.S. Because of the absolute necessity of accessible, quality healthcare for each and every person, addressing this situation isn’t just important, it’s crucial.

In Northeast Ohio, our population and workforce continues to dwindle, falling to keep pace with our region’s growing needs. The report, Aligning Opportunities in the Northeast Ohio Region, found that from 2001-2019, the region’s population dropped by 173,000 people. In that same time frame, Northeast Ohio’s labor force dropped by 156,000.

While shortages exist in a variety of our industries, including manufacturing and IT, healthcare leads the region in demand. According to Aligning Opportunities in the Northeast Ohio Region, approximately 7,842 entry-level healthcare positions went unfilled in 2019. In order to align our state’s demand for healthcare workers with our population growth, our workforce must expand 8% by 2030.

The U.S. could see a shortage of as many as 139,000 physicians by 2033

The U.S. needs an additional 23,000 surgeons by 2032

By 2025, Ohio is expected to be short 1,200 primary care physicians

7 in 10 Ohio nurses are considering leaving the profession​

Ohio has a shortage of 627 dentists

The longer life expectancy for the population, as well as the trend of an aging population, will cause an even greater demand for healthcare practitioners. In fact, he Population Reference Bureau projects that from 2022-2050, the number of Americans ages 65 and older will increase by 47%, making their share of the total population rise from 17% to 23%. They also reported that, based on the median age across the country, the U.S. population is older today than it has ever been.

The projected demand for healthcare workers by the U.S. Bureau of Labor Statistics can also be explained by healthcare professionals leaving the profession due to retirement. The Migration Policy Institute reports that “18 percent of physicians, surgeons, and registered nurses are within ten years of expected retirement (meaning they were between ages 55 and 64) as of 2021.”

The U.S. Bureau of Labor Statistics estimates that between 2021 and 2023, healthcare occupations will account for 2 million of the 8.3 million jobs created in the United States.

As the need for healthcare workers continues to escalate, people are beginning to ask, “how do we fill this gap?” Data shows that new births in our country will not be enough to fill our needs. The Centers for Disease Control and Prevention reports that the birth rate in the U.S. has reached a historic low, decreasing by 3% from 2022. They report that from 2014-2022, the birth rate has consistently decreased by 2% every year.

In summary:

  • Northeast Ohio is experiencing continuous population and workforce decline.
  • The birthrate in the U.S. is at a historic low.
  • The demand for healthcare professionals is rapidly growing.
  • Medical professionals are aging and retiring at a high rate.
  • The U.S. population is trending older, bringing with it an increased demand for healthcare.

This begs the question: where will we find workers to fill the demand for an aging population that is losing workforce and having less children than ever before?

The Solution to Northeast Ohio's Healthcare Worker Shortage: IMGs

Where is our solution to the healthcare shortage? It lies in International Medical Graduates (IMGs).

An IMG is an individual who completed their medical schooling outside of the United States or Canada. This categorization of healthcare professionals can include native-born Americans that received medical training outside of the country, but it most often describes individuals who were both born and educated outside of the U.S. The National Institutes of Health (NIH) reported that nearly 90% of IMGs are non-U.S. born, and over 75% of that population come from low-resource, developing nations.

IMGs already make up a significant portion of the country’s physician workforce. NIH found that IMGs make up a quarter, or 25%, of the physician workforce in America.

While IMGs make up a smaller population of the medical field when compared to U.S. Medical Graduates, they are growing at a faster rate than their native-born counterparts. The American College of Physicians reports that from 2010-2021, the number of U.S. Medical Graduates increased by 15%. During that same time, the number of IMGs in the healthcare field increased by 18%.

The American College of Physicians report the disbursement of IMGs to be 32% in the South, 28% in the Northeast, 20% in the Midwest, 17% in the west, and 3% in territories and military bases. They also report an increase in female IMGs from 25% to 45% between 1990 and 2014.

Not only are IMGs filling crucial gaps in our workforce, they also make up a significant portion of the population educating the next generation of medical workers. Out of around 80,000 academic physicians in the U.S., more than 18% are IMGs, reports the Annals of Internal Medicine.

International Medical Graduates and Visas

The United States is failing to prioritize the attraction of new IMGs, and with the aging trend of our population and the low birthrate, seeking to grow our population with international newcomers is essential. While foreign-born workers in healthcare can enter the United States via a variety of visas, one of the most common temporary visas for an IMG to obtain is called an H-1B. The H1-B visa is designated for those who work in specialty occupations.

The Migration Policy Institute reported that out of the 123,400 H1-B petitions approved in fiscal year 2021, only 5,600 went to healthcare and medical occupations and only 2,800 went to physicians and surgeons.

IMGs are being underutilized. While we face a staffing shortage in healthcare, approximately 270,000 immigrants with a college degree in healthcare faced skill underutilization (working in a lower-skilled job) or unemployment, reports the Migration Policy Institute.

International Medical Graduates and Residency Requirements

Once in the U.S., many IMGs face another challenge: obtaining a medical residency.

For medical graduates seeking to become physicians, they need to complete a medical residency. In the U.S., the process of pairing a medical graduate with a residency is called The Match, or matching, short for the National Matching Program.

A study in the Journal of General Internal Medicine found that IMGs were three times as likely to be selected into community programs instead of university programs for residency, citing that departmental pressure, concerns surrounding reputation, and priority given to certain institutes were some of the reasons that IMGs were not chosen for university programs.

The National Library of Medicine published an article stating that, “[IMGs] must build a highly competitive profile aiming for a barely equal chance of matching their US peers.”

For example, data published by the National Matching Program shows how internal medicine IMGs are matched with residencies of their chosen specialty far less often than U.S. peers with the same Step 1 score.

IMGs can also face a delay in joining the healthcare field in the U.S. depending on the level of medicine they seek to practice and the licensure it requires.

State Regulations for IMGs

States are varied in their approach to IMGs. Many have taken to submitting new legislation to get IMGs working in our healthcare system faster, while still maintaining quality of care.

Washington IMG Bill

Washington state passed legislation in 2021 that gives IMGs a temporary license to practice.

Requirements include:

  • Working under an already licensed doctor
  • Have passed the USMLE exam
  • English proficient

This license can be renewed.

Washington passed an IMG bill in 2019, and significantly expanded it in 2021. They are already seeing positive results from their IMG legislation.

Alabama IMG Bill

A Republican standalone bill for IMGs was passed in Alabama in 2023. This bill:

  • Allows IMGs to apply for a temporary renewable license one year earlier during their training
  • Eliminates the Special Purpose Exam (SPEX), an additional test
  • Creates a program for grads who were not Matched into a residency program to train under a licensed Alabama physician

Illinois IMG Bill

In 2023, Illinois signed into legislation two bills that will help break down barriers for IMGs to practice in the U.S. As Upwardly Global reports, the legislature created an alternative, permanent pathway for IMGs to obtain full licensure. They also created an ombudsman position, that will help IMGs navigate relicensing. Illinois will be able to “issue limited licenses to international medical graduates (IMGs) who are fully licensed physicians in their country of origin. These IMGs will be able to practice in the state under the direct supervision of an Illinois licensed physician,” according to the Illinois State Medical Society.

Furthermore, the Illinois House Health Care Licenses Committee passed a bill in April 2024 creating a clinical readiness program. This will help IMGs find a residency program in Illinois, which will help IMGs get working, and also increase the likelihood that the IMG will practice in the state after their residency.

Tennessee IMG Bill

Tennessee signed into law in 2023 a bill that will allow IMGs skip residency by instead getting a 2-year provisional license at a healthcare facility with an accredited residency program.

The IMGs can bypass residency if:

  • They receive an offer of employment from a residency hospital
  • They have obtained certification by the Educational Commission for Foreign Medical Graduates (ECFMG)
  • They pass the U.S. Medical Licensing Exam (USMLE) Step 1 and 2 CK
  • They have completed a 3-year residency at an accredited international program

IMGs will then receive a full-license after two years.

The New England Journal of Medicine released an article claiming that Tennessee law “…offers a model for attracting IMGs to practice in the United States.” In Tennessee Leads the Way in Removing Barriers to Foreign Doctors on the CATO Institute, the author said that Tennessee’s bill “…breaks down barriers that prevent foreign doctors from helping address the worsening physician shortage.”

What Ohio Can Learn from IMG Legislation

The legislation being adopted in states across the country comes from both sides of the political aisle, showing that this is not a partisan issue. The states also alter the legislation to best fit their needs, whether it be getting IMGs in the workforce faster, or supplying rural, understaffed areas with much needed medical care.

To put it simply, each state that has adopted IMG legislature for easier integration into their healthcare system has seen a success that we should try to emulate. If Ohio wants to maintain our industry-leading, competitive healthcare sector, it’s important that we keep pace with other states and their adoption of IMG legislation.

Supporting Newcomer Healthcare Workers

While actively advocating for IMG legislation, Global Cleveland continues to support the pursuits additional healthcare positions for international newcomers.

Our workforce team will make referrals to partners for healthcare careers in the following programs:

  • Phlebotomy
  • STNA
  • Community Health Worker
  • Medical Coding
  • Medical Assistant
  • Sterile Processing Tech

We also have strong relationships with resettlement partners who can connect international newcomers with entry-level jobs at University Hospital and Sodexo, including:

  • Nutrition Services
    • Meal Delivery
    • Dishwashing
    • Meal Dispatching
  • Facilities Management

Global Cleveland is aware of other sector workforce issues and different solutions could be advanced through partnership, including:

  • Nursing (re-credentialing and exchange)
  • Medical Innovation
  • Healthcare Workforce Resilience Act

Supporting IMGs in Northeast Ohio

Cleveland’s strongest sector is our healthcare, and we lead in this sector because of our ability to innovate, as well as attract talent from around the world.

If you’re committed to expanding our healthcare sector and filling the gaps in our workforce, we ask that you join us in voicing support for consideration of IMGs in our legislature and sharing this article and information about IMGs with your friends and colleagues.

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If you are an organization or international newcomer interested in learning more, send us an email to connect with our team.