Nursing in America

Host Deirdre O’Regan, Senior Director of Recruitment at AMN Healthcare International, is joined by immigration attorneys Chris Musillo and Mike Hammond along with AMN colleague Ed, to unpack the most recent visa bulletin.

Released unusually late—on September 29th—this month's bulletin brought retrogression for Rest of World EB-3 categories, a modest two-week advancement for Philippine EB-3, and no spillover numbers. The panel explained what's behind the delays, what it means for nurses currently in the pipeline, and—most importantly—what candidates can do right now to stay prepared and minimize self-inflicted delays.

Despite the disappointing headline numbers, the panel identified several silver linings: positive movement on the F-1 front, optimism for Philippine EB-3 progression throughout the fiscal year, and the likelihood of more embassy interviews resuming in October. The overarching message was clear: don't get discouraged. The process has its cycles, and those who stay prepared will be ready when the green light comes on.

Chris Musillo —Attorney at Musillo Unkenholt Law, Chris is an experienced immigration lawyer specializing in employment-based visa petitions. He provides guidance on H-1B filings, green card processes, and the ever-shifting visa bulletin landscape for healthcare workers.

Mike Hammond - With more than 30 years of experience in immigration law, Mike brings deep expertise in EB-3 visa categories, priority date movement, and the intersection of policy and practicality for international nurses navigating the U.S. immigration system.

Ed S. —AMN Healthcare International colleague and advocate for international nurses, Ed draws on years of experience working directly with clinicians in the immigration pipeline. He focuses on the candidate experience, employer relationships, and keeping nurses encouraged through extended retrogression periods.

Deirdre O. —Senior Director of Recruitment at AMN Healthcare International and host of the Onwards and Upwards show. Deirdre brings a warm, knowledgeable perspective to every episode, connecting immigration experts with the international nurse community.

·      The October 2026 visa bulletin was the latest ever released—dated September 4th but not published until September 29th, likely due to ongoing litigation involving 75 countries.

·      Rest of World EB-3 retrogressed approximately four months, from September 2024 back to May 2024.

·      Philippine EB-3 advanced by just two weeks, but the dates of filing moving to January 2024 signals the category should continue to progress through the fiscal year.

·      Nurses with a Philippine EB-3 priority date in 2023 have a better-than-even chance of receiving a visa interview this fiscal year.

·      There was no family spillover in this bulletin—an unexplained development that left the panel puzzled.

·      The Department of State is moving cautiously because of uncertainty around 43,000 visa numbers tied to the 75-country litigation.

·      Embassy interviews are beginning to resume—London was cited as an early example—and a court order from Judge Vargas directed the State Department to continue interviewing applicants.

·      The travel ban on 39 countries remains in effect; the litigation around the 75-country pause does not affect those bans.

·      H-1B petitions face an informal pause as the Trump administration attempts to enforce a $100,000 fee that courts have repeatedly found impermissible. Resolution is expected, but the timing is uncertain.

·      F-1 students received some good news—the duration of status rule change was blocked by a court ruling on September 13th, largely restoring things to normal, with some lingering uncertainty around CPT programs.

·      Candidates preparing for embassy interviews should be ready across five public charge factors: financial ability, education and skills, age, personal health, and family status.

·      AMN Healthcare International is the only organization offering both direct hire and staffing opportunities for candidates with current priority dates.

[04:49]—Host welcome and introductions; viewers joining from Doha, Nepal, Germany, Jamaica, and beyond

[05:43]—Overview of the show's focus: the latest visa bulletin and what it means

[07:26]—Panel introductions: Chris Musillo, Mike Hammond, and Ed

[08:38]—Breaking down the October visa bulletin with Chris Musillo

[11:23]—Mike Hammond's analysis: silver linings, the spillover mystery, and what the bulletin says about FY2027

[20:56]—Ed joins the panel: encouragement for nurses feeling discouraged by retrogression

[22:51]—Audience Q&A begins: Cap-exempt H-1B petitions and the informal DHS adjudication pause (Chris)

[25:41]—Update on the 39-country travel ban versus the 75-country pause (Mike)

[27:45]—What nurses should focus on right now to stay prepared (Ed)

[29:47]—Can a nurse from a banned country apply for an H-1B while in EB-3? (Chris)

[32:08]—What happens at re-interviews for candidates who were continued during the pause? (Mike)

[34:33]—Age-out questions for dependents: guidance to consult your attorney directly (Mike)

[35:14]—What hospitals are doing to prepare amid extended delays in the international pipeline (Ed)

[37:03]—Should nurses in the Middle East consider transferring their case to their home country? (Chris)

[38:54]—Will there be forward movement in January? A look at spillover expectations (Mike)

[40:47]—AMN's commitment to nurses during extended retrogression (Ed)

[42:16]—Public charge interview preparation: the five key factors the State Department evaluates (Chris)

[45:43]—F-1 visa update: duration of status rule blocked; CPT programs still navigating uncertainty (Mike)

[47:59]—The resilience of international nurses: Ed reflects on what drives candidates forward

[49:47]—Trends to watch in FY2027: H-1B fees, F-1 enrollment, and the upcoming U.S. midterm elections (Chris)

[54:13]—EB-3 trends: Medicaid and Medicare cuts, rural hospital impact, and the need for consistency (Mike)

[58:54]—November visa bulletin predictions: Chris forecasts possible release around the 16th; little movement expected (Chris and Mike)

[1:01:00]—Ed's signal to watch: embassy movement as the indicator for visa bulletin advancement

[1:02:38]—Closing remarks, upcoming events, and a note for nurses whose job offers were rescinded

·      AMN Healthcare International Application Portal: amnhealthcare.com/international

·      USCIS Dates for Filing Chart Announcement[KC4] : Released alongside each monthly visa bulletin; check USCIS.gov for updates

·      U.S. Department of State Visa Bulletin: Published monthly at travel.state.gov

·      Court Order—Judge Vargas Ruling: Related to the 75-country immigrant visa pause; directed the State Department to resume interviews

·      F-1 Duration of Status Ruling: September 13th court decision blocking the proposed rule change

·      Public Charge Rule—Five Evaluation Factors: Financial ability, education and skills, age, personal health, and family status

·      Onwards and Upwards Show: Follow AMN Healthcare International on social media and YouTube for future episodes and immigration updates

• AMN Healthcare International: Start your journey to success in the U.S. today.

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Welcome to another episode of the Nursing in America podcast. In the second part of this mini-series, we hear directly from two international nurses who faced one of the most challenging setbacks a nurse can experience on the journey to the United States — a rescinded contract — and came out the other side stronger, wiser, and living their American Dream.

Mark G., a nurse from the Philippines, and Mohammad A., a nurse from Jordan, share their comeback stories in their own words. Joined by Danielle, host and advocate, and Ed S., Senior Director of Operations and Technology at AMN Healthcare International, this episode is a powerful reminder that the path forward is rarely a straight line and that the right support makes all the difference.

This episode picks up where Part 1 left off, diving into what happens after a contract is rescinded and how to move forward. Mark and Mohammad share honest, encouraging accounts of their own restart journeys, from navigating immigration timelines to finding a new employer. Ed walks listeners through how AMN Healthcare International supports each nurse individually, outlining two key pathways (staffing and direct-hire) and why nurses with an existing priority date are highly attractive to new employers.

Key Takeaways

·      Your Place in Line is Protected: A rescinded contract does not mean starting over from scratch. Your priority date can be recaptured and preserved.

·      Two Clear Pathways Forward: AMN Healthcare International offers two routes: staffing (temp-to-perm through O'Grady Peyton International) and direct-hire (through Connetics).

·      Speed is Possible: Mohammad secured a new employer within one month and completed the full recapture process within two months.

·      Rescinded Nurses Are Attractive Candidates: Employers recognize the value of hiring a nurse who already has an established priority date.

·      The Journey is Not Always Linear: Both Mark and Mohammad describe a period of slowness followed by rapid momentum.

·      Control What You Can: Improve your qualifications, complete licensing and English requirements, and make yourself as marketable as possible.

·      Trust and Partnership Matter: Having a knowledgeable, experienced partner guiding you through the process can reduce the stress of an already complex journey.

Timestamps

·      00:00 – 02:30 – Cold Open & Recap: A quick look back at Part 1 and an introduction to Mark and Mohammad's comeback stories

·      02:30 – 08:30 – The Recapture Process: Ed S. explains how AMN evaluates rescinded nurses, what the recapture process looks like, and why two pathways exist

·      08:30 – 13:30 – Two Comebacks, In Their Own Words: Mark and Mohammad share their personal timelines.

·      17:30 – 20:15 – Closing Advice From Those Who Lived It: Mohammad, Ed, and Danielle offer practical and motivational guidance for nurses facing a similar crossroads

·      20:15 – 21:00 – Wrap-Up & Call to Action: A final message of encouragement and next steps for nurses ready to take action.

Guest Bios

Ed S. is the Senior Director of Operations and Technology at AMN Healthcare International. With an engineering background and more than 25 years of experience in the healthcare staffing industry, Ed specializes in business operations and technology. He serves as a go-to resource for navigating the complexities of international nurse immigration.

Mark G. is a registered nurse from the Philippines, now living and working in Jackson, Mississippi. A proud USRN, entrepreneur, Bible-believing Christian, and keynote speaker, Mark is passionate about empowering other international nurses to pursue their American dream. His own journey included navigating a rescinded contract in January 2024 and successfully recapturing his priority date to arrive in the United States with his wife, Zendi, and daughters, Ziana and Minnea.

Mohammad A. is a registered nurse originally from Jordan who came to the United States from the United Arab Emirates. After a long immigration journey that included retrogression, deployment, and a rescinded contract, Mohammad successfully completed the recapture process and relocated to the U.S. with his wife and three children.

• AMN Healthcare International: Start your journey to success in the U.S. today.

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In this packed immigration Q&A session, host Deirdre is joined by immigration attorneys Chris Musillo and Mike Hammond to break down some of the most significant developments in the U.S. immigration space. This includes the September Visa Bulletin, the 75-country visa pause, changes affecting H-1B and F-1 visa holders, and more. This episode delivers real-time insights for international healthcare professionals navigating their path to the United States.

The session opens with an inspiring testimonial from Muhammad, a UK-based nurse who just received his EB-3 visa for himself and his family, which is a powerful reminder that the American Dream is absolutely within reach.

·      The September Visa Bulletin showing no movement is normal and reflects the end of the U.S. fiscal year. 

·      The 75-country visa pause is actively being challenged in federal court.

·      A global immigrant visa interview pause was reportedly issued by the Department of State as a response to the court ruling.

·      Unused family-based visas from fiscal year 2025 have already carried over, increasing the employment-based visa pool for fiscal year 2026 to approximately 186,000.

·      Fiscal year 2027 may see another surplus, potentially reaching up to 215,000 employment-based visas.

·      H-1B cap cases face a proposed new filing fee of over $100,000, currently under a 30-day public comment period.

·      The $100,000 overseas H-1B fee proclamation expires September 21–22, which could reopen cap-exempt H-1B filings.

·      Major F-1 visa rule changes took effect September 15, including new restrictions on changing programs, CPT authorization, and grace periods.

·      Rest-of-world EB-3 candidates with an approved I-140 are well-positioned to become current as early as October.

·      Processing times remain long, but premium processing (at approximately $3,000) remains an available option for faster I-140 adjudication.

00:04:31—Welcome and Audience Check-In

00:09:09—September Visa Bulletin Breakdown

00:11:35—The 75-Country Visa Pause Explained

00:19:34—H-1B Program Changes

00:25:02—Audience Q&A: Mixed Nationalities and Visa Eligibility

00:26:44—Visa Bulletin Movement During the Pause

00:27:21—Unused Family Visas and the EB-3 Backlog

00:31:32—F-1 Visa Rule Changes

00:39:51—Switching Embassies for Middle East-Based Applicants

00:41:29—Entering the U.S. on a B-1/B-2 Visa with an Approved I-140

00:44:05—Administrative Processing and the Visa Pause

00:47:10—October Visa Bulletin Predictions

00:52:13—Processing Times and What to Expect

00:54:25—Adjusting Status as an F-2 Visa Holder

Chris Musillo
Chris Musillo is a partner at Musillo Unkenholt Immigration Law Firm, based in Cincinnati, Ohio. He specializes in healthcare immigration law and works closely with nurses, healthcare staffing companies, and hospitals to navigate the complexities of U.S. employment-based immigration. With decades of experience, Chris is a trusted voice in the industry and a frequent contributor to AMN Healthcare International's immigration Q&A series.

Mike Hammond
Mike Hammond is a healthcare immigration attorney with more than 25 years of experience helping international nurses and healthcare professionals navigate the U.S. immigration system. He is known for his ability to explain complex legal concepts in clear, practical terms and for his long-standing partnership with AMN Healthcare International to support nurses throughout their immigration journey.

·      Clinic v. Rubio—Federal lawsuit challenging the 75-country visa pause; filed by CLINIC (Catholic Legal Immigration Network) and ESI https://www.nilc.org/litigation/clinic-v-rubio/ 

·      SEVP (Student and Exchange Visitor Program)—Agency within DHS that issued new CPT guidance for F-1 students

·      Form I-539—Required for F-1 students transitioning between degree programs under the new rule https://studyinthestates.dhs.gov/sevis-help-hub/student-records/fm-student-employment/f-1-curricular-practical-training-cpt

·      Premium Processing—Approximately $3,000 fee for 15-day I-140 adjudication through USCIS https://www.uscis.gov/forms/all-forms/how-do-i-request-premium-processing

• AMN Healthcare International: Start your journey to success in the U.S. today.

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What happens when the contract you've been counting on suddenly disappears? For thousands of international nurses pursuing careers in the United States, a rescinded contract can feel like the end of the road. In this powerful first installment of a two-part episode, host Danielle F. sits down with two registered nurses — Mark G. from the Philippines and Mohammad A. from Jordan — alongside AMN Healthcare International's Senior Director of Operations and Technology, Ed S., to talk honestly about what it feels like when your immigration journey takes an unexpected turn.

This episode covers the emotional reality of receiving a rescission notice, the myths that keep nurses from moving forward, and the truth about priority dates, including how recapturing yours may be more possible than you think.

Key Takeaways

Chapters

[00:00 – 02:30] — Introduction

[02:30 – 05:00] — Meet the Guests

[05:00 – 09:00] — Understanding Rescissions

[09:00 – 14:00] — Mark and Mohammad's Stories

[14:00 – 18:00] — The Expert Perspective

[18:00 – 20:00] — Closing Thoughts and What's Next

Guest Bios

Ed S. is the Senior Director of Operations and Technology at AMN Healthcare International. With an engineering background and more than 25 years of experience in the healthcare staffing industry, Ed specializes in business operations and technology. He serves as a go-to resource for navigating the complexities of international nurse immigration.

Mark G. is a registered nurse from the Philippines, now living and working in Jackson, Mississippi. A proud USRN, entrepreneur, Bible-believing Christian, and keynote speaker, Mark is passionate about empowering other international nurses to pursue their American dream. His own journey included navigating a rescinded contract in January 2024 and successfully recapturing his priority date to arrive in the United States with his wife, Zendi, and daughters, Ziana and Minnea.

Mohammad A. is a registered nurse originally from Jordan who came to the United States from the United Arab Emirates. After a long immigration journey that included retrogression, deployment, and a rescinded contract, Mohammad successfully completed the recapture process and relocated to the U.S. with his wife and three children.

Resources Mentioned

• AMN Healthcare International: Start your journey to success in the U.S. today.

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Welcome back to another episode of the Nursing in America live show. This session tackles one of the most pressing topics on every international nurse's mind: what is happening with U.S. immigration right now?

Host Ed Skornia is joined by two of the country's leading healthcare immigration attorneys, Chris Musillo and Mike Hammond, to break down the August 2026 Visa Bulletin, embassy delays, visa bans, public charge updates, and much more. Whether you're just starting your immigration journey or deep in the process, this episode gives you the clarity and confidence to keep moving forward.

04:50 – Welcome and Introduction

05:55 – August 2026 Visa Bulletin Overview

07:24 – What to Expect in the Months Ahead

10:46 – Embassy Delays: What's Causing Them?

16:16 – Understanding Country Caps

19:22 – Visa Bans, Public Charge Restrictions, and 221(g) Notices

22:20 – Public Charge Policy Changes

26:35 – Country of Birth vs. Citizenship and Cross-Chargeability

30:22 – Audience Q&A: Name Changes, Marriage, and Adding Family Members

35:28 – Children Aging Out: The Child Status Protection Act

38:02 – Visiting the U.S. on a Visitor Visa During the EB-3 Process

42:45 – How to Apply with AMN Healthcare International

44:05 – What Else Is the Industry Talking About?

48:49 – Words of Encouragement

53:40 – When Your Sponsor Withdraws: What Happens Next?

1:01:05 – Emerging Topics: F-1 Regulations and Retrogression

1:03:01 – Closing Remarks and Upcoming Shows

Chris Musillo

Mike Hammond

• AMN Healthcare International: Start your journey to success in the U.S. today.

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In this episode of Nursing in America podcast, brought to you by AMN Healthcare International, we discuss one of the most common clinical settings you'll encounter in the U.S. healthcare system: Medical-Surgical nursing.

Whether you trained in the Philippines, the UK, or anywhere else in the world, med-surg in the U.S. comes with its own set of expectations, responsibilities, and challenges. Two experienced professionals join us to share what it's really like working in the U.S. and the best ways to transition.

Mark J. is a clinical manager at AMN Healthcare International who works directly with international nurses as they transition into U.S. clinical practice. With hands-on experience supporting nurses from diverse backgrounds, Mark is a trusted advocate for international healthcare professionals navigating the differences in medical-surgical nursing.

Carl D. is an internationally trained nurse with a career that spans three countries. He earned his nursing degree in the Philippines, worked as a clinical instructor and then as an RN at Saint Luke's Medical Center in the Coronary Care Unit. He went on to spend 15 years in the UK, working in general surgery, vascular surgery, and as one of the founding nurses of a dedicated infectious disease unit at Royal Sussex County Hospital. Since July 2021, Carl has been working as a med-surg nurse at Mercy South in St. Louis, Missouri. His journey from Manila to Brighton to Missouri makes him the perfect guide for nurses stepping into U.S. healthcare for the first time.

This episode is a candid, practical conversation about what it means to practice med-surg nursing in the United States as an internationally trained nurse. From the structure of nursing education across different countries to the realities of EMR systems, patient ratios, and clinical expectations, Mark and Carl cover the terrain in full detail.

Carl brings firsthand perspective on how nursing training in the Philippines compares to the U.K. and the U.S., while Mark breaks down what facilities and support teams expect from nurses during and after orientation. Together, they address the clinical, cultural, and professional skills you'll need to lead confidently in a U.S. med-surg unit.

• AMN Healthcare International: Start your journey to success in the U.S. today.

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In this episode, Deirdre is joined by immigration attorneys Mike Hammond and Maria Schneider, both based in Cincinnati, Ohio, to unpack the July 2026 Visa Bulletin. The Rest of World (ROW) category moved forward by two months while the Philippines EB-3 category remained unchanged, prompting important discussion about what signals to watch going forward.

The panel explains the two layers of travel bans currently in effect: the security-related ban covering 39 countries and the public charge pause affecting 75 countries. They explain how the finalization of new public charge regulations could be the single biggest turning point for ROW movement for the rest of the fiscal year.

The conversation also covers important practical topics: I-140 timelines, what happens when an I-140 is denied, adjustment of status changes under a new USCIS memo, the $100,000 H-1B fee and its legal challenges, embassy transfers for nurses in the Middle East, F-1 to EB-3 pathways, and options for dual citizens from banned countries. The episode wraps with predictions for the August Visa Bulletin.

Mike Hammond is an immigration attorney based in Cincinnati, Ohio, with extensive experience in employment-based immigration law. He is a frequent expert contributor to the Nursing in America podcast, known for breaking down complex immigration topics with clarity and candor.

Maria Schneider is a law partner and immigration attorney also based in Cincinnati, Ohio. She brings deep expertise in green card processing, adjustment of status, and employment-based visa categories. Maria joins the show as a guest panelist and is a trusted voice in the international healthcare immigration space.

• AMN Healthcare International: Start your journey to success in the U.S. today.

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This episode focuses on one of the most critical milestones for international nurses pursuing their dream of working in the United States: passing the IELTS exam.

The International English Language Testing System (IELTS) is a required step for foreign-trained nurses seeking licensure in the U.S. But knowing it's required and knowing how to pass it are two very different things. In this episode, we hear directly from nurses who've been through the process talk about the setbacks, the breakthroughs, and the strategies that make a difference.

Scott — IELTS Instructor and Managing Director of Swoosh English, a dedicated preparation academy helping healthcare professionals and other candidates achieve the band scores they need to work abroad.

Lauren Del Mundo — A registered nurse from the Philippines who passed the IELTS on her second attempt. 

Philippe Lorenzo Austria — A registered nurse who passed the IELTS on his very first attempt after just one to two months of focused preparation, immediately following his NCLEX success.

Stan — Founder of Hurricane International, an online IELTS support community that has grown to over 7,000 members in under a year.

• AMN Healthcare International: Start your journey to success in the U.S. today.

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This month's immigration show has a lot to unpack. The June 2026 Visa Bulletin has been released, and while movement was limited, our expert panel breaks down exactly what that means for you and what to expect for the rest of the year.

Host Deirdre O'Regan, Senior Director of Recruitment at AMN Healthcare International, is joined by two familiar faces: immigration attorneys Mike Hammond and Chris Masiello, both based in Cincinnati, Ohio. Together, they tackle the most pressing questions from international healthcare professionals navigating the U.S. immigration process.

Episode Summary

This episode discusses the June 2026 Visa Bulletin. There was no movement seen across employment-based categories relevant to healthcare workers. Mike and Chris explain why this wasn't a surprise and why retrogression at the end of a fiscal year can actually signal something positive. The panel also covers the ongoing impact of the public charge rule, the visa ban, H-1b updates, pending legislation like JARA, and a wide range of audience questions on topics including aging out, embassy transfers, follow-to-join, and more.

Key Takeaways

Timestamps

• AMN Healthcare International: Start your journey to success in the U.S. today.

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Discover what it’s truly like to build your nursing career in the United States with one of the nation's leading healthcare systems. In this episode, we go behind the scenes at Emory Healthcare in Atlanta, Georgia. You’ll hear directly from Emory's leadership and two international nurses, Edward and Felicia, who share their personal journeys of relocating from Ghana and finding a supportive, welcoming community. This is a must-listen for any international nurse dreaming of a successful career and a fulfilling life in America.

• AMN Healthcare International: Start your journey to success in the U.S. today.

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