H.R. 6937 — End H-1B Now Act

This section phases out the H-1B nonimmigrant visa program, which allows U.S. employers to temporarily hire foreign workers in specialty occupations requiring at least a bachelor's degree or equivalent, by (1) reducing the annual cap to 10,000 visas in FY2026, 9,000 in FY2027, 8,000 in FY2028, 7,000 in FY2029, 6,000 in FY2030, 5,000 in FY2031, 4,000 in FY2032, 3,000 in FY2033, 2,000 in FY2034, 1,000 in FY2035, and zero thereafter (from current 85,000); (2) eliminating fashion models as an eligible subcategory and restoring the requirement that H-1B workers maintain foreign residence with no intent to abandon it; and (3) limiting eligible specialty occupations to physicians, surgeons, and nurses.

This section limits Medicare graduate medical education (GME) payments by excluding from the definition of approved medical residency training programs any program that trains an alien (as defined in the Immigration and Nationality Act) for cost reporting periods beginning on or after the date of enactment. (Thus, hospitals receive no direct or indirect Medicare GME payments for residents who are not U.S. citizens or nationals.)