What Employment Requirements Apply to a Physician IGA Waiver?
INA §214(l) and current DOS instructions impose employment requirements on physician IGA waivers, including full-time employment, timely commencement of service, and generally at least three years of service.
A bona fide full-time job offer is required
INA §214(l) requires a bona fide offer of full-time employment at a health facility or health care organization for covered physician waivers.
The physician generally must begin within 90 days
The statute requires the physician to agree to begin employment with the health facility or health care organization within 90 days after receiving the waiver.
At least three years of service is generally required
INA §214(l) requires the physician to agree to continue working for not less than three years, subject to statutory provisions for qualifying extenuating circumstances.
DOS currently requires a 40-hour contract
For the physician IGA documentation submitted to DOS, the agency must provide a signed contract for no less than three years and 40 hours per week between the physician and the employing facility, subject to specific rules for VA cases.
Frequently Asked Questions
How long must a physician work after an IGA waiver?
Generally not less than three years.
How quickly must employment begin?
INA §214(l) generally requires employment to begin within 90 days after receiving the waiver.
Does DOS require 40 hours per week?
Current DOS physician IGA instructions call for a contract of no less than 40 hours per week.
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