Advanced Physician J-1 Waiver Compliance
Can Telemedicine Count Toward Conrad 30 Service?
Federal Conrad law does not provide a single blanket rule saying that all telemedicine hours count toward the required service. The answer can depend on the state program, approved employment contract and sites, H-1B place-of-employment rules, and whether the physician continues to satisfy the required full-time medical practice.
Reviewed by Peter Messersmith ·
2026-09-14
Do not assume remote work automatically counts
The Conrad waiver is based on specific full-time medical employment approved through the state request and supporting contract.
State program rules are important
States can impose requirements beyond the federal minimum and may determine how much remote service is permitted under their Conrad program.
H-1B worksite rules still apply
Remote work can affect the H-1B place of employment, LCA notice, prevailing wage, and petition analysis.
Confirm before materially changing the practice model
A physician moving from in-person practice to substantial telemedicine should review the sponsoring state's requirements and H-1B documentation before relying on those hours as waiver service.
Frequently Asked Questions
Does federal law expressly say all telemedicine counts?
No blanket rule in the general Conrad authorities says that all telemedicine service automatically counts.
Can the state impose telemedicine limits?
Yes. State Conrad programs may apply additional requirements.
Can remote work affect H-1B compliance?
Yes. H-1B worksite and LCA rules should be reviewed.
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