Why It Matters

Trumerit’s federal lobbying debut comes as Congress confronts acute healthcare workforce shortages, particularly in rural and underserved areas. The organization joins an active coalition pushing the Healthcare Workforce Resilience Act, which would authorize 40,000 recaptured employment-based green cards—25,000 for nurses and 15,000 for physicians—to bypass per-country visa caps.

By the Numbers

Trumerit hired Federal Group Inc. on January 1, 2025, marking its first federal lobbying engagement. Federal Group has filed over 750 lobbying disclosures since 2003 and reported approximately $10 million in total lobbying revenue.

By hiring Federal Group Inc. and veteran lobbyist Patrick J. Cooney, Trumerit gains proven advocacy capacity in immigration and healthcare policy. Cooney’s two-decade track record includes visa advocacy for the American Physical Therapy Association and Home Care Association of America.

The Agenda

Trumerit is lobbying on federal policies concerning foreign healthcare professional entry. The organization focuses on the Healthcare Workforce Resilience Act and the Conrad State 30 and Physician Access Reauthorization Act, which extends visa pathways for international medical graduates completing U.S. residency programs.

Broader Context

Congress faces rare bipartisan consensus around immigration-based healthcare workforce solutions. The Healthcare Workforce Resilience Act has strong support from Senators Kevin Cramer and Dick Durbin. Rural areas face particularly severe shortages—only 30 physicians per 100,000 people compared to 263 in urban areas.

International Medical Graduates already constitute approximately one-quarter of the U.S. physician workforce, meaning immigration reform would unlock an established workforce component rather than introduce new practitioners.

Between The Lines

The Healthcare Workforce Resilience Act (S. 2759 / H.R. 5283), introduced in September 2024, represents the centerpiece legislation. Key sponsors include Senators Kevin Cramer (R-ND) and Dick Durbin (D-IL), plus Senators Susan Collins (R-ME), Thom Tillis (R-NC), Amy Klobuchar (D-MN), and Jacky Rosen (D-NV).

The House Energy and Commerce Committee’s Health Subcommittee held related hearings in January 2025 on legislative proposals to maintain the public health workforce and improve rural health.

Competitive Landscape

Trumerit enters alongside established players. Health Carousel LLC and Intealth already lobby on nurse shortages and international medical graduate visa issues. The Healthcare Workforce Coalition also advocates on workforce and international nursing issues, representing both potential coalition allies and competitors for influence.

The Bottom Line

Bipartisan congressional support exists for the Healthcare Workforce Resilience Act, and hiring experienced lobbyist Patrick J. Cooney provides established expertise. Success will depend on navigating competitive dynamics while capitalizing on genuine congressional interest in solving healthcare staffing shortages through immigration reform.

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