Updated the petition what exactly we want to be done: 1. Create similar to Senate Bill 716 MO for every state without limitation on graduation date and time since passing USMLE exams. Increase the number of GME Residency Slots for US Citizen & Resident IMGs (International Medical Graduates). http://www.senate.mo.gov/14info/pdf-bill/tat/SB716.pdf 2. Implement a version of the Canadian model (Manitoba) for individual assessment of the clinical, diagnostic and management skills of physicians that have already trained in residency programs or practiced outside of the USA, and if adequate, prepare IMGs to work under supervision or directly in underserved areas (under sponsors). These physicians could be granted 1 year limited restricted license (sponsored by an institution or practicing physician). That license could be extended on an annual basis as needed. After 5 years practicing under such circumstances the physician in question should be evaluated for eligibility to apply for a full unrestricted state license for the scope of practice that he has been engaged in, considering he has fully satisfied his examination requirements of passing USMLE Step 1, 2 and 3 http://umanitoba.ca/faculties/medicine/education/imgp/index.html, https://www.cpsnl.ca/default.asp?com=Pages&id=117&m=319 http://www.health.gov.on.ca/english/providers/project/img/img_mn.html, http://www.cehpea.ca/ 3. Place a moratorium on all J1 visas for residency training for 3 years (or use a mandatory tier system: I. US medical students II. US and permanent residents who are international medical graduates (IMGs) II. IMGs, non-us citizens, unless governments of their countries of origin are sponsoring their visas and paying for their tuition and living expenses during residency. For example: http://www.sacm.org/MedicalUnit/PDF/Acceptance2013.PDF http://www.sacm.org/MedicalUnit/PDF/Acceptance2014.PDF Studying the international experience of countries like Spain, Canada, Great Britain in the matter of preferentially matching candidates who are citizens of the country in question http://www.curso-mir.com/Informacion-para-medicos-extranjeros/movimientos-migratorios.html; http://www.carms.ca/en/residency/r-1/eligibility-criteria/ , http://www.foundationprogramme.nhs.uk/pages/home/how-to-apply/FP2015-Eligibility-Information. 4. Provide targeted training for IMGs who have graduated their respective schools outside USA but have not entered or completed residency training, following the example of California Business code 855: http://law.onecle.com/california/business/855.html These pilot programs could provide adequate training to prepare these doctors to serve as primary care physicians under the supervision of a fully licensed doctor in underserved areas. Let's really work on getting more signatures and thank you all for helping. Neviana Dimova