The U.S. Department of State’s Bureau of Consular Affairs May bulletin, released on April 14th, imposes a cap on new employment-based (EB) visa petition filings. The State Department notice is required by the 1990 law that both set the caps and set the processes the Executive Branch must follow as the number of visa applications approaches the caps. The May bulletin notice impacts international registered nurses and employers working to hire them and hoping to apply for a green card to work in the U.S. The May 2023 Visa Bulletin, establishes a worldwide final action cut-off date of June 1, 2022, for the third EB preference category, significantly delaying the issuance of immigrant visas to foreign nationals that are otherwise eligible. LeadingAge encourages Congress to update this immigration policy to reflect the workforce needs of our country today.