A long term care (LTC) coalition focused on the workforce crisis, and led by AHCA/NCAL, recently sent a letter to the State Department offering solutions to the Department to help address the crisis. AHCA/NCAL has heard from providers that the immigrant visa processing is incredibly backlogged due to COVID-19 and reduced staffing at U.S. embassies and consulates, and many of the health care professionals with offers from U.S. LTC facilities with approved immigrant petitions have been waiting for many months, in some cases more than a year, for a visa interview appointment. In the letter, the LTC coalition urges the Department of State to swiftly take a variety of measures to expedite the interview process so international nurses can enter the U.S. and help LTC providers provide quality care for the most vulnerable Americans.