This legislation, titled the "End H-1B Now Act," proposes to eliminate the H-1B visa program by systematically phasing out the number of available visas to zero by fiscal year 2036 . During this phase-out, the bill significantly restricts H-1B eligibility by requiring applicants to demonstrate an intent to return to their home country, thereby eliminating dual intent , and removing fashion models from consideration. Furthermore, it narrows the definition of "specialty occupation" for H-1B purposes exclusively to physicians, surgeons, or nurses . The bill also includes a provision to prohibit Medicare funding for residency programs that train foreign nationals. These measures collectively aim to end the H-1B program and limit foreign participation in certain medical training.