dismissed EB-2 NIW Case: Midwifery

U.S. Citizenship 
and Immigration 
Services 
Non-Precedent Decision of the
Administrative Appeals Office 
Date: NOV. 27, 2023 In Re: 28786406 
Appeal of Texas Service Center Decision 
Form 1-140, Immigrant Petition for Alien Workers (National Interest Waiver) 
The Petitioner proposes to open a midwives staffing company. She seeks classification under the 
employment-based, second-preference (EB-2) immigrant visa category as a member of the professions 
holding an "advanced degree" and a waiver of the category's job-offer requirement. See Immigration 
and Nationality Act (the Act) section 203(b )(2)(B)(i), 8 U.S.C. § l 153(b )(2)(B)(i). U.S. Citizenship 
and Immigration Services (USCIS) has discretion to excuse a job offer in this category - and thus a 
related requirement for certification from the U.S. Department of Labor (DOL) - if a petitioner 
demonstrates that a waiver of these U.S.-worker protections would be "in the national interest." Id. 
The Acting Director of the Texas Service Center denied the petition. The Director found the Petitioner 
qualified for the requested visa category as an advanced degree professional. See section 203(b )(2)(A) 
of the Act. But the Director concluded that she did not demonstrate the merits of a national interest 
waiver. On appeal, the Petitioner contends that the Director misanalysed: her proposed endeavor's 
"national importance;" her positioning to advance the endeavor; and a waiver's benefits to the United 
States. 
The Petitioner bears the burden of demonstrating eligibility for the requested benefit by a 
preponderance of the evidence. Matter of Chawathe, 25 I&N Dec. 369, 375-76 (AAO 2010). 
Exercising de novo appellate review, see Matter of Christo 's, Inc., 26 I&N Dec. 537, 537 n.2 (AAO 
2015), we conclude that she has not sufficiently established that her proposed endeavor has national 
importance. We will therefore dismiss the appeal. 
I. LAW 
To establish eligibility for national interest waivers, petlt10ners must first demonstrate their 
qualifications for the requested EB-2 immigrant visa category, either as advanced degree professionals 
or noncitizens of "exceptional ability" in the sciences, arts, or business. Section 203(b )(2)(A) of the 
Act. To protect the jobs of U.S. workers, this category usually requires prospective employers to offer 
noncitizens jobs and to obtain DOL certifications to permanently employ them in the country. See 
section 212(a)(5)(D) of the Act, 8 U.S.C. § 1182(a)(5)(D). To avoid the job offer/labor certification 
requirements, petitioners must demonstrate that waivers of these U.S.-worker protections would serve 
the national interest. Section 203(b)(2)(B)(i) of the Act. 
Neither the Act nor regulations define the term national interest. Thus, to adjudicate these waiver 
requests, we have established a framework. See Matter ofDhanasar, 26 I&N Dec. 884, 889-91 (AAO 
2016). If otherwise qualified as advanced degree professionals or noncitizens of exceptional ability, 
petitioners may merit waivers of the job-offer/labor certification requirements by establishing that: 
• Their proposed U.S. work has "substantial merit" and "national importance;" 
• They are "well-positioned" to advance their intended endeavors; and 
• On balance, waivers of the job-offer/labor certification requirements would benefit the United 
States. 
Id. 
II. ANALYSIS 
A. The Proposed Endeavor 
The record shows that the Petitioner, a Brazilian native and citizen, earned a bachelor's degree in 
nursing from a university in her home country. Thereafter, she worked for more than 10 years as 
nurse and nursing instructor in Brazil. 
In the United States, the Petitioner seeks to establish her own company, providing midwife and doula 
services to pregnant people and their newborns. 1 Over the business's first five operating years, she 
projects its revenues to increase from $764,400 to $2,767,000, with a corresponding increase in profits 
from $128,171 to $1,159,132. Over the same period, she estimates that the business's number of 
employees would rise from nine to 19. 
B. Advanced Degree Professional 
The Petitioner submitted an independent, professional evaluation equating her four-year foreign 
baccalaureate degree to a U.S. bachelor's degree in nursing. She also documented her post­
baccalaureate employment experience in the field. We therefore agree with the Director that the 
Petitioner has demonstrated her qualifications for the requested immigrant visa category as an 
advanced degree professional. See 8 C.F.R. § 204.5(k)(2) (defining the term "advanced degree" to 
include a "United States baccalaureate degree or a foreign equivalent degree followed by at least five 
years of progressive experience in the specialty"). 
C. Substantial Merit 
A proposed endeavor may have substantial merit whether it "has the potential to create a significant 
economic impact" or it relates to "research, pure science, and the furtherance of human knowledge." 
Matter ofDhanasar, 26 I&N Dec. at 889. The record shows that midwives and doulas can improve 
the health of pregnant people and their newborns, reduce healthcare costs, and help underserved 
1 Both midwives and doulas support pregnant people during their labors. Midwives, however, are licensed healthcare 
providers responsible for managing care and delivering babies. See. e.g., UW Medicine, www.uwmedicine.org/specialties/ 
center-for-women-and-children/midwifery-faqs. 
2 
populations. We therefore also affirm the Director's finding that the Petitioner's proposed endeavor 
has substantial merit. 
D. National Importance 
In determining whether a proposed endeavor has national importance, USCIS must focus on the 
particular venture, specifically on its "potential prospective impact." Matter of Dhanasar, 26 I&N 
Dec. at 889. "An undertaking may have national importance, for example, because it has national or 
even global implications within a particular field, such as those resulting from certain improved 
manufacturing processes or medical advances." Id. A nationally important venture may even focus 
on only one geographic area of the United States. Id. at 889-90. "An endeavor that has significant 
potential to employ U.S. workers or has other substantial positive economic effects, particularly in an 
economically depressed area, for instance, may well be understood to have national importance." Id. 
at 890. 
The Director found insufficient evidence that the Petitioner's proposal would affect the economy or 
the healthcare field on a national level. The Director acknowledged that her business would likely 
create jobs and generate tax revenues. But the Director found that she did not establish that the 
business's impact would have national implications or would help an economically depressed area. 
On appeal, the Petitioner contends that her business would improve the health of pregnant people and 
their newborns and reduce healthcare costs by: 
• Offering postpartum services. The Petitioner states that, in the first few weeks after births, her 
business would provide new parents with emotional support, breastfeeding tips, and newborn 
care. She states that these services would reduce parents' risks of suffering postpartum 
depression, promote successful breastfeeding, and decrease the need for medical interventions 
and hospital readmissions. 
• Collaborating with local hospitals and birthing centers. The Petitioner states that providing 
doula services - including childbirth education classes and postpartum support - would increase 
awareness and acceptance of doulas among healthcare providers and parents. 
• Expanding services to underserved communities. The Petitioner states her business would 
partner with community organizations, nonprofits, and government agencies to offer low-cost 
or free doula services to underserved populations. She states that these services would promote 
community engagement and increase trust in the healthcare system. She also notes that, about 
six months after she filed her petition, President Biden's administration announced a goal to 
increase the number of midwives and doulas in underserved communities. See "White House 
Blueprint for Addressing the Maternal Health Crisis," www.whitehouse.gov/wp-content/ 
uploads/2022/06/Maternal-Health-Blueprint.pdf 
For the first time on appeal, the Petitioner also contends that she would establish a doula training 
program. She says the program would cover childbirth education, labor and delivery support, 
postpartum care, and breastfeeding support, and that trained doulas would help reduce the need for 
costly cesarean sections, pain medications, and hospitalizations. 
3 
But, because the initial petition omitted the proposed doula training program, we cannot consider it as 
part of the Petitioner's proposed endeavor. See 8 C.F .R. § 103 .2(b )(1) (requiring a petitioner to 
demonstrate eligibility "at the time of filing the benefit request"); see also Matter oflzummi, 22 I&N 
Dec. 169, 175 (AAO 1998) (barring a petitioner from making material changes to her petition after its 
filing). Even if we could consider the doula training program, the record lacks sufficient information 
and evidence regarding the proposed program's size, scope, and fonding. 
The Petitioner farther asserts that the Director erred in focusing on the revenues and jobs her business 
would generate. She states: "[N]o matter the number of branches or jobs or how much tax could be 
generated by my proposed endeavor, ... each mother's and baby's life my company contributes ... 
to spare, to save, that is national importance." 
We recognize the value of midwives and doulas on the lives and health of pregnant people and their 
newborns, and we agree that the Petitioner's proposed endeavor has significant merit. But, to establish 
national importance for national interest waiver purposes, the Petitioner must demonstrate that her 
particular endeavor has national implications, such as economically or through advancements in her 
field. See Matter ofDhanasar, 26 I&N Dec. at 889 ("The first prong, substantial merit and national 
importance, focuses on the specific endeavor that the foreign national proposes to undertake.") 
( emphasis added). The projected size and scope of the Petitioner's business does not demonstrate 
national economic importance. Alternatively, she has not established that the business would benefit 
an economically depressed area. Further, the record does not demonstrate that the Petitioner's 
business would introduce advancements to the healthcare field. 
As in Dhanasar, where we held that an otherwise meritorious proposal to teach university courses in 
STEM (Science, Technology, Engineering and Mathematics) disciplines lacked national importance, 
the Petitioner has not established that her venture would "more broadly" affect her field or the national 
economy. Id. at 893. She therefore has not demonstrated that her proposed endeavor has national 
importance. 
E. The Other Denial Grounds 
Our conclusion that the Petitioner has not established the claimed national importance of her proposed 
endeavor resolves this appeal. We therefore decline to consider and hereby reserve her appellate 
arguments regarding her positioning to advance her venture and a waiver's purported benefits to the 
United States. See INS v. Bagamasbad, 429 U.S. 24, 25 (1976) (stating that agencies need not make 
"purely advisory findings" on issues unnecessary to their decisions); see also Matter of L-A-C-, 
26 I&N Dec. 516, 526 n. 7 (BIA 2015) ( declining to reach alternate issues on appeal where a noncitizen 
did not otherwise qualify for relief). 
III. CONCLUSION 
The Petitioner has not demonstrated that her proposed endeavor has national importance. We will 
therefore affirm the petition's denial. 
4 
ORDER: The appeal is dismissed. 
5