Can nurses and healthcare workers get an EB-2 NIW? What 127 AAO decisions say
Published AAO non-precedent decisions, 2020–2025 · updated 2026-10-16
Between 2020 and 2025 the AAO published 127 EB-2 NIW appeal decisions from nursing & healthcare petitioners and sustained none of them. The most common ground for dismissal: proposed endeavor not shown to have national importance (90 of the 120 merits dismissals, 75%). Second: advanced degree or exceptional ability not established (16, 13%). These are appeals of denials, not all adjudications, so the dismissal rate is not an initial-filing approval rate; it shows which arguments the AAO rejected on appeal and which it accepted.
What the decisions say
Grounds for dismissal, by frequency
- 90 of 120 Proposed endeavor not shown to have national importance
“The evidence did not establish that his work as a safety engineer or consultant would have broader implications for the field or a substantial positive economic impact beyond his immediate clients.” AAO, 2023
- 16 of 120 Advanced degree or exceptional ability not established
“As the petitioner did not meet the minimum number of criteria for exceptional ability, they were ineligible for the classification and therefore the national interest waiver.” AAO, 2024
- 13 of 120 Proposed endeavor too vague or too local
“The petitioner did not provide sufficient evidence that her business would have a significant economic impact nationally or regionally, or that it would substantially advance the U.S.” AAO, 2024
No EB-2 NIW appeal from nursing & healthcare petitioners was sustained in this period. The record shows what did not work; it does not show what would.
Outcomes by Year
| Year | Dismissed | Sustained | Remanded | Total |
|---|---|---|---|---|
| 2025 | 9 (—) | 0 | 1 | 10 |
| 2024 | 66 (100.0%) | 0 | 0 | 66 |
| 2023 | 32 (94.1%) | 0 | 2 | 34 |
| 2022 | 7 (—) | 0 | 1 | 8 |
| 2021 | 8 (—) | 0 | 0 | 8 |
| 2020 | 1 (—) | 0 | 0 | 1 |
Criteria Breakdown
| Criterion | In Dismissed | In Sustained | Total | Dismissal Rate |
|---|---|---|---|---|
| Prong 1: Substantial merit and national importance | 141 | 0 | 145 | 97.2% |
| Prong 2: Well positioned to advance the endeavor | 86 | 0 | 89 | 96.6% |
| Prong 3: On balance, waiver benefits the U.S. | 75 | 0 | 77 | 97.4% |
| Exceptional ability | 31 | 0 | 35 | 88.6% |
| Advanced degree | 27 | 0 | 32 | 84.4% |
| Motion to reopen/reconsider | 29 | 0 | 30 | 96.7% |
Example Decisions
NYSDOT-era decisions (pre-2017)
Outcomes by Year
| Year | Dismissed | Sustained | Remanded | Total |
|---|---|---|---|---|
| 2016 | 2 (—) | 0 | 0 | 2 |
| 2015 | 1 (—) | 0 | 0 | 1 |
| 2013 | 1 (—) | 0 | 0 | 1 |
| 2012 | 2 (—) | 0 | 0 | 2 |
| 2011 | 2 (—) | 0 | 0 | 2 |
| 2007 | 1 (—) | 0 | 0 | 1 |
| 2005 | 2 (—) | 0 | 0 | 2 |
Criteria Discussed
| Criterion | In Dismissed | In Sustained | Total |
|---|---|---|---|
| Exceptional ability | 10 | 0 | 10 |
| Advanced degree | 7 | 0 | 7 |
| National in scope (NYSDOT) | 5 | 0 | 5 |
| Intrinsic merit (NYSDOT) | 4 | 0 | 4 |
| Substantially greater degree than U.S. worker (NYSDOT) | 3 | 0 | 3 |
| Procedural/filing | 2 | 0 | 2 |
| Motion to reopen/reconsider | 2 | 0 | 2 |
Sample: published AAO non-precedent decisions collected from uscis.gov. EB-2 NIW statistics reflect the Dhanasar framework era (2020–2025); the prior NYSDOT framework applied different legal standards. These are appeals, not all USCIS adjudications; approval rates here are not initial-filing approval rates. Read our full methodology.
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