U.S. Public Policy

Changing demographics and an aging population in the U.S. require a robust, skilled direct care health workforce. But projected shortages of physicians, nurses, and home health aides could mean longer waits for health care, poorer health outcomes, and sicker communities. Many immigrants with decades of health care experience are already living in the U.S. and are eager to contribute to their communities’ health care workforce. Accelerated pathways, including occupational licensing and credentials that recognize skills acquired abroad, are an important part of getting immigrants into good jobs faster.   

To respond to workforce challenges and demographic changes, many states are establishing Offices of New Americans (ONAs) to support immigrant integration. These state-level entities help coordinate services, connect communities to economic opportunities, and help identify workforce opportunities. 

The WES U.S. Policy Tracker monitors state and federal policies that expand access to good work for immigrants. It serves as a resource for advocates, policymakers, and practitioners working to advance immigrant economic inclusion and community integration efforts across sectors. 

Changing systems starts with changing minds. How people, institutions, and policymakers think about immigration determines what policy is possible—and what opportunities are created. Narrative drives policy, policy shapes opportunity, and practice turns policy into impact.

For years, WES and its partners have collaborated to build relationships, expertise, and proven approaches to economic inclusion. We are strengthening that commitment with the new WES Policy & Practice Network, launched in 2026.