English Language Requirement Updates

Recent changes to English language proficiency requirements may impact some internationally educated healthcare professionals pursuing licensure in the United States.

During a recent Nursing in the USA broadcast, Lauren Williams, Language Proficiency Program Manager, explained what changed, who may be affected, and what steps nurses should consider moving forward.

What Changed?

Effective May 12, 2026, updated English language proficiency requirements were implemented by HRSA and TruMerit (formerly CGFNS).

These requirements are designed to help ensure healthcare professionals have the communication skills needed to work effectively in U.S. healthcare environments.

Several approved English exams were affected by the update, including the PTE Academic exam.

Understanding PTE Academic Updates

One of the most significant changes involved the PTE Academic speaking score requirement, which increased to 76.

As state boards begin adopting these updated standards, some scores that were previously accepted may no longer meet current requirements.

Because of this, healthcare professionals should carefully review their most recent exam results and compare them to current standards.

State Licensure and VisaScreen Are Different

A common point of confusion for healthcare professionals is the difference between state licensure requirements and VisaScreen requirements.

While both may involve English language proficiency, they are separate processes with different requirements and timelines. State licensure requirements determine whether you are eligible for an RN license in a particular state, while VisaScreen requirements are part of the U.S. immigration process.

It's important to understand that an active VisaScreen certificate does not necessarily mean you meet current licensure requirements in every state. As boards of nursing adopt updated standards, some previously accepted scores may no longer meet current state requirements.

Understanding this distinction can help prevent delays and confusion throughout your journey.

What Should Nurses Do Next?

If you are currently working toward U.S. licensure:

• Review your most recent English language test scores.
• Understand how your scores compare to current requirements.
• Stay in contact with your recruiter, IPA, or IPDA, as teams are actively reviewing individual situations and helping candidates understand their options.
• Begin planning for a retake if your scores may not meet current requirements.

Taking action early can help preserve your options and reduce the risk of delays later in the process.

You're Not Navigating This Alone

Requirements may change, but support remains available.

Health Carousel International works closely with healthcare professionals throughout the licensing process, helping nurses understand requirements, prepare for exams, and stay on track toward their goals.

By staying informed and planning ahead, nurses can continue moving confidently toward their future careers in the United States.

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