Temporary visas for registered nurses have included H-1 visas from 1952 to 1989, H-1A visas from 1990 to 1995, and since 1995 most registered nurses cannot obtain working visas except for TNs for Canadian and Mexican nurses and H-1Bs if the job requires a BSN degree. The VisaScreen requirement since 1996 evaluates a nurse's education, training, licensure, experience, and English language competency through tests like TOEFL before a certificate is issued. Trade NAFTA status allows Canadian and Mexican citizens to obtain a TN visa if they meet VisaScreen and licensing requirements. H-1B visas may be obtained for registered nurse jobs requiring a BSN degree, but these