Comparing EB-3 and H-1B Visas for Nurses: Which Path is Right for You?

If you're a nurse dreaming of building a career in the U.S., you're not alone. Every year, thousands of internationally educated nurses explore different visa routes to make that dream a reality. Two of the most popular immigration paths for nurses are the EB-3 visa and the H-1B visa. But which one is right for you?

In this blog, we’ll break down the major differences between the EB-3 and H-1B visas, their requirements, benefits, limitations, and timelines — so you can make a confident, informed decision.

What Is the EB-3 Visa?

The EB-3 visa is an employment-based immigrant visa, also known as a green card. It’s a permanent residency option for skilled workers, professionals, and other workers — and yes, registered nurses (RNs) fall under this category.

Most importantly, nurses benefit from Schedule A designation, which means they are considered “pre-certified” for labor shortage roles. This makes the EB-3 process slightly faster and more streamlined for healthcare professionals.

Benefits of EB-3 Visa for Nurses:

• Grants U.S. permanent residency (green card)

• Employer sponsorship is required

• Nurses are included under “Schedule A” – no need for a lengthy labor market test

• Typically takes 12–36 months (varies based on visa bulletin and country of origin)

• Can bring spouse and children under 21 as dependents (they also get green cards)

What Is the H-1B Visa?

The H-1B visa is a non-immigrant, temporary work visa for foreign professionals in specialty occupations. It’s valid for up to six years (initial 3 years + 3-year extension). For nurses, this route is less common because the role must qualify as a specialty occupation, which is not always the case for general RNs.

However, certain advanced practice nursing roles (like nurse practitioners, nurse anesthetists, or clinical nurse specialists) may be eligible.

Benefits of H-1B Visa for Nurses:

• Temporary work authorization (up to 6 years)

• Employer sponsorship required

• Subject to an annual cap/lottery system (only 85,000 selected each year)

• Requires a bachelor's degree or higher in a related field

• Limited to employers with a valid H-1B petition approval

EB-3 vs. H-1B for Nurses: Head-to-Head Comparison

Which Visa Is Easier for Nurses?

For most registered nurses, EB-3 is the more suitable path. It provides permanent residency, no annual lottery, and applies specifically to RNs under the Schedule A category. Plus, your family gets green cards too.

The H-1B visa, on the other hand, is harder to obtain due to the lottery and eligibility limitations. It works better for advanced practice nurses or those in specialty roles with a master’s degree or higher.

What About Timelines and Wait Times?

Let’s be honest — visa timelines have become longer in recent years. Even though Trump administration trying their best to minimize this waiting times, it will take quite a time more to be more impactful. 

See the overview of current timelines of both EB-3 Visa and H-1B visa:

EB-3 Visa:

• Labor certification + I-140 + visa interview = can take 12 to 36 months

• Backlogs exist for countries like India, China and the Philippines

• Pine Visa clients can begin their process with an initial payment plan, making it more accessible

H-1B Visa:

• Lottery is conducted in March each year

• If selected, you may begin work in October

• If not selected, you must wait until next year or look for an alternative

So, What Should You Choose?

If you're a registered nurse with standard qualifications and want a long-term future in the U.S., the EB-3 green card route is hands-down the better option.

If you're a nurse practitioner or in a highly specialized role, and your employer has experience with H-1B sponsorship, that path could work too — but keep in mind the visa cap and temporary nature.

How Pine Visa Helps Nurses Navigate the EB-3 Process?

At Pine Visa, we specialize in matching international nurses with EB-3 sponsoring employers in the U.S. Our team assists with:

• Credential review and NCLEX guidance

• Employer selection and contract signing

• PERM Labor Certification (Schedule A handled directly)

• Visa processing and interview support

• Step-by-step instructions, even after you arrive

We know how overwhelming this process can feel. That’s why we’re here — not just to guide you, but to walk with you every step of the way.

Final Thoughts

The decision between EB-3 and H-1B comes down to your qualifications, your long-term goals, and what kind of job offers you receive. For most nurses, the EB-3 visa is the most stable, secure, and family-friendly option.

If you're ready to start your EB-3 journey or want to learn more, Pine Visa is here to help. Reach out to us today and schedule a free consultation — let's take the next step together.