Nurses and other healthcare professionals can now rely on the 4-skill Michigan English Test (MET) to meet requirements the U.S. government sets for immigration purposes. The Health Resources & Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services, recognizes the MET as an accepted English proficiency assessment for internationally trained nurses and healthcare professionals who wish to practice in the U.S. Their recognition of the MET gives healthcare professionals an affordable, trusted option for advancing their immigration process with the U.S. Department of Homeland Security.

Following HRSA’s policy, CGFNS International now recognizes MET for immigration purposes. Foreign-trained nurses (registered and licensed), speech pathologists, audiologists, physician assistants, and medical technologists and technicians can now certify their English proficiency with MET to apply for occupational visas. To meet VisaScreen(R) requirements, applicants must have an MET overall score of 55 or higher with a speaking score of 55 or higher. 

The MET is already accepted as proof of English proficiency to apply for licensure by the Boards of Nursing in Alabama, Florida, Idaho, Michigan, Nebraska, North Dakota, Oklahoma, and Wyoming. 

“Michigan Language Assessment is pleased to support international nurses and healthcare professionals with the MET. In our way, we are helping address the national shortage of healthcare workers,” says Sharon Harvey, CEO. “We will continue to support boards of nursing, other governing bodies, and CGFNS in their efforts to update state-level requirements to reflect the new standard.” 

“We are thrilled that the MET is now a federally-recognized credential for healthcare professionals,” says Julie Monteiro de Castro, MPP, Stakeholder Relations and Recognition Manager. 

Michigan Language Assessment is a not-for-profit collaboration between the University of Michigan and Cambridge University Press & Assessment. Learn more about our products, services, and resources by visiting us online at

To learn more about HRSA, visit their website at

To learn more about CGFNS International, visit their website at