; and (ii) by inserting , except as provided in paragraph (4) before the semicolon at the end; and (B) by adding at the end the following: (4) Adjustment in waiver numbers (A) Increases (i) In general Except as provided in clause (ii), if in any fiscal year, not less than 90 percent of the waivers provided under paragraph (1)(B) are utilized by States receiving at least 5 such waivers, the number of such waivers allotted to each State shall increase by 5 for each subsequent fiscal year. (ii) Exception If 45 or more waivers are allotted to States in any fiscal year, an increase of 5 waivers in subsequent fiscal years shall be provided only in the case that not less than 95 percent of such waivers are utilized by States receiving at least 1 waiver. (B) Decreases If in any fiscal year in which there was an increase in waivers, the total number of waivers utilized is 5 percent lower than in the previous fiscal year, the number of such waivers allotted to each State shall decrease by 5 for each subsequent fiscal year, except that in no case shall the number of waivers allotted to each State drop below 35. . (f) Temporary portability for physicians and critical healthcare workers in response to COVID–19 public health emergency (1) In general Not later than 30 days after the date of the enactment of this title, the Secretary of Homeland Security, in consultation with the Secretary of Labor and the Secretary of Health and Human Services, shall establish emergency procedures to provide employment authorization to aliens described in paragraph (2), for purposes of facilitating the temporary deployment of such aliens to practice medicine, provide healthcare, or engage in medical research involving the diagnosis, treatment, or prevention of COVID–19. (2) Aliens described An alien described in this paragraph is an alien who is— (A) physically present in the United States; (B) maintaining lawful nonimmigrant status that authorizes employment with a specific employer incident to such status