What is confusing to me is whether the HPSA/MUA is tied to the J waiver part and if you are on H-1 all along, whether PSA will be enough to apply for Primary care NIW even when the area is not HPSA/MUA.
Another issue is whether ALL HPSA/MUA are included in PSA.
I can confirm that in my area, HPSA/MUA is not in primary PSA... go figure... I can see a court challenge maybe warranted. But the problem is that by the time this is resolved, you already might get GC through regular LC processing.