To amend the Nicaraguan Adjustment and Central American Relief Act to eliminate the requirement that spouses and children of aliens eligible for adjustment of status under such Act be nationals of Nicaragua or Cuba and to provide to nationals of El Salvador, Guatemala, Honduras, and Haiti an opportunity to apply for adjustment of status under that Act, and for other purposes.

Central American and Caribbean Refugee Adjustment Act of 1999 - Amends the Nicaraguan Adjustment and Central American Relief Act to eliminate the Cuban or Nicaraguan nationality requirement for status adjustment of spouses and children. Makes nationals of Nicaragua, Cuba, El Salvador, Guatemala, Honduras, or Haiti eligible for permanent resident status adjustment under such Act. (Current law applies to nationals of Nicaragua and Cuba.) Makes conforming amendments to the Immigration and Nationality Act, as amended by the Nicaraguan Adjustment and Central American Relief Act.