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The Trump administration’s proposal to drastically raise H-1B visa fees is sparking alarm among U.S. healthcare groups, who warn the change could intensify the nation’s ongoing physician shortage. The Department of Homeland Security is weighing fee increases that could push the cost of applying for H-1B visas from the current maximum of $4,500 to as much as $100,000.
The H-1B visa program plays a vital role in U.S. healthcare, allowing hospitals and clinics to hire international medical graduates and foreign-trained specialists. Currently, international physicians account for over 20% of practicing family doctors, and many disproportionately serve rural and underserved communities. The American Academy of Family Physicians stressed that nearly 21 million Americans live in areas where foreign-trained doctors make up at least half the physician workforce.
Healthcare leaders say the proposed fee hike threatens this lifeline. The American Medical Association cautioned that fees as high as $100,000 could “choke off the international physician pipeline,” worsening wait times and limiting access to care. The American Hospital Association added that hospitals depend on the H-1B program to fill urgent workforce gaps, especially since staffing challenges from the COVID-19 pandemic remain unresolved.
In fiscal year 2025, U.S. Citizenship and Immigration Services reported 442,000 unique H-1B beneficiaries across all sectors, with 5,640 petitions approved in healthcare and social assistance alone. Institutions like OhioHealth, Cleveland Clinic, Cedars-Sinai, and Mass General Brigham are already assessing how higher visa costs may impact recruitment and operations.
The Association of American Medical Colleges projects a shortfall of 13,500 to 86,000 physicians by 2036 as demand continues to outpace supply. Experts argue that restricting the flow of foreign-trained doctors could leave patients traveling farther for care while straining already overburdened U.S. physicians. For many hospitals, exemptions for healthcare professionals may be the only way to avoid worsening America’s doctor shortage.
