
The Donald Trump administration's plans to significantly increase fees for H-1B visas are raising concerns among US healthcare groups over staffing shortages, with more than half of healthcare workers considering changing jobs within the next year, news agency Reuters reported.
The US Department of Homeland Security is examining policy modifications that could raise H-1B visa application costs from a maximum of $ 4,500 to as high as $100,000. The H-1B programme enables US companies to employ foreign professionals in specialised areas such as technology, engineering, medicine, and academia.
These visas are commonly issued by the US healthcare industry to attract international medical graduates, foreign-trained doctors, and other professionals educated abroad.
The American Academy of Family Physicians highlighted that over 20% of practising family doctors are international medical graduates, who are also more likely to work in rural areas.
In the fiscal year 2025, the US Citizenship and Immigration Services recorded nearly 442,000 unique H-1B visa beneficiaries were active across all sectors, with 5,640 petitions approved specifically in the healthcare and social assistance industry.
The American Medical Association cautioned that fees reaching up to $100,000 might hinder the international physician pipeline.
"With the U.S. already facing a shortage of doctors, making it harder for international medical graduates to train and practice here means patients will wait longer and drive farther to get care," AMA President Bobby Mukkamala told the news agency.
Hospital and doctor groups warned that the fee hike might significantly decrease the influx of foreign-trained doctors into the US healthcare system. For hospitals already operating with limited resources, this could lead to a shortage of specialists and increased pressure on the local medical workforce.
The American Hospital Association said that hospitals use the program as a temporary solution to address workforce shortages.
“The H-1B visa program plays a critical role in allowing the hospital field to recruit highly skilled physicians and other healthcare professionals to ensure access to care for communities and patients,” the news agency quoted an AHA spokesperson.
"Nearly 21 million Americans live in areas of the U.S. where foreign-trained physicians account for at least half of all physicians," the AAFP said.
Many hospitals have encountered staffing issues since the COVID-19 pandemic began. Several, including OhioHealth, Cleveland Clinic, Cedars-Sinai, and Mass General Brigham, informed Reuters that they are assessing how recent administrative changes could affect their operations.
The US might face a shortage of 13,500 to 86,000 physicians by 2036 as demand outpaces supply, the report said, citing the Association of American Medical Colleges.
(With inputs from agencies.)