$100K H-1B Fee May Disrupt Rural Healthcare Needs
Immigration attorneys Vinh Duong and Nora Katz co-authored a Law360 article on the Trump Administration's new $100,000 supplemental fee on H‑1B petitions and its potential impact on international medical graduates (IMGs) and the U.S. healthcare workforce. They explain how the fee could strain rural and underserved providers, disrupt established J‑1 waiver to H‑1B pathways and create timing and planning risks that National Interest Exceptions (NIEs) cannot reliably solve, in addition to outlining practical policy fixes and criteria for predictable exemptions. The article offers guidance for healthcare employers on assessing exposure, planning recruitment and preparing supporting evidence if they choose to pursue NIEs.
The authors also published a Holland & Knight alert on this topic.