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Rural Hospitals Struggle as H-1B Visa Fees Surge

12/8/2025

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Summary

Story summary

Bekki Holzkamm, lab manager at West River Health Services in rural North Dakota, cannot hire a lab technician since late summer.
The proclamation by U.S. President Donald Trump imposes a $100,000 H-1B visa fee.
The American Hospital Association seeks exemptions from the fee.
Lawsuits challenge the fee's legality.
Lawmakers express bipartisan concern.

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Story summary

Bekki Holzkamm, lab manager at West River Health Services in rural North Dakota, cannot hire a lab technician since late summer.
The proclamation by U.S. President Donald Trump imposes a $100,000 H-1B visa fee.
The American Hospital Association seeks exemptions from the fee.
Lawsuits challenge the fee's legality.
Lawmakers express bipartisan concern.