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$100K H-1B Fee Threatens Rural Hospitals, Doctors; Bill Seeks Exemption

5/2/2026

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Story summary
  • The 2025 proclamation’s $100,000 H-1B fee blocks small, rural hospitals from affording visas for foreign doctors.
  • Because Medicare funds postgraduate education, taxpayers lose benefits when those doctors cannot stay.
  • Hundreds of doctors risk leaving the United States because the HHS waiver backlog remains unresolved after September stall.
  • A bipartisan bill seeks an exemption while lawsuits by the U.S. Chamber of Commerce, states and a recruiter aim to end the fee.