President Trump’s September 19, 2025 proclamation,  “Restriction on Entry of Certain Nonimmigrant Workers,” will have the effect of imposing a new $100,000 fee on H-1B visa applications.

H-1B visas are non-immigrant visas that allow U.S. employers to temporarily employ qualified foreign workers in “specialty occupations,” which are those that require highly specialized knowledge and the attainment of at least a bachelor’s degree or its equivalent. Although limited compared to  computer/information technology or engineering/surveying, H-1B holders are found in the health sector. In FY 2024, the government reported that 4.2% of total H-1B approved applications were for the “Medicine and Health” industry. Physicians, surgeons, psychologists, and some specialized nursing positions, to name a few, typically qualify for the visa.

The administration’s proclamation set off a momentary wave of panic and uncertainty because many U.S. employers were unclear on how it was meant to be implemented.

In clarifying guidance announced on Saturday, September 20, the White House said the fee is a one-time application fee that will not be applied retroactively, but to all new applications starting on the date of its implementation, Monday, September 22.