Exemptions from H-1B Visa Fees Could Include Doctors as U.S. Reviews Policy

Washington, September 22, 2025 — President Donald Trump’s administration has introduced a new policy requiring a $100,000 fee for new H-1B visa applications. While the move has drawn sharp reactions from the tech sector, reports suggest that doctors and medical residents could be exempt from the hefty payment under certain conditions.

The New Policy

The rule states that all new applicants for H-1B specialty visas must pay a one-time $100,000 fee. Importantly, the charge will not apply to existing visa holders or renewals, but only to first-time applicants.

Possible Exemptions

The White House has indicated that exemptions may be granted in cases that serve the national interest. Healthcare professionals, particularly physicians and medical residents, are among those most likely to qualify for a waiver.

Why It Matters

The healthcare industry in the U.S., especially rural and underserved regions, depends heavily on international medical graduates. Without exemptions, many hospitals could face staffing shortages. Meanwhile, tech companies and other industries worry the new cost could deter global talent and limit access to skilled workers.

What Comes Next

The Department of Homeland Security is expected to release further guidance on how the exemptions will be applied. Analysts believe legal challenges are also likely, as critics argue the measure could harm innovation and put smaller employers at a disadvantage compared to large corporations.