What Healthcare Professionals Need to Know 

On Sept. 21, 2025, President Trump issued a H-1B Proclamation that changes the H-1B visa program. On Oct. 20, 2025, U.S. Citizenship and Immigration Services (USCIS) released new guidance clarifying how the order will be implemented — including details about the new $100,000 employer fee and who it applies to.

We know these announcements may feel uncertain or concerning, but please know that WorldWide HealthStaff Solutions (WWHS) is here to support you every step of the way. 

What We Know: 

• Current H-1B Holders Are Safe: 
  If your H-1B visa was approved before Sept. 21, 2025, your status remains unchanged. You can continue working and living in the U.S. as usual. 

• This Shouldn’t Impact Current U.S. Healthcare Workers  
  The new $100,000 employer fee primarily affects new H-1B petitions for individuals who are outside the United States or for those requiring consular processing.
  Healthcare professionals who are already in the U.S. — including nurses, medical technologists, and other clinicians — are not subject to this fee when filing extensions, amendments, or changes of status. 

• Travel Is Still Allowed, with Caution: 
  H-1B visa holders can continue to travel internationally with caution. However, if you hold a passport from a country currently under a travel ban or visa restriction, you should avoid international travel unless absolutely necessary and first speak with your immigration advisor. 

• Temporary Rule: 
  The proclamation is set to remain in effect for 12 months (until Sept. 21, 2026), unless extended or modified through litigation or new executive action. 

FAQs  

Q: Do these changes affect clinicians already on H-1B visas? 
A: No. If your H-1B visa was approved before Sept. 21, 2025, your status, job, and ability to continue working are unaffected. 

Q: Will my hospital or employer have to pay the $100,000 fee for me? 
A: No. Based on the USCIS Oct. 20, 2025 guidance, this fee only applies to new H-1B petitions filed for individuals who are outside the U.S. It does not apply to extensions, amendments, or changes of status within the U.S. 

Q: Can current H-1B holders still travel internationally? 
A: Yes, but with caution. You may travel, but we recommend avoiding international trips unless absolutely necessary, especially if you are from a country with travel restrictions. 

Q: What if my H-1B visa is up for renewal? 
A: You can still file for extensions or amendments as usual. As long as you are currently in the U.S. and your employer is filing for a change of status, amendment, or extension, the $100,000 fee does not apply. 

Q: What if I am applying for my first H-1B visa from outside the U.S.? 
A: Your employer may be required to pay the $100,000 fee, unless they receive an exception from the Department of Homeland Security. WWHS and our partner employers are monitoring these rules closely to minimize any impact on incoming healthcare professionals. 

Q: Are there any exceptions for healthcare workers? 
A: No exceptions for healthcare workers have been announced. The Department of Homeland Security may grant exceptions for healthcare professionals whose work is in the national interest — for example, nurses or clinicians in shortage areas or critical care roles. 

Q: Should I worry about my job or immigration status? 
A: No. If you already hold an H-1B visa, your ability to live and work in the U.S. remains secure. WWHS will continue to advocate for healthcare professionals and ensure your placement and immigration process are protected. 

Next Steps 

At WorldWide HealthStaff Solutions, we understand that your career journey is deeply important — and we are committed to keeping you informed and supported. 

We will continue to share updates as the situation evolves and advocate for healthcare worker protections and exemptions under the new policy. 

If you have questions about how this affects your visa or travel plans, please contact us here: https://candidate.healthstaff.org/contact-us