Trump plans a $100,000 one-time fee on new H-1B visas. Some groups may be spared if their work serves the “national interest.”

Healthcare Exemptions

Doctors, nurses, and public health workers are likely exempt, especially in shortage areas or research tied to US health priorities. Experts warn the fee could devastate medical residencies.

Other Essential Roles

Critical sectors like food supply and defense may also qualify for exemptions.

Industries Affected

IT, consulting, and Big Tech face higher costs. Indian IT firms will need to justify visas for niche roles. The fee applies only to new visas from 2026, giving companies time to adjust.

Bottom Line

US healthcare is largely protected, but tech and consulting firms must absorb rising H-1B costs.