American Hospital Association Urges Trump to Exempt Health Care Personnel from $100,000 H 1B Fee

Recently, the American Hospital Association (“AHA”) voiced its support for an exemption from the $100,000 H-1B fee for health care workers. 

In its letter, AHA urges the federal government to exempt health care personnel from the $100,000 H‑1B visa fee established by President Trump’s September 2025 proclamation, “Restriction on Entry of Certain Nonimmigrant Workers,” (MU’s blog on the fee is available here) arguing that the fee threatens hospitals’ ability to recruit and retain qualified foreign‑trained professionals.

 

Health care systems across the United States continue to grapple with profound clinician and nurse shortages that are projected to deepen significantly in the years ahead. 

 

The H-1B visa is essential to meeting shortages in health care occupations in the US. In fiscal year 2024 alone, of nearly 400,000 H‑1B petitions approved, 16,937 (4.2 %) were for medical and health occupations, including physicians, surgeons, and registered nurses.

 

AHA also articulated its strong support for the bipartisan Healthcare Workforce Resilience Act (discussed by MU here). These combined measures represent a coherent strategy to preserve and expand the U.S. health care workforce. Ensuring exemption from the fee is not only a regulatory measure—it is a critical component of maintaining continuous and equitable access to health services across communities nationwide.

December 2025 Visa Bulletin: Movement Forward in All Categories

The Department of State has just issued the December 2025 Visa Bulletin. This blog post analyzes this month's Visa Bulletin.

Visa Bulletin

Table A: Final Action Dates -- Applications with these priority dates or earlier may be approved for their Green Card (Permanent Residency card) or Immigrant Visa appointment:

Table B: Dates for Filing

USCIS will use the Table B Dates for Filing chart for I-485 employment-based filings in December 2025. See: USCIS Visa Bulletin Dates

The Dates for Filing chart did not change from November 2025 to December 2025.

MU Law Analysis

EB-1: EB-1 China and EB-1 India each moved forward one month. All other EB-1 categories remain current.

EB-2: EB-2 categories made the following progress forward in the December 2025 visa bulletin:

• EB-2 All Chargeability, EB-2 China, EB-2 Mexico, and EB-2 Philippines: 2 months
• EB-2 India: 6 weeks

EB-3: EB-3 categories made the following progress forward in the December 2025 visa bulletin:

• EB-3 All Chargeability, EB-3 Mexico, and EB-3 Philippines: 2 weeks
• EB-3 China and EB-3 India: 1 month

CALL FOR CONGRESSIONAL SUPPORT OF HEALTHCARE WORKFORCE RESILIENCE ACT

As discussed in a previous blog post, Musillo Unkenholt is pleased to report that the Healthcare Workforce Resilience Act (HWRA) has been reintroduced into Congress. The HWRA has bipartisan sponsorship of Senators Durbin and Cramer in the Senate and Representatives Brad Schneider and Don Bacon in the House.

The HWRA offers an immediate response to the U.S.’s nursing shortage crisis by recapturing 25,000 previously authorized but unused immigrant visas (Green Cards) for highly-qualified international nurses who meet strict professional requirements. The bill does not displace any U.S. nurses or increase the total number of available immigrant visas (Green Cards).

Musillo Unkenholt endorses the HWRA, an efficient and long-awaited step toward immigration reform that will work to meet the country’s growing need for a strong U.S. health care workforce.

The HWRA has the highest chance of passing in Congress with more co-sponsorship. If you or your employer would benefit from common-sense lawmaking to remedy the U.S. nursing shortage, contact your congressional representative about co-sponsorship of the HWRA.

DOL’s FLAG Resumes Wage Request Processing for Immigration Applications

The Department of Labor (DOL) announced on October 31, 2025 that it has resumed its processing of immigration-related requests for prevailing wages, labor certification determinations, and other wage applications via its online filing system, FLAG.

As discussed in an MU blog last month, the government shutdown has shuttered the DOL’s FLAG operations since October 1, 2025, when the website was made completely unavailable.

Although the government shutdown is ongoing, the DOL’s resumption of its processing is welcome news for employers and immigrants who have been ineligible to file certain cases without requisite DOL wage determinations.

DOL did not clarify whether FLAG will resume processing indefinitely throughout the remainder of the government shutdown. However, optimistically, in its announcement, DOL notes that it “is taking all steps necessary to resume application processing” and is “transition[ing] back to full operational status”.