In February 2026, bipartisan members of Congress renewed calls for relief from the $100,000 H 1B visa filing fee for international healthcare workers. In an American Hospital Association (AHA)-supported letter sent to the U.S. Department of Homeland Security (DHS) on February 11, lawmakers urged the agency to exempt healthcare workers from the fee, warning that the policy threatens already‑strained hospital staffing nationwide.
The letter, led by Representatives Yvette D. Clarke (D‑NY) and Michael Lawler (R‑NY), was signed by 100 members of Congress and emphasized that hospitals and health systems rely heavily on international professionals to maintain access to care, particularly in rural and underserved communities.
Hospitals Warn of Worsening Workforce Shortages
Lawmakers cautioned that imposing a $100,000 fee on new H‑1B visa petitions would further exacerbate existing staffing shortages and push financially vulnerable hospitals closer to the brink. According to the letter, if healthcare employers are unable to petition for H‑1B workers without absorbing the additional cost, critical clinical positions may remain unfilled, reducing patient access to essential services.
AHA Continues Advocacy for a Healthcare Exemption
The AHA’s support for the congressional letter aligns with broader, ongoing advocacy efforts by hospitals, academic medical centers, and healthcare associations seeking an exemption from the $100,000 H‑1B fee. These organizations argue that restricting access to H‑1B visas will worsen workforce shortages across multiple healthcare professions and undermine the financial viability of care providers serving high‑need populations.
As DHS continues to evaluate implementation of the fee, healthcare stakeholders remain focused on securing targeted relief that recognizes the essential role international professionals play in sustaining the U.S. healthcare system.
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