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On September 21, 2025, a new presidential proclamation went into effect requiring a $100,000 fee for many new H-1B visa petitions filed on behalf of individuals outside the United States. Although the policy was introduced in response to concerns about misuse of the H-1B program in the tech and outsourcing sectors, it’s broad application may have far-reaching implications for the U.S. healthcare workforce, particularly Graduate Medical Education programs that rely on H-1B spo