H-1B Fee Hike: What Employers Need to Know
A weekend of whiplash left employers facing uncertainty after a proposed up to $100,000 fee on new H-1B applications. Here’s how to plan—plus where Immigration Spot Clinic & Services fits in.
Introduction: A Weekend of Whiplash
The H-1B program—long a cornerstone of America’s access to global talent—was thrust into turmoil when a sudden announcement proposed a 50-fold fee increase (up to $100,000) on skilled worker permits. Although a subsequent clarification suggested a narrower, one-off scope focused on new applicants, the signal to employers is clear: hiring foreign talent is entering a new era of unpredictability.
For employers, this isn’t just headline drama—it affects budgets, timing, and workforce strategy.
The Impact on Employers
- Tech: Indian nationals have historically filled the majority of H-1B computer roles, powering innovation across startups and enterprises.
- Healthcare: International physicians (many on H-1B) are vital to U.S. hospital staffing; disruptions ripple directly into patient access.
- Cost Shock: With the median salary for new H-1B employees around the mid-$90Ks, a six-figure filing fee would upend the hiring equation.
Reminder: Policy details can shift. Always verify current requirements on the USCIS website and consult immigration counsel.
Ripple Effects of Policy Shifts
Operational Disruptions
- Travel freezes to avoid re-entry risk
- Delays as legal teams interpret changes
- Candidates reconsider U.S. opportunities
Budget & Planning Risk
- Higher and less predictable compliance costs
- Pipeline uncertainty for critical roles
- Potential need to rebalance sourcing markets
Where Immigration Spot Clinic Fits In
Policy debates aside, the practical work of onboarding international talent continues—including the medical and vaccination requirements that accompany employment-based immigration.
Immigration Spot Clinic in Central Florida is a USCIS-designated civil surgeon facility that helps employers and foreign hires complete the required medical steps efficiently, reducing delays and errors.
- I-693 Medical Exams: End-to-end handling of the Report of Medical Examination and Vaccination Record (Form I-693)
- Vaccination Review & Updates: Aligned to CDC requirements for immigration cases
- Labs & Documentation: Consolidated appointments and sealed packets for USCIS submission
- Bilingual Support: English and Spanish assistance for a smoother employee experience
Need a designated civil surgeon in another region? Use the USCIS Find a Doctor tool.
Quick FAQ for HR & Talent Leaders
Do all H-1B hires need an I-693?
Form I-693 is typically required for applicants seeking adjustment of status (e.g., green card). Requirements vary by pathway—confirm specifics with counsel and review USCIS I-693 guidance.
Can a regular doctor complete the I-693?
No. The exam must be done by a USCIS-designated civil surgeon. Use USCIS’s Find a Doctor tool or contact Immigration Spot Clinic in Central Florida.
How should we communicate changes to candidates?
Provide a clear, written briefing on timelines, costs, and steps; point candidates to authoritative resources and your selected medical partner (e.g., Immigration Spot Clinic) to reduce anxiety and delays.
