The IMG Roadmap Podcast

148. New H-1B Applicants After Sept 2025? Here’s What I’d Do


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There’s been a lot of fear circulating online about a proposed $100,000 fee for new H-1B applications, and I’ve been getting questions nonstop from IMGs who are worried about what this could mean for their future.

In this episode, I break down what’s actually being discussed, who this proposal may apply to, and—most importantly—how I would think about this as a physician if I were applying for H-1B today.

I share my own immigration journey, how I approached visas strategically, and why panic is never a strategy—but preparation is.

  • Where the $100,000 H-1B fee discussion is coming from
  • Who this proposal would apply to (and who it would not)
  • Why social media is the worst place to get immigration advice

  • How physicians can potentially qualify for exemptions

  • What “national interest” really means for doctors

    Why shortage areas matter more than ever

  • What I would personally do if I were a new H-1B applicant today


    Key Takeaways

  • Not every headline applies to every IMG

    • Physicians are uniquely positioned because of workforce shortages
    • Knowing the rules gives you leverage
    • You need a plan—not fear


    Resources Mentioned

  • NIW information: https://www.uscis.gov/working-in-the-united-states/permanent-workers/employment-based-immigration-second-preference-eb-2

  • USCIS on H1B visa: https://www.uscis.gov/working-in-the-united-states/h-1b-specialty-occupations

  • HRSA Health Professional Shortage Area tool: https://data.hrsa.gov/topics/health-workforce/shortage-areas/hpsa-find

  • IMG Roadmap Podcast Episode #13 (National Interest Waiver discussion):https://podcasts.apple.com/us/podcast/13-img-roadmap-series-30-dr-clarisse-tallah-fm-ob-maternal/id1490731292?i=1000469793341

  • Immigration attorney referral: https://www.bakerlaw.com/insights/uscis-clarifies-when-100000-h-1b-fee-is-required-exempting-most-f-1-students/


Disclaimer
This episode reflects my personal experience and opinions and is for educational purposes only. It is not legal advice.

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The IMG Roadmap PodcastBy Dr. Nina Lum

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