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State Department Revives Health-Based Public-Charge Screening for Immigrant Visas

An internal directive tells consular officers to weigh chronic illness, age, family health alongside an applicant’s ability to pay when assessing inadmissibility.

Overview

  • U.S. embassies and consulates received new guidance this week expanding health and resource factors in immigrant visa adjudications, according to reporting by KFF Health News.
  • Officers are instructed to consider conditions such as obesity and diabetes, with broader categories cited including cardiovascular, respiratory, cancer, metabolic, neurological and mental-health disorders.
  • Advanced age is identified as a factor that could increase the likelihood of reliance on public benefits under the public-charge standard.
  • The directive calls for determining whether applicants can cover medical treatment costs without U.S. government assistance.
  • Officials are advised to consider the health of immediate family members, while legal and advocacy groups voice concerns about the policy’s breadth and potential effects.