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U.S. Tightens Visa Screening, Citing Health Risks Under Public‑Charge Rule

Consular officers gain wider discretion after DHS said no bright-line method exists for judging who may rely on public support.

Overview

  • A State Department cable directs embassies and consulates to factor applicants’ underlying health and lifetime risk of becoming a public charge into visa decisions.
  • The guidance names cardiovascular and respiratory diseases, cancers, diabetes, metabolic and neurological disorders, and mental health conditions, and it flags obesity for possible consideration because of long-term costs.
  • Officers are instructed to review prior use of government assistance and weigh age, family status, assets, resources, finances, education and skills under a totality-of-circumstances approach.
  • The cable asks whether applicants can cover expected medical expenses without public aid over their lifespans, with determinations made without a bright-line test as DHS acknowledged in September.
  • Legal advocates warn the policy asks non-medical officials to make speculative health judgments and risks discriminatory outcomes, and it fits into broader tightening that includes a $250 Visa Integrity Fee.