Overview
- USCIS guidance says the surcharge primarily applies to new H-1B petitions filed on or after September 21, 2025 for beneficiaries abroad seeking consular processing, while in‑U.S. extensions and change‑of‑status filings are exempt.
- Employers must pay the $100,000 via Pay.gov before filing and include proof or face denial, with only extraordinarily rare national‑interest exceptions available through advance DHS approval.
- USCIS cautions that international travel during a pending change‑ or extension‑of‑status can convert a case to consular processing and trigger the fee, and certain employer transfers may also do so if status lapses.
- Health‑care groups, including the AMA, warn the surcharge could worsen staffing shortages at rural and underserved hospitals that rely on international medical graduates.
- Several large employers have paused new overseas sponsorships or shifted hiring plans (Cognizant, TCS, Intuitive Surgical, Walmart), while DHS proposals to weight H‑1B selection toward higher‑paid roles face criticism over manipulation risks and the U.S. Chamber and others are suing.