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Immigrants with health conditions may be denied visas under new Trump administration guidance

New visa rules require officers to assess chronic illnesses and potential public benefit reliance, expanding medical grounds for visa denial under Trump administration.

  • On Thursday, the State Department sent a cable directing embassy and consular officials to assess applicants' health when deciding visa eligibility, expanding criteria beyond communicable diseases to include chronic conditions.
  • The directive frames health concerns as potential 'public charge' risks and tells visa officers to evaluate if applicants can cover lifetime medical costs without relying on U.S. government benefits.
  • Guidance names chronic diseases and cites care costs for cardiovascular diseases, respiratory diseases, and cancers; Sophia Genovese warned, 'Taking into consideration one's diabetic history or heart health history — that's quite expansive.'
  • Legal experts warned adjudicators lack medical training for these projections, saying visa officers face fairness concerns and the guidance conflicts with the Foreign Affairs Manual's 'what if' rejection rules.
  • Applicants continue to undergo embassy-approved medical exams, but family health now factors into consular decisions, with officers considering dependents' disabilities or family members' medical needs.
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The U.S. administration continues to restrict visa application procedures even further. From now on, the overall health status of applicants could be taken into account. Washington could thus reject applications if the person suffers from certain health problems, according to a directive sent to U.S. consulates and embassies and consulted by the KFF website, which specializes in health.

·Paris, France
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kffhealthnews.org broke the news in on Friday, November 7, 2025.
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