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Family Medicine and USCIS Medical Exam News – April 12, 2026

1. USCRI Highlights Risks of Reported USCIS Refugee Reinterview Plan:
U.S. Citizenship and Immigration Services (USCIS) has reportedly issued a directive without precedent to conduct a sweeping review and reinterview of over 200,000 refugees who entered the United States between January 2021 and February 2025, and halt their applications for permanent residency. The news has sparked widespread fear among refugees, as the move threatens to destabilize their prospects for successful integration, jeopardize employment, and destabilize their lives. The planned reinterview strategy could retraumatize individuals and families who were already subjected to extensive background checks and multiple interviews during their initial assessment procedures. The USCRI, a non-profit organization representing refugees and immigrants, is calling for a reversal of the policy.

2. Afghans Legally in the U.S. Face Uncertain Future:
The Trump administration has cracked down on legal immigration from Afghanistan after an Afghan national was accused of shooting two National Guard members, causing fear among Afghan communities in the United States. The suspect, an Afghan asylee, worked with the U.S. military and was granted asylum during the Trump administration, leading to accusations from Trump’s administration that Biden-era immigration policies are at fault. It has prompted the Trump Administration to halt all asylum decisions from 19 “high-risk” countries and withhold visas from individuals travelling on Afghan passports. The policy has caused widespread alarm and uncertainty among the Afghan community, most of whom migrated to the US seeking safety and greater opportunities, but are now worried that their immigration status might be jeopardized.

3. October 2025 Visa Bulletin Released: Important Actions to Take:
The U.S. Department of State recently released the October 2025 Visa Bulletin, indicating a potential opening for those waiting for their employment-based green cards. Two groups in particular are affected by this bulletin: those whose priority date now permits them to submit their I-485 Adjustment of Status application, and those whose I-485 is already pending and whose priority date has become current under the Final Action Dates chart. The Bulletin also outlines further requirements for those seeking to change employment categories or transfer their underlying based on an approved petition in a new category. Individuals whose petitions have been unreasonably delayed are advised to consider litigation, while those with expired medicals or with job changes should take measures to update their files promptly.

The recent changes emphasize the need for applicants to be proactive, precise, and persistent. Track the bulletin regularly, ensure preparedness when your date becomes current, and escalate delays or issues appropriately. Successful navigation through this process can expedite the route to permanent residency and citizenship.

The Trump administration has immediately enacted modifications to green card applications, with the United States Citizenship and Immigration Services (USCIS) necessitating renewed medical examination forms for all new permanent residency applications. The decision aims to protect public health and affects immigrants applying for adjustment of status. Previously, immigrants were allowed to indefinitely use forms endorsed by a civil surgeon until June 10. The sudden implementation of the rule gives no preparation time for applicants or attorneys. The change primarily addresses the I-693 form, known as the “Report of Immigration Medical Examination and Vaccination Record,” filled out by immigrants applying for status adjustment or striving to become a permanent resident.

The USCIS, in April 2024, adapted the policy to allow I-693 forms completed and endorsed by a civil surgeon on or after November 1, 2023, to be used indefinitely. The I-693 form could thus be utilized repeatedly for different benefits or re-applications. However, the policy has now been changed such that if an application is withdrawn as of June 11, 2025, the I-693 form becomes invalid, requiring the applicant to retake the exam for a new form. This shift will likely influence thousands of applicants looking to file their I-485 forms.

Medical exams are akin to physicals, checking for specific conditions or diseases that could leave an individual inadmissible to the US. They range from $100-$500, and the new rule may require immigrants to pay twice. Prior to December 2024, only individuals needing to verify their admissibility on medical grounds had to file a medical examination form. Now, all green card applicants must do so, and other immigrants may also be asked to file an I-693 at the discretion of the USCIS.

The mounting scrutiny on immigrants applying for temporary and immediate visas in the US characterizes the Trump administration’s effort to clamp down on immigration law violations. The federal government has reiterated that green cards do not mean citizenship and can be revoked on grounds of national security, immigration law violations, or criminal convictions. The new policy took effect on June 11, 2025, with a new version of the form being released on July 3, 2025.

This revision follows the administration’s reversal of an indefinite usage policy for the medical examination form, installed just last year. Applicants will now need to supply renewed medical examination forms in every application. The change applies to all permanent residency applications submitted from June 11, 2025, and all applications currently in process. The update negates the indefinite validity of Form I-693 and necessitates new exams for every new application, leading to possible multi-payment for exams.

Furthermore, the Trump administration announced a new “gold card” initiative on the same day, inviting applicants to buy a green card for $5 million. President Trump has predicted that sales of the “gold card” could accumulate $50 trillion, touted as sufficient to retire the national debt. However, existing data predicts this would raise approximately $25 billion to $40 billion instead. Legal experts emphasize that President Trump cannot alter or eliminate the EB-5 visa program without congressional approval; nevertheless, a “gold card” program could coexist with EB-5.


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