On November 6, 2025, the U.S. Department of State (DOS) issued a significant update to its public charge guidance for consular processing. This change may affect both immigrant and nonimmigrant visa applicants—and could lead to increased scrutiny during visa adjudications.
🛑 Key Update: Chronic Health Conditions Now Considered
Under the revised guidance, DOS will now treat certain chronic medical conditions as potential indicators of public charge ineligibility under INA §212(a)(4). These conditions include:
- Diabetes
- Heart disease
- Cancer
- Mental health disorders
This shift means that applicants with long-term health needs must demonstrate their ability to manage medical expenses without relying on public assistance.
📋 What This Means for Applicants
Visa applicants should prepare for more rigorous review of their financial and health-related documentation. Key areas of focus include:
- Health insurance coverage: Proof of comprehensive, ongoing coverage
- Financial stability: Income, assets, and recent tax returns
- Affidavit of Support (Form I-864): Especially critical for family-based petitions
⚠️ Why It Matters
Failure to establish financial self-sufficiency could result in visa denial. Applicants should anticipate longer processing times and more detailed inquiries into their ability to support themselves in the U.S.
✅ Action Steps to Strengthen Your Case
To navigate this change effectively:
- 📁 Gather robust financial documentation
- 🏥 Secure adequate health insurance
- 👩⚖️ Consult an experienced immigration attorney
At MG Equity Law, we help with consular processing and public charge strategy. If you or a loved one are affected by this update, we’re here to help you prepare and advocate with confidence.
