U.S. Visas May Be Rejected for Applicants with Chronic Illnesses like Diabetes and Heart Conditions

In recent months, there seems to be a steady stream of new restrictions affecting individuals applying for U.S. visas. The latest policy primarily targets immigrant visa applicants and raises serious concerns for many families. It remains unclear whether this policy will also apply to H-1B workers, students, or visitor visa holders.
According to reports, the U.S. government’s stated intent is to limit healthcare costs associated with immigrants who may require long-term or expensive medical treatment. In the United States, hospitals are required to provide emergency care to anyone in need, regardless of their ability to pay. However, when patients cannot cover those costs, it becomes a non-recoverable expense for the healthcare system.

A Department of State (DoS) cable sent to U.S. embassies and consulates instructs visa officers to consider an applicant’s health and potential long-term medical expenses when deciding visa eligibility. The cable lists several chronic medical conditions — including cardiovascular diseases, respiratory illnesses, cancers, diabetes, metabolic and neurological disorders, and mental health conditions — as examples that could raise concerns.

It also poses the question:
“Does the applicant have adequate financial resources to cover the costs of such care over his or her entire expected lifespan without seeking public cash assistance or long-term institutionalization at government expense?”

Additionally, visa officers are advised to evaluate whether an applicant’s dependents (such as children or elderly parents) have disabilities or chronic conditions that might affect the applicant’s ability to maintain steady employment.

While health screening has long been part of the visa process — primarily for communicable diseases and vaccination requirements — this directive represents a significant expansion in scope. The new policy is reported to apply to immigrant visas (for those seeking permanent residency), but some experts believe it could eventually influence other visa categories as well.

This development is expected to impact many Indian families, particularly those applying for parents’ immigrant visas. As more information becomes available, applicants and community members are urged to stay informed and seek legal guidance where necessary.

Let us hope that additional clarity on this important matter will be provided soon.