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Original Date Announced
November 6, 2025DOS issued a cable to consular officials providing guidance on the application of the public charge ineligibility ground under INA 212(a)(4). In making public charge ineligibility determinations, it instructs officials to consider, at minimum, the applicant's age; health; family status; assets, resources, and financial status; education and skills; and current or past receipt of public cash assistance or long-term institutionalization.
In terms of health, the cable expands the list of medical conditions that officials must consider, including cardiovascular diseases, respiratory diseases, cancers, diabetes, metabolic diseases, neurological diseases, mental health conditions, and obesity; it also directs officials to consider the health of family members, including children or older parents. It notes that many common medical conditions require expensive care and instructs officials to consider whether the applicant can cover such care in the U.S. "without seeking public cash assistance or long-term institutionalization at government expense."
An unofficial copy of the cable was first obtained by AILA and then made public in Catholic Legal Immigration Network, Inc. v. Rubio, No. 1:26-cv-00858 (S.D.N.Y.).
Trump 2.0 [ID #2062]
2025.11.06 DOS - Visa Ineligibility on Grounds of Public ChargeEffective Date
November 6, 2025Subsequent Trump and Court Action
February 2, 20262026.02.02 Complaint - Catholic Legal Immigration Network, Inc. v. Rubio
The Catholic Legal Immigration Network (CLINIC) and individuals facing exclusion from the U.S. filed suit to challenge the DOS's November 6, 2025 cable and January 14, 2026 visa ban for nationals of 75 countries deemed "high-risk" of becoming a public charge. Plaintiffs allege that DOS's categorical nationality-based ban violates the case-by-case adjudication process mandated by the INA. Plaintiffs also allege that the DOS's November 2025 cable is discriminatory and unlawful. Plaintiffs claim that the visa ban and public charge rules violate the APA as well as the Fifth Amendment's due process and equal protection guarantees, and are ultra vires. Plaintiffs seek to have the agency actions enjoined and vacated. Catholic Legal Immigration Network, Inc. v. Rubio, No. 1:26-cv-00858 (S.D.N.Y.).
**Link to case here. Our litigation entries generally report only the initial complaint and any major substantive filings or decisions. For additional information, CourtListener provides access to PACER and all available pleadings. Other sites that track litigation in more detail or organize cases by topic include Civil Rights Clearinghouse, Justice Action Center, National Immigration Litigation Alliance, and Just Security**
View DocumentCurrent Status
NoneOriginal Trump Policy Status
Status: Final/Actual In LitigationTrump Administration Action: Agency DirectiveSubject Matter: Non-Immigrant Visas Immigrant VisasAgencies Affected: DOSAssociated or Derivative Policies
- February 19, 2025 EO 14218: "Ending Taxpayer Subsidization of Open Borders"
- September 4, 2025 USCIS issues memorandum reaffirming guidance on public charge inadmissibility determinations
- September 16, 2025 USCIS reinstates and proposes changes to Form I-945, Public Charge Bond
- September 19, 2025 USCIS reinstates and proposes changes to Form I-356, Request for Cancellation of a Public Charge Bond
- November 19, 2025 Proposed rule to rescind the 2022 public charge inadmissibility ground final rule
Documents
Trump-Era Policy Documents
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New Policy
Original Source:
DOS - Visa Ineligibility on Grounds of Public Charge
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Subsequent Action
Original Source:
Complaint - Catholic Legal Immigration Network, Inc. v. Rubio
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Commentary
2026.11.06 KFF Health News - Immigrants With Health Conditions May Be Denied Visas Under New Trump Administration Guidance
KFF Health News reports on the DOS cable and its departures from current practice, focusing on the expansion of health-related considerations as a basis for public charge ineligibility.
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