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2.0

DOS cable expands considerations for denying visa applications on public charge grounds

  1. Original Date Announced

    November 6, 2025

    DOS 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 Charge
  2. Effective Date

    November 6, 2025
  3. Subsequent Trump and Court Action

    February 2, 2026

    2026.02.02 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**

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Current Status

None

Original Trump Policy Status

Trump Administration Action: Agency Directive
Agencies Affected: DOS

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.

    Go to article

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