The United States has reinstated and expanded its controversial “public charge” rule, directing embassies and consulates worldwide to apply stricter financial and health screening standards when assessing visa applicants. The move, part of President Donald Trump’s revived immigration policy, significantly tightens eligibility requirements for both temporary visas and permanent residency.
What the New Rule Means
According to a US State Department communication quoted by Fox News, the directive emphasizes that self-sufficiency remains a core principle of US immigration law, which has long sought to prevent individuals from becoming dependent on public welfare.
Under the revised rule, visa officers can now deny applications if they believe the applicant may, in the future, rely on government assistance. Officers must evaluate multiple factors including:
- Age and overall health
- English proficiency
- Employment status and financial independence
- Prior use of public benefits
- Long-term medical needs
This approach revives the Trump-era policy that had been rolled back under President Joe Biden, signaling a return to tougher immigration screening after Trump’s re-election in early 2025.
Health Conditions Among New Disqualifiers
In a significant expansion, health conditions such as diabetes, obesity, and other chronic ailments may now count as risk factors leading to visa denial, according to ABC News. Previously, medical reviews primarily focused on communicable diseases like tuberculosis and vaccination compliance.
Immigration experts warn that the revised guidelines could disproportionately affect lower-income applicants and those seeking green cards, as they are now required to demonstrate not only medical fitness but also economic independence.
Charles Wheeler, senior attorney at the Catholic Legal Immigration Network, noted that the rule “will apply broadly” but will likely have the greatest impact on permanent residency seekers, who must provide extensive financial and health documentation.
A Return to Trump-Era Immigration Controls
The reinstatement of the public charge rule underscores the Trump administration’s renewed focus on reducing dependency-based immigration. It reinforces a long-standing principle: the US welcomes only those who can “stand on their own feet” financially and medically.
This policy marks one of the most significant reversals of Biden-era immigration reforms, with global repercussions for visa applicants from developing nations, including India, who may face increased scrutiny during the approval process.
