Immigrant Justice is Labor Justice


No matter the country we come from, CIR members embrace our shared values of freedom, opportunity, and dignity for everyone. Doctors and patients from all backgrounds are an integral part of our communities and everyone deserves to feel safe in their workplaces and the place they call home.  

CIR is committed to protecting and supporting immigrant rights by being a resource to resident physicians and providing pertinent information regarding immigration for all who benefit from it. 

Immigrant Justice Work is Political

Our Committee on Political Education (COPE) is our PAC that allows us as doctors and union members to engage legislatively, electorally, and politically.

The more united we are, the more power we have to win. Get involved here:

Committee on Political Education

Thanks to COPE, we have been able to advocate for ourselves and our patients outside of our hospitals.


CIR has a history of fighting back against unjust government action, especially on the immigration front, to support not only our union members but all resident physicians. Today is no different. Addressing the travel ban and the effects of the visa appointment pause (now lifted) which have prevented many resident physicians from working at hospitals in medically underserved areas, is an organizational priority for CIR. Check back on this page for updates.

Immigration FAQ for FMGs who are CIR Members


This general guide intends to anticipate common questions Foreign Medical Graduates (FMGs) may have about immigration topics, especially in today’s aggressive enforcement climate. Covered topics include the proof of immigration status requirement, moving/changing addresses, social media common sense, union membership and activity, maintaining immigration status and traveling abroad.

Elimination of Duration of Status for J and F status


Effective September 15, 2026, J and F nonimmigrant visa holders will be admitted into the U.S. with a fixed time period of authorized stay based on the length of their specific program. This new rule eliminates the longstanding Duration of Status framework which allowed this type of visa holder to remain lawfully in the country for their program’s duration so long as they continued their program. Under the new rule, for J-1s their period of authorized stay will end on a fixed date as listed on their DS-2019, not to exceed 4 years. If additional time is needed to complete their training program, the J-1 visa holder must apply for an extension of stay (Form I-539) with USCIS before their authorized stay expires. When an I-539 is timely filed, employment can continue for up to 240 days while the application is pending. Additional guidance from USCIS regarding implementation instructions is expected. Intealth, which sponsors J-1 resident physicians and fellows, issued helpful guidance about the new rule. Check back on this page for further updates.

U.S. Supreme Court Upholds Birthright Citizenship


On June 30, 2026 the Supreme Court upheld the U.S. Constitution’s 14th Amendment guarantee that anyone born in the U.S., regardless of their parents’ citizenship status, is a U.S. citizen. This decision invalidated the administration’s Executive Order, which attempted to eliminate this 150+ year old constitutional protection, and was issued on the first day of Trump’s second term. We are thankful for the stories our members shared in the amicus (friend of the court) brief opposing this order which helped illustrate its unlawfulness and cruelty. It is only through amplifying CIR members’ stories that we effectively fight and win against these unjust and inhumane policies.

Adjustment of Status Extraordinary Circumstances Policy Effective May 21, 2026


Effective May 21, 2026, USCIS issued a policy that significantly changes how it will process green card applications filed inside the U.S. called Adjustment of Status. This new policy directs USCIS officers to treat Adjustment of Status applications as a benefit that is only granted in “extraordinary circumstances” thereby making applying for a green card at a U.S. consulate or embassy abroad (called consular processing) the default process. 

In addition to reviewing standard green card eligibility requirements, USCIS will weigh both positive and negative factors in a case to determine whether the applicant has shown “extraordinary circumstances” to deserve to have their green card application processed and approved via Adjustment of Status at a local USCIS office. If extraordinary circumstances are not satisfied, consular processing of a green card visa application is the remaining option. This policy applies to most family- and employment-based green card categories, and has limited exceptions. 

At this time we have limited information on how this new policy is being applied in Adjustment of Status interviews. This will become clearer in the weeks and months to come. For now, this fact sheet explains what is presently known,  including the factors USCIS will consider when determining “extraordinary circumstances’. If you have applied or are planning to apply for a green card based on Adjustment of Status, consult with an immigration attorney to determine whether this policy applies to you. For CIR members who wish to utilize their free immigration consultation benefit, email legal@cirseiu.org. CIR will continue to monitor this issue.

Travel Advisory – Uptick in J-1 Visa Denials


In the current aggressive enforcement environment we have seen an uptick in J-1 visa renewal denials for lack of home ties. These ‘214b’ visa denials are preventing residents from returning to their hard-earned residency programs. Keep in mind that consular officers take a default position that the visa applicant is an intending immigrant unless they sufficiently prove otherwise; this also means that any prior U.S. visa issuances and travel history is subject to review. One consequence of the administration’s focus on increased vetting is more 214b visa denials. 

In visa interviews that last only 2-3 minutes, your main task is to show strong home ties to overcome the officer’s default presumption that you are an intending immigrant. Strong home ties are those that compel you to leave the U.S. after completing your J-1 training program, such as a binding job offer, property ownership, close family ties and the like. You can also expect longer wait times for visa appointments, longer processing times, cases being placed into administrative processing and the real possibility of visa denials. Therefore CIR recommends avoiding foreign travel when renewing a visa is needed for re-entry. 

If you decide to travel abroad to renew your visa, prepare to concisely explain your home ties with documentary evidence to back you up. If requested, also be prepared to answer questions about prior U.S. travel history. Note that nationals from the full travel ban countries must avoid travel; nationals from the partial ban countries should review travel ban restrictions to ensure they are not barred from re-entry. If travel can not be avoided, consult an immigration attorney prior to departing the U.S. For CIR members who are stuck abroad or who wish to utilize their free immigration consultation benefit, email legal@cirseiu.org

DACA Renewals


USCIS processing times have increased across the board. Individuals submitting a DACA renewal application, which includes an employment authorization card, should be mindful of this increased processing time especially since DACA renewal processing times were historically shorter. Consistent with current USCIS guidelines, we strongly recommend submitting DACA renewal applications 5 months before your expiration date. Biometrics will be routinely requested which lengthens processing times
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See USCIS’ FAQs discussing DACA renewals here

Expanded Travel Ban effective January 1, 2026


Effective January 1, 2026, the U.S. expanded the June 2025 travel ban and barred entry into the U.S. for citizens of the following 19 countries: Afghanistan, Burkina Faso, Burma (Myanmar), Chad, Republic of the Congo, Equatorial Guinea, Eritrea, Haiti, Iran, Laos, Libya, Mali, Niger, Sierra Leone, Somalia, Sudan, South Sudan, Syria, Yemen as well as individuals with Palestinian Authority-issued travel documents. A partial ban was imposed for J and F visa holders (and other nonimmigrant categories) from the following 19 countries: Angola, Antigua and Barbuda, Benin, Burundi, Cote d ‘Ivoire, Cuba, Dominica, Gabon, The Gambia, Malawi, Mauritania, Nigeria, Senegal, Tanzania, Togo, Tonga, Venezuela, Zambia and Zimbabwe. See the expanded travel ban announcement HERE. CIR strongly recommends avoiding non-essential travel for citizens of these 38 countries and holders of Palestinian Authority travel documents. If travel can not be avoided, consult an attorney prior to departing the U.S. For CIR members who are stuck abroad, email legal@cirseiu.org.

Social media vetting for all H-1B and H-4 visa applicants effective December 15, 2025


As of December 15, the government will require that social media accounts be switched from private to public for all H-1B, and their dependent H-4, visa applicants (see announcement here). Consular officers are instructed to use all available information in visa screening and vetting to identify visa applicants who are inadmissible (i.e. ineligible for entry) to the U.S. including those who pose a threat to U.S. national security or public safety. This expanded screening already applies to J  and F visa applicants (see that announcement of June 18, 2025, below).

H-1B Presidential Proclamation effective September 21, 2025


A Presidential Proclamation entitled Restriction on Entry of Certain Nonimmigrant Workers took effect on Sunday, September 21, 2025. The Proclamation aims to restrict the entry of H-1B workers into the U.S. except for those whose petitions are accompanied by a $100,000 payment, with limited exceptions. 

Official guidance on the Proclamation thus far indicates the following: That on or after the effective date, an H-1B petition filed for a beneficiary already present in the U.S. which requests an amendment, change of status or extension of stay (for the same or a different employer) would not be subject to the Proclamation if such request is granted by USCIS. If USCIS approves such a petition, and the beneficiary subsequently departs the U.S. and applies for an H-1B visa at a consulate/embassy based on the approved petition, they would not be subject to the Proclamation. Those already in possession of a valid H-1B visa and who seek re-entry into the U.S. would not be subject to the Proclamation. 

The same guidance indicates when the Proclamation would apply: it applies to new H-1B petitions filed on or after September 21, 2025 for beneficiaries who are outside of the U.S. and do not have a valid H-1B visa. It applies to beneficiaries in the U.S. who request that their petition be processed abroad at a U.S. consulate or embassy, port of entry or pre-flight inspection. It also applies if USCIS denies a request for an amendment, change of status or extension of stay, for example, because USCIS determines that the beneficiary is not in a valid nonimmigrant visa status or they depart the U.S. while a change of status request is pending. When the Proclamation applies, payment is made according to instructions provided by USCIS. 

Since official guidance regarding the Proclamation is evolving, we strongly recommend that individuals who could be impacted seek advice from an immigration attorney regarding their particular circumstances before traveling abroad.

J-1 Proposed Rule Change Eliminating Duration of Status 


On August 28, 2025, the Department of Homeland Security (DHS) announced a proposed rule to end Duration of Status (D/S) for those in J-1 status (among other categories). Currently resident physicians in J-1 status can remain in the U.S. for the duration of their medical training. The rule change seeks to eliminate D/S and instead set a fixed end date of status which would then require J-1 physicians to repeatedly apply for extensions of status with USCIS until they complete their residency or fellowship program. The proposed rule also caps the total time in J-1 status to 4 years maximum. If this rule is implemented, nearly 17,000 J-1 physicians in 49 states nationwide who serve in urban and rural areas alike, as well as their sponsoring hospitals, will be affected. CIR notified our 40,000+ members about this important issue and encouraged submission of public comments in opposition to the rule change before the September 29, 2025 deadline. CIR will continue to monitor this issue. Check back on this page for further updates.

NIV Appointments in Country of Nationality or Residence


Nonimmigrant visa (NIV) appointments should be scheduled in country of nationality or residence: Effective September 6, 2025, the Department of State announced that NIV applicants, such as for J, H, and F visas, should schedule their visa appointment in the U.S. embassy or consulate in their country of nationality or residence with limited exceptions. For nationals of countries where U.S. nonimmigrant visa operations are suspended or ceased and who do not have residence elsewhere, they must apply at the embassy or consulate designated for their country (these designations can be found HERE. NIV applicants applying outside of their country of nationality or residence should expect to wait significantly longer for a visa appointment and may find it more difficult to qualify for a visa. Existing visa appointments will generally be honored. CIR will continue to monitor this development and provide updates on this page. Please note that the June 9, 2025 travel ban affecting 19 countries (explained further below) remains in effect.

Traveling Abroad


For those renewing a visa abroad – and who are not citizens of countries listed under the full or partial travel ban – prepare for longer wait times for visa appointments, longer processing times, a higher likelihood of cases being placed into administrative processing and the possibility of visa denials. At this juncture, CIR recommends forgoing non-essential travel for visa holders. If travel can not be avoided, consult an immigration attorney prior to departing the U.S. For CIR members who are stuck abroad, email legal@cirseiu.org. For those in H-1B status who wish to travel abroad, please refer to the information above on the H-1B Presidential Proclamation.

Social media vetting guidelines for J and F visa applicants announced June 18, 2025


The government now requires that social media accounts be switched from private to public when applying for a J or F visa. Limited access to, or visibility of, an applicant’s online presence could be seen as an effort to evade or hide certain activity. Consular officers are instructed to review the applicant’s entire online presence, not just social media, in search of hostility toward the U.S., support for unlawful antisemitic harassment or violence, advocacy for designated foreign terrorist groups or any potentially derogatory information. Derogatory information includes any information inconsistent (or contradictory) to the visa sought.

J and F visa appointment pause has lifted


The J and F visa appointment pause which was instituted on May 27, 2025 has been lifted! On June 18th the U.S. Department of State instituted a heightened social media vetting process for J and F visa applicants and visa appointments began to slowly come back online for numerous U.S. consulates around the world. The government is now requiring that all social media accounts be switched from private to public when applying for either visa.  Consulates are directed to prioritize appointments for J-1 physicians. For CIR members who are unable to get an appointment or who need assistance with a request to expedite an appointment, email legal@cirseiu.org.

Travel Ban: U.S. has barred entry – either fully or partially – for citizens from 19 countries


Effective Monday, June 9, 2025 the U.S. imposed a travel ban for citizens of 19 countries. A full ban was imposed for citizens of the following 12 countries: Afghanistan, Burma, Chad, Republic of Congo, Equatorial Guinea, Eritrea, Haiti, Iran, Libya, Somalia, Sudan and Yemen. A partial ban was imposed for J and F visa holders from 7 countries: Burundi, Cuba, Laos, Sierra Leone, Togo, Turkmenistan and Venezuela.  CIR strongly recommends avoiding non-essential travel for citizens of these 19 countries. If travel can not be avoided, consult an attorney prior to departing the U.S. For CIR members who are stuck abroad, email legal@cirseiu.org.

Report Change of Address


If you’ve recently moved — or plan to move — you are required by law to update your address with USCIS within 10 days using Form AR-11. It’s fast, easy and essential for protecting your immigration status. File online through your USCIS account or send by mail with tracking and proof of receipt. Just updating your address with USPS is not enough. Noncompliance can lead to serious consequences like fines, imprisonment, or removal. Your best defense is staying in compliance. Even if you have already moved, it’s not too late to submit your AR-11.

Requirement to Carry Proof of Lawful Status in the US


CIR recommends that all non-citizens carry proof of their status by keeping a physical or electronic copy of their I-94 record (or original green card, if applicable) on them at all times.  The failure to have proper proof of status can result in arrest for a federal misdemeanor and, upon conviction, a fine not to exceed $100 or imprisonment for not more than thirty days, or both.

ICE Enforcement 


On January 20, 2025 the Trump Administration rescinded the sensitive location policy which largely excluded hospitals, schools, places of worship and courts from ICE enforcement actions. This created heightened concern that ICE would conduct raids in U.S. hospitals and arrest and detain patients. In response, CIR activated on a number of fronts: 

  1. We distributed “I Love Immigrant” buttons in numerous languages for residents to wear which contain a QR code linked to Know Your Rights information on the iAmerica website for patients.     
  2. We distributed Know Your Rights palm cards in numerous languages to residents to provide to patients.                     
  3. We created an “ICE Hospital Activity Tracker” to document when and where residents witness ICE enforcement actions in their hospitals.
  4. We created a “Hospital ICE Policy” document to track which hospitals have ICE policies in place and maintain copies of those policies.
  5. We hosted a webinar on March 4, 2025 with the Service Employees’ International Union (SEIU), CIR’s international union, and New York Lawyers for the Public Interest (NYLPI) on ICE enforcement actions in hospitals and 4th Amendment rights to be free of unreasonable searches and seizures.  This was designed to equip CIR members with the information they need to be prepared for ICE enforcement actions in their hospitals. 

CBP Searching Electronics During Entry to the U.S.


CBP has the legal authority to search electronic devices (such as phones, laptops, tablets) of anyone entering the U.S. including noncitizens and U.S. citizens.  Electronic device hygiene is paramount in today’s political climate. CBP must allow U.S. citizens (U.S. born or naturalized) to enter the country. For noncitizens, CBP has wide discretion in denying entry into the U.S. and combined with today’s aggressive enforcement climate, CIR members are cautioned against foreign travel if at all possible.  If you have to travel outside of the country and you are concerned that you may be denied reentry into the U.S., it’s best to consult with an attorney first.  

Birthright Citizenship 


On January 20, 2025, President Trump issued an Executive Order entitled “Protecting the Meaning and Value of American Citizenship” which seeks to change who is eligible for U.S. citizenship.  The 14th Amendment to the U.S. Constitution, under the Citizenship Clause, establishes that anyone born in the United States, regardless of their parents’ citizenship status, is a citizen of the United States.  This Executive Order (EO) seeks to change this by excluding the right to citizenship for babies born in the U.S. to mothers who are undocumented or on a visa where the father is not a U.S. citizen or Legal Permanent Resident (also known as a green card holder).  Lawsuits challenging this EO are currently in litigation and CIR has contributed to this effort by providing member stories for an amicus (friend of the court) brief which seeks to show why this change is both unlawful, misguided and inhumane.

Social Media Proposed Rule


A proposed rule, published in the Federal Register on March 5, 2025, would require disclosure of social media handles on USCIS forms. There is a 60 day comment period before a final rule can be published and the change implemented.