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Can a chronic illness or diabetes get your US visa rejected under the new Trump proposal?

By Shachi Mall· October 27, 2026Updated October 2026· 1 min readInterview Preparation

A new proposal from the Trump administration could allow visa officers — not doctors — to deny a US visa based on your health condition. Here is what we know right now and who it would actually affect.

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What is this new proposal and why does it exist?

Just when it seemed US visa policy couldn't get any more unpredictable, a new proposal has emerged from the Trump administration that wants to impose visa restrictions based on an applicant's health condition. The reasoning behind it is that someone with a chronic illness or a lifestyle disease — think diabetes, for example — could place an additional burden on the US healthcare system and on government funds. So the proposal is essentially: if you might cost the system money, you might not get the visa.

Who decides whether you are 'healthy enough' for a visa?

This is the part that I find most striking. Under this proposal, it would not be a medical professional or a doctor making that call. It would be the visa officer sitting across from you at the interview window. The officer would assess your medical condition during the interview itself and determine whether you are healthy enough to be granted a US visa. There is no clinical framework described — it is a judgment call made by someone with no medical training.

Are you affected by this? Here is what the proposal covers right now

Based on what is known so far, this proposal appears to target immigrant visa categories only. If you are applying for a non-immigrant visa — that includes tourist visas, business travel visas, student visas, and work visas like the H1B or L1 — you are not in scope under this proposal as it currently stands. That said, this is still at a very early stage. It is a proposal, not a policy. Nothing has been finalised or implemented yet. As soon as there is more clarity, I will update you here.

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Shachi Mall, U.S. visa interview preparation expert

Shachi Mall

U.S. visa interview preparation expert. Has helped 1000+ applicants prepare for F1, B1/B2, H1B, L1 and other non-immigrant visa interviews using the STAMP method.

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