June 22, 2026
The Honorable Marco Rubio
Secretary of State
U.S. Department of State
2201 C Street NW Washington, DC 20520
The Honorable Markwayne Mullin
Secretary of Homeland Security U.S. Department of Homeland Security
2707 Martin Luther King Jr Ave SE Washington, DC 20528
RE: Follow-Up on Implementation of Physician Visa Processing Updates and Continued Delays Affecting Patient Care
Dear Secretaries Rubio and Mullin,
On behalf of the undersigned organizations, we write to follow up on our April 8, 2026, correspondence regarding barriers preventing internationally-born physicians and international medical graduates (IMGs), including medical students, resident physicians, researchers, fellows, and practicing physicians, from entering the United States or remaining lawfully in the country to continue their training and practice. We appreciate the Departments’ continued engagement on this issue and the April 30, 2026, announcement indicating that physician-associated cases would no longer be subject to broad adjudicative holds.
We recognize that the Departments of State and Homeland Security are operating under a clear mandate to protect national security and to faithfully implement recent Executive Action requiring enhanced screening and more stringent review of certain immigration applications. We fully acknowledge the importance of these responsibilities, including the need for coordinated interagency review and careful adjudication.
