The imposition of a $100,000 fee for H-1B visa applications under the Trump administration has prompted widespread concern across multiple industries, particularly in education and healthcare. Many rural schools and universities are bracing for severe staffing shortages, as they rely heavily on international teachers and skilled professionals from abroad. The changes have sparked bipartisan interest in immigration reform and have raised legal questions regarding the clarity of the payment process. Organizations such as Fred Hutch and UW Medicine have paused new visa petitions, while tech companies and healthcare providers prepare for significant disruptions. Experts warn that this fee could exacerbate existing doctor shortages and deter talented foreign workers from seeking opportunities in the U.S. The legislation has also led to increased advocacy for exemptions for critical sectors like healthcare, as stakeholders navigate the implications of this costly new requirement.