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Sept. 23, 2025, 4:00 PM EDTBy Daniella Silva, Rob Wile and Nicole AcevedoAfter announcing a new $100,000 fee on H-1B visas, the Trump administration on Tuesday proposed overhauling the visa’s lottery selection process to prioritize higher-paid and higher-skilled foreign employees.The proposed policy changes could reignite the debate over the use of foreign labor by U.S. employers. The move comes as President Donald Trump has taken aim at H-1B visas, a program used widely by Big Tech and outsourcing companies to hire foreign workers, announcing Friday that companies would be required to pay a $100,000 fee with new applications submitted after Sept. 21. The administration on Tuesday targeted H-1B visa allocation, proposing a “weighted selection process” for when annual demand for the visas tops the 85,000 limit set by Congress, which it says has happened every year for more than a decade. The new process would replace the current lottery system that determines who gets to apply for those limited visa spots in favor of putting more weight on higher skilled and higher paid foreign workers, according to a proposed rule set to be published in the Federal Register on Wednesday. Under the current lottery rules, offers to apply for an H-1B visa are assigned at random. The Trump administration’s proposal would assign prospective employees to four different wage bands, with workers in the highest wage category being entered into the selection pool four times and those in the lowest wage category being entered into the selection pool once. The Department of Homeland Security stated in the proposal that the weighted system would better serve the visa program’s original intent and “incentivize employers to offer higher wages or higher skilled positions to H-1B workers and disincentivize the existing widespread use of the H-1B program to fill lower paid or lower skilled positions.”It said the proposed selection process would still maintain opportunities for employers to hire H-1B workers at “all wage levels.” ‘A strong signal’The H-1B visa program allows U.S. employers to temporarily hire skilled foreign workers in “specialty occupations” across health care, tech and finance industries, and other STEM-related fields.The two new proposed policies together send “a strong signal of the direction that the administration wants to go,” said Xiao Wang, CEO of Boundless Immigration, a company that offers services to people navigating the immigration process in the U.S.If adopted, the policies would benefit companies seeking to keep foreigners with specialized skills who studied at American universities in the U.S., as well as ensuring H-1B visas “disproportionately go to people who are deemed higher skilled, represented by higher wages and higher salary,” he said.Trump stated Friday that changes were needed in the visa system, saying it was designed to bring in temporary workers with “additive, high-skilled functions, but it has been deliberately exploited to replace, rather than supplement, American workers with lower-paid, lower-skilled labor.”For the last H-1B lottery round, which closed its registration in March, about 339,000 people applied. Of those, 120,141 applications were selected for the lottery, according to USCIS data.The proposal faces a 30-day public comment period before it is considered by the administration for a final rule, a process that could take months.If the changes are adopted, companies seeking to hire lower-wage workers from India and China for computer-related jobs appear likely to be among the most affected. For more than a decade, about 60% of H-1B workers approved every year have held computer-related jobs, according to Pew Research.Start-ups and smaller companies who cannot afford to pay their workers in the higher pay categories compared to major tech companies would also be impacted, Wang said.Deedy Das, a partner at Menlo Ventures venture capital group, said in a social media post that the latest proposal would hurt many tech companies.“Overall, it’s really bad for startups, early employees, helps IT consulting shops and can be easily gamed,“ Das wrote.Trump’s announcement of a new $100,000 fee on H-1B visas touched off a frenzy among current visa holders, the companies that employ them and countries around the world as they worked to understand the edict.Eventually, the White House clarified that it would be a one-time fee and apply only to new visa applicants. Trump said companies would have to pay the fee for new H-1B visa applications submitted after Sept. 21. That’s a steep rise from current fees, which are usually $2,000 to about $5,000.Both the fee and Tuesday’s proposal are likely to face challenges in court. A growing chorus on both the left and the right say an over-reliance on the visa by U.S. firms has put U.S.-born workers at a disadvantage. Commerce Secretary Howard Lutnick has called the H-1B visa program a “scam,” while the left-leaning Economic Policy Institute has claimed that some of the companies most reliant on H-1B visas, such as Amazon and Facebook’s parent, Meta, have also had sizable layoffs, though it did not cite evidence that the use of the visa and the layoffs are related.In the first half of 2025, Amazon received approval for more than 12,000 H-1B visas, while Meta received more than 5,000. Representatives for both companies did not immediately respond to requests for comment. Daniella SilvaDaniella Silva is a national reporter for NBC News, focusing on immigration and education.Rob WileRob Wile is a Pulitzer Prize-winning journalist covering breaking business stories for NBCNews.com.Nicole AcevedoNicole Acevedo is a national reporter for NBC News and NBC Latino.

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Sept. 26, 2025, 2:33 PM EDTBy Aria BendixPresident Donald Trump on Friday gave a string of unproven medical advice about Tylenol and childhood vaccines, some of which directly contradicted guidance from his administration’s own health agencies under the leadership of Robert F. Kennedy Jr.The comments, posted to Trump’s Truth Social platform, echoed his previous remarks at a Monday press briefing where he announced that the Food and Drug Administration was warning doctors not to prescribe acetaminophen — the active ingredient in Tylenol — to pregnant women, claiming it may be tied to autism in children. The bulk of scientific research has not identified such a link.Trump again said Friday on Truth Social that pregnant women should not use Tylenol “unless absolutely necessary,” adding that young children should not take Tylenol “for virtually any reason.” The FDA warning applies to pregnant women, not children, and says Tylenol can be given during pregnancy in cases of high fever, when the fever may pose a health risk to the fetus. Trump’s comments also are inconsistent with those of Vice President JD Vance, who during an interview with NewsNation on Wednesday advised pregnant women to “follow your doctor” when it comes to taking acetaminophen.Trump does not have a medical or scientific background. The responsibility for setting vaccine or drug use recommendations falls to federal health agencies, not the White House.The president’s position on vaccines has wavered over the years. At times, he has encouraged their use and touted his first administration’s developing Covid vaccines at the beginning of the pandemic. However, his decision to appoint Kennedy, a longtime anti-vaccine activist, as health secretary and his recent spreading of vaccine misinformation have raised alarms in the scientific community. At the White House event on acetaminophen last week, Trump seemed to offer his most emphatic support to date of Kennedy’s agenda, which has included commissioning a probe into the causes of autism. Trump embarked on a tangent about how children receive too many vaccines, echoing a common talking point among vaccine skeptics.“They pump so much stuff into those beautiful little babies,” he said. “It’s a disgrace.”The Department of Health and Human Services deferred comment to the White House. A White House official said Trump was amplifying the latest HHS guidance urging people to exercise caution before taking pharmaceuticals.Trump also wrote Friday that kids should get hepatitis B shots at age 12 or older, which goes against guidance from the Centers for Disease Control and Prevention. The agency says the first dose of the three-dose series should be given within 24 hours of birth because hepatitis B can be transmitted from mother to child during delivery. The CDC’s vaccine advisory panel had been considering delaying the shot until at least one month after birth — not until age 12 — but tabled the vote last week. Children can be infected at any age through contact with the bodily fluids of a person with hepatitis B. The incurable infection can lead to liver disease, cancer and death. Doctor, medical reporter fact-check Trump announcement on acetaminophen and autism14:31Trump also said Friday that the measles, mumps and rubella (MMR) vaccine should be broken up into three shots and not “mixed” — even though the shots have been combined since 1971 and aren’t made individually. And he recommended taking the “chicken p” vaccine — presumably a reference to the chickenpox vaccine — separately. Pediatricians commonly administer the chickenpox vaccine and MMR vaccine separately, though a combination shot is available to reduce the number of shots babies receive and increase the chances that kids will get all of their vaccinations. The CDC advisory committee voted last week not to recommend that combination vaccine for small children due to an increased risk of febrile seizures (seizures prompted by fevers that tend to resolve quickly). Doctors have known about the risk for years, and many public health experts viewed the committee’s decision last week as taking choice away from parents. The vote did not change the CDC’s recommended vaccine schedule: Kids should get vaccinated for measles, mumps and rubella twice — once at 12 to 15 months and again at 4 to 6 years, per the agency. Chickenpox vaccines can be given at the same doctor’s visit. Combination MMR and chickenpox vaccines can still be given to older kids, since there is no evidence of an increased risk of febrile seizure in this age group. Trump advised people on Friday to “take vaccine in five separate medical visits,” though it is unclear whether he was referring to specific shots or the childhood immunization schedule. The American Academy of Pediatrics recommends seven well-child visits (when babies typically receive their shots) in the first year of life. However, not every doctor or parent follows that schedule to the letter, and the CDC offers ranges in which childhood immunizations can be administered.Aria BendixAria Bendix is the breaking health reporter for NBC News Digital.Monica Alba and Alana Satlin contributed.

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