Representative · R-GA
This bill shifts some visa- and Medicare-related benefits away from noncitizens to favor domestic hiring and reduce certain federal payments, but it risks displacing foreign workers, straining employers and teaching hospitals, worsening physician supply in some communities, and creating legal uncertainty for agencies and providers.
U.S. workers (especially tech and specialty occupations) could face more hiring and training opportunities and modest upward wage pressure as some H‑1B slots are reduced, encouraging employers to recruit domestic talent.
Taxpayers may see lower Medicare outlays because hospitals will no longer claim GME payments for residency slots filled by individuals classified as 'aliens'.
Fashion models lose a specific H‑1B(b) immigration route, narrowing visa categories for that occupation.
H‑1B workers (many tech and specialty employees) and other affected noncitizen workers risk losing a primary legal pathway to work in the U.S., putting jobs, residency prospects, and continued presence in the country at risk.
Employers that rely on H‑1B talent—notably small firms and startups—are likely to face hiring shortages, project delays, higher labor costs, and a reduced ability to innovate and compete globally.
Hospitals and communities that rely on international medical graduates may see funded residency slots decline, worsening physician supply and access to care (especially in rural and underserved areas) and harming patient health outcomes.
Based on analysis of 3 sections of legislative text.
Phases out H‑1B visas from 10,000 in FY2026 to zero after FY2035, excludes fashion models, and bars Medicare GME counting/payment for programs training noncitizen residents.
Official title: To amend the Immigration and Nationality Act to eliminate the H-1B program, and for other purposes.
Introduced January 2, 2026 by Marjorie Taylor Greene · Last progress January 2, 2026
Phases out the H‑1B nonimmigrant visa program over ten years by sharply reducing the annual H‑1B numerical cap from 10,000 in FY2026 down to zero after FY2035, removes fashion models from H‑1B eligibility, and strips certain dual‑intent language. It also stops Medicare from including residency (GME) programs that train noncitizens (aliens) when counting or paying for graduate medical education for cost reporting periods beginning after enactment.