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USCIS Updates its Policy Manual on the Treatment of Health-Related Grounds of Inadmissibilty and Waivers

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On January 28, 2014, U.S. Citizenship and Immigration Services (USCIS) issued an update to its policy manual, providing clearer guidance on health-related inadmissibility issues. In particular, USCIS noted that the guidance found in the Adjudicator’s Field Manual was outdated and did not adequately address the policies behind the health-related inadmissibility provisions.

According to the policy alert released with the changes, USCIS stated that the updates to the policy manual:

  • Summarize the history and purpose of the health-related grounds of inadmissibility and corresponding waivers, as well as the roles of DHS and HHS;
  • Explain the relationship between the immigration medical examination and the admissibility determination, and instructs how health-related inadmissibility grounds are identified based on the medical examination report;
  • Clearly outline the health-related inadmissibility grounds applicable to various categories of applicants, when a medical examination is required, and by whom;
  • Outline the various waivers available for applicants seeking an immigrant visa or adjustment of status based on a family- or employment-based visa; and
  • Detail the eligibility requirements for waivers of health-related inadmissibility grounds and the process of adjudicating a waiver.

USCIS explicitly stated that the updates to the policy manual are controlling and supersede any prior guidance that may be inconsistent.

USCIS: Guidance for Health-Related Grounds of Inadmissibility and Waivers