New State Department Rule Addresses B Visa Travel for Childbirth, Medical Treatment
January 23, 2020

At a Glance
- The rule requires a consular officer to deny a visitor visa to a pregnant woman if the officer determines that the primary purpose of her trip is to obtain U.S. citizenship for the child by giving birth in the United States.
- The rule also codifies a longstanding State Department policy that requires foreign visitors entering the United States for medical treatment to document their treatment plans and show ability to pay for all treatment costs.
- The regulation takes effect on Friday, January 24, 2020.
The issue
A new State Department regulation prohibits a pregnant foreign national from obtaining a U.S. B-1/B-2 visitor visa if a consular officer determines that the primary purpose of her trip is to obtain U.S. citizenship for the child by giving birth in the United States. The final rule was issued without public comment and takes effect Friday, January, 24, 2020.
Under the new rule, if a consular officer has reason to believe that a visitor visa applicant will give birth in the United States, the applicant will be presumed to be seeking a visa for the primary purpose of obtaining U.S. citizenship for the child.
To overcome this presumption, the applicant would be required to show that the primary purpose of her travel is something other than obtaining U.S. citizenship. According to the State Department, the need for specialized medical care might rebut the presumption and qualify a pregnant applicant for a U.S. visitor visa. However, a consular officer would have the discretion to deny the visa if, for example, the applicant has ties to another country where she could be treated.
The new regulation also codifies a longstanding State Department policy that requires visitor visa applicants planning to travel to the United States for medical treatment to document their treatment plans, including the anticipated duration of treatment and the U.S. health care provider or facility that has agreed to provide treatment. Applicants must also show they have both the means and the intent to pay for all costs related to the treatment.
What the rule means for visa applicants
The new regulation applies to foreign nationals seeking B visitor visas to the United States. It does not apply to applicants for H-1B, L-1, O-1 or other nonimmigrant visa types.
The State Department has not yet disclosed how the regulation concerning childbirth will be implemented. Fragomen is closely following this issue and will provide updates as new information becomes available.
This alert is for informational purposes only. If you have any questions, please contact the immigration professional with whom you work at Fragomen.
Explore more at Fragomen
Media mentions
Video
Manager Mihaela Dumitru highlights key considerations for business travelers entering Switzerland, emphasizing that compliance is determined by activities—not duration of stay or entry status.
Video
Partner Rick Lamanna, Senior Associate Jake Paul Minster and Senior Manager Sergio Flores discuss Mexico entry requirements for the 2026 FIFA World Cup, including visa processes, documentation requirements and key considerations for travelers.
Video
Partner Diana Quintas highlights Brazil’s offshore visa requirements, including eligibility, application steps and key compliance considerations for assignments over 90 days.
Media mentions
Senior Counsel Mitch Wexler discusses why EB-5 is becoming a popular option for H-1B and F-1 visa holders in Silicon Valley navigating multiple pathways to permanent residence.
Media mentions
Partner Isha Atassi and Director Nofisatu Mojidi discuss key considerations for investors from Africa and the Middle East in the EB-5 program.
Work authorization
Senior Manager Katharina Vorländer examines how Germany’s strictly territorial migration and employment laws impact the deployment of third‑country nationals in offshore wind projects, highlighting compliance risks arising from maritime zone boundaries, work authorization limits and Schengen documentation challenges.
Work authorization
Senior Associate Tugba Ozyakup and Senior Immigration Manager Andreia Ghimis explore how the EU’s Entry/Exit System is reshaping Schengen overstay enforcement, the risks facing travellers and employers and the legal remedies available to challenge or prevent adverse outcomes.
Video
Partner Rick Lamanna, Senior Associate Jake Paul Minster and Senior Manager Sergio Flores discuss Canada’s entry requirements for the 2026 FIFA World Cup, including visa-required and visa-exempt nationals, visitor entry rules and key planning considerations for fans, teams, media and volunteers.
Media mentions
Partner Kevin Miner discusses the DOL’s proposed H-1B wage rule and its potential to add significant unplanned costs for US employers.
Media mentions
Video
Senior Associate Isabel Schnitzler highlights key pathways to German citizenship, including descent-based eligibility and standard naturalization requirements and outlines important considerations for individuals exploring their options.
Media mentions
Video
Manager Mihaela Dumitru highlights key considerations for business travelers entering Switzerland, emphasizing that compliance is determined by activities—not duration of stay or entry status.
Video
Partner Rick Lamanna, Senior Associate Jake Paul Minster and Senior Manager Sergio Flores discuss Mexico entry requirements for the 2026 FIFA World Cup, including visa processes, documentation requirements and key considerations for travelers.
Video
Partner Diana Quintas highlights Brazil’s offshore visa requirements, including eligibility, application steps and key compliance considerations for assignments over 90 days.
Media mentions
Senior Counsel Mitch Wexler discusses why EB-5 is becoming a popular option for H-1B and F-1 visa holders in Silicon Valley navigating multiple pathways to permanent residence.
Media mentions
Partner Isha Atassi and Director Nofisatu Mojidi discuss key considerations for investors from Africa and the Middle East in the EB-5 program.
Work authorization
Senior Manager Katharina Vorländer examines how Germany’s strictly territorial migration and employment laws impact the deployment of third‑country nationals in offshore wind projects, highlighting compliance risks arising from maritime zone boundaries, work authorization limits and Schengen documentation challenges.
Work authorization
Senior Associate Tugba Ozyakup and Senior Immigration Manager Andreia Ghimis explore how the EU’s Entry/Exit System is reshaping Schengen overstay enforcement, the risks facing travellers and employers and the legal remedies available to challenge or prevent adverse outcomes.
Video
Partner Rick Lamanna, Senior Associate Jake Paul Minster and Senior Manager Sergio Flores discuss Canada’s entry requirements for the 2026 FIFA World Cup, including visa-required and visa-exempt nationals, visitor entry rules and key planning considerations for fans, teams, media and volunteers.
Media mentions
Partner Kevin Miner discusses the DOL’s proposed H-1B wage rule and its potential to add significant unplanned costs for US employers.
Media mentions
Video
Senior Associate Isabel Schnitzler highlights key pathways to German citizenship, including descent-based eligibility and standard naturalization requirements and outlines important considerations for individuals exploring their options.
