The US Citizenship and Immigration Services (USCIS) issued a notice limiting the validity of the medical examination that is submitted by a green card applicant. Any medical examination that is reviewed by the USCIS after June 1, 2014 must have been signed by a USCIS designated civil surgeon within the last year. This new procedure was prompted by the Centers for Disease Control and Prevention for unknown reasons.

In order to obtain a green card, an applicant must demonstrate that he or she will not be a public health threat to the United States. Therefore, as part of the green card application process, an applicant must have a medical exam conducted by a USCIS designated civil surgeon who will complete the Form I-693, Report of Medical Examination and Vaccination Record, and will provide it to the applicant in a sealed envelope. The applicant then submits the Form I-693 in the sealed envelope to the USCIS along with the green card application, Form I-485, Application to Register Permanent Residence or Adjust Status.

If the immigration system worked as it was intended to, green card applicants would have their applications processed shortly after a green card became available to them. However, from one month to the next an immigrant visa may be unavailable to thousands of foreign nationals and their dependents. One example is the extreme retrogression that immigration lawyers have become used to in categories that have a high subscription, such as the EB-2 and EB-3 categories for Indian and Chinese nationals. In the last month, the EB-3 category for Chinese nationals went from October 1, 2012 in May to October 1, 2006 in June. Therefore, all of the Chinese nationals that submitted their green card applications in May are now left in

limbo until their priority date becomes current again. Unless the priority date becomes current within the next year and the USCIS processes the applications within the year, the USCIS will ask these individuals to obtain a new medical examination prior to adjudication of their application whenever that may be.