On Sept. 19, President Donald Trump issued a proclamation imposing a $100,000 payment to accompany any new H-1B visa petitions. The administration said the fee will combat “systemic abuse” of the H-1B visa program, but healthcare experts said it will worsen worker shortages. The new fee associated with the visa is designed to stop companies from replacing American workers with foreign ones. Rochester, Minn.-based Mayo Clinic, Cleveland Clinic and Memphis, Tenn.-based St. Jude Children’s Research Hospital are some of the industry’s top sponsors of H-1B visas. The H-1B visa is a temporary professional worker visa for a specialty occupation with “dual intent,” meaning visa holders can apply for a green card while on H-1B status.