USCIS permanently scraps “60-day rule” for green card medical exams

Analysis

The U.S. Citizenship and Immigration Services has announced that medical examinations required in connection with green card applications will no longer have to be performed 60 or fewer days before the green card application is filed.

Background

An essential part of filing an I-485 application for permanent resident status in the United States (green card) is a medical examination by a civil surgeon designated by the USCIS. The purpose of the medical examination, including proof of the requisite vaccinations, is to allow the USCIS to determine whether the applicant has a medical condition that might preclude admission to the United States and make the applicant ineligible for permanent resident status.

The USCIS had a longstanding “60-day rule” that was suspended during the COVID-19 pandemic. The rule was that the I-693, Report of Immigration Medical Examination and Vaccination Record, filed with the I-485 Application, had to be signed and dated by the civil surgeon no more than 60 days before the I-485 was filed. If not, the USCIS would issue a Request for Evidence, and the applicant would be required to have a new medical examination and to provide an updated Form I-693 signed by the civil surgeon.

The USCIS has now ended the 60-day rule for good. From now on, the I-693 Report no longer has to be signed and dated by the civil surgeon 60 or fewer days before the filing of the green card application. However, as a point of caution, applicants and their employers should be aware that an I-693 will be valid only for up to two years after the date that it is signed by the civil surgeon. Therefore, an applicant may be required to go through the medical examination process again if the I-485 Application is not approved within two years (because of delays in filing by the applicant or adjudication by the USCIS).

Good news for applicants, doctors, . . . and everybody else

The removal of the 60-day rule is welcome news not only for applicants, but also for civil surgeons, USCIS officers, federal partners, and other stakeholders. Although applicants will need to be mindful that a signed I-693 is valid only for two years, the new timeline will reduce the need for repeat examinations by civil surgeons, making the green card process operate more efficiently and providing more flexibility to both applicants and the civil surgeons.

For a printer-friendly copy, click here.

Subscribe for Updates

Services

Jump to Page

Constangy, Brooks, Smith & Prophete, LLP Cookie Preference Center

Your Privacy

When using this website, Constangy and certain third parties may collect and use cookies or similar technologies to enhance your experience. These technologies may collect information about your device, activity on our website, and preferences. Some cookies are essential to site functionality, while others help us analyze performance and usage trends to improve our content and features.

Please note that if you return to this website from a different browser or device, you may need to reselect your cookie preferences.

For more information about our privacy practices, including your rights and choices, please see our Privacy Policy. 

Strictly Necessary Cookies

Always Active

Strictly Necessary Cookies are essential for the website to function, and cannot be turned off. We use this type of cookie for purposes such as security, network management, and accessibility. You can set your browser to block or alert you about these cookies, but if you do so, some parts of the site will not work. 

Functionality Cookies

Always Active

Functionality Cookies are used to enhance the functionality and personalization of this website. These cookies support features like embedded content (such as video or audio), keyword search highlighting, and remembering your preferences across pages—for example, your cookie choices or form inputs during submission.

Some of these cookies are managed by third-party service providers whose features are embedded on our site. These cookies do not store personal information and are necessary for certain site features to work properly.

Performance Cookies

Performance cookies help us improve our website by collecting and reporting information on its usage. We access and process information from these cookies at an aggregate level.

Powered by Firmseek