The shifts from the Biden to Trump administrations have been stark: the suspension of a green card lottery, the revoking of 8,000 student visas, last week's ban on visa issuances to the citizens of more than 75 countries, the hiking of fees for investor visas to $1 million and — most resonant for employers — a $100,000 fee attached to H1-B work visas.

"Without real-time supply-chain visibility, teams are forced to make critical decisions with incomplete information." said Jeff Wagner vice president of pharmacy, respiratory care and ECMO services for Texas Children's Hospital.

The House could vote on the Consolidated Appropriations Act, 2026 bill Monday.