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US President Donald Trump has signed an executive order that will add a $100,000 (£74,000) annual fee for applicants to the H-1B visa programme for skilled foreign workers.
Trump's order mentions "abuse" of the programme and will restrict entry unless payment is made.
Critics have long argued that H-1Bs undercut the American workforce, while supporters - including billionaire Elon Musk - argue it allows the US to attract top talent from around the world.
In another order, Trump set up a new "gold card" to fast-track visas for certain immigrants in exchange for fees starting at £1m.
Trump's order is due to come into force on 21 September. It would only apply to new requests, but companies would have to pay the same amount for each applicant for six years, US Commerce Secretary Howard Lutnick said.
"The company needs to decide... is the person valuable enough to have a $100,000-a-year payment to the government, or they should head home, and they should go hire an American," he said, adding: "All of the big companies are on board."
Since 2004, the number of H-1B applications has been capped at 85,000 per year.
Until now, H-1B visas have carried various administrative fees totalling around $1,500.
Data from the US Citizenship and Immigration Services (USCIS) shows that applications for H-1B visas for the next fiscal year fell to about 359,000 - a four-year low.
The greatest beneficiary of the programme in the previous fiscal year was Amazon, followed by tech giants Tata, Microsoft, Meta, Apple and Google, according to government statistics.
Late on Friday, Amazon told employees with H-1B visas who were already in the US to remain there.
According to an internal advisory, seen by Business Insider, the company said those abroad should "try to return before tomorrow's deadline if possible".
Anyone unable to make it back before the order takes effect should avoid attempting US re-entry "until further guidance is provided", the company is also quoted as saying.
Tahmina Watson, a founding attorney at Watson Immigration Law, told the BBC that the ruling could be a "nail in the coffin" for many of her clients, who are mostly small businesses and start-ups.
"Almost everyone's going to be priced out. This $100,000 as an entry point is going to have a devastating impact," she added, noting that many small or medium-sized companies "will tell you they actually can't find workers to do the job".
"When employers sponsor foreign talent, more often than not, they're doing that because they have not been able to fulfil those positions," Ms Watson added.
Jorge Lopez, the chair of the immigration and global mobility practice group at Littler Mendelson PC, said a $100,000 fee "will put the brakes on American competitiveness in the tech sector and all industries".
Some companies might consider setting up operations outside the US, though doing so can be challenging in practice, he added.
The debate over H-1Bs had previously caused splits within Trump's team and supporters, pitting those in favour of the visas against critics such as former strategist Steve Bannon.
Trump told reporters at the White House in January that he understands "both sides of the argument" on H-1Bs.
The year before, while seeking to attract support from the tech industry while on the campaign trail, Trump vowed to make the process of attracting talent easier, going as far as to propose green cards for college graduates.
"You need a pool of people to work for companies," he told the All-In Podcast. "You have to be able to recruit these people and keep these people."
Early in his first term in 2017, Trump signed an executive order that increased scrutiny of H-1B applications, seeking to improve fraud detection.
Rejections rose to an all-time high of 24% in the 2018 fiscal year, compared to between 5% and 8% under Barack Obama and then between 2% and 4% under Joe Biden.
At the time, tech companies pushed back, harshly criticising the Trump administration's H-1B order.
The potential for additional restrictions to the H-1B programme has caused considerable concern in countries such as India, which is by far the largest source country for such visa applications.
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