H-1B/PERM Overhaul and Fraud Investigations

DOL IG calls H-1B a 'criminal enterprise' with organized crime ties. PERM overhaul proposed (403-day processing, online recruitment). DHS proposes eliminating 60-day H-1B grace period. $100k fee blocked by 1st Circuit. 47% of US internists are foreign-born, pipeline threatened by travel bans and fee. Lobbying battles ahead.