USCIS Updates Policies for Disability Exceptions in Naturalization Eagle Pass, border, Mexico, bridge, crossing, permit, expansion, lanes, traffic, trade, mobility, customs, binational, Texas, project, road, inspection, logistics, construction, 2025, infrastructure
The United States Citizenship and Immigration Services (USCIS) announced an update to its immigration policies aimed at strengthening the integrity of the naturalization process. Starting June 13, 2025, a new policy guidance takes effect concerning the use of Form N-648, which is used to request exceptions to the English language and civics requirements for medical reasons.
What is Form N-648?
Form N-648, Medical Certification for Disability Exceptions, is a document that allows naturalization applicants to request a waiver of the English and civics requirements if they have a medically certified physical, developmental, or mental impairment that has lasted—or is expected to last—at least 12 months. This form must be completed and signed by an authorized medical professional.
Also read: “USCIS Collaborates in Immigration Fraud Case Involving Employment Visas in Texas”
What changes under the new guidance?
The new USCIS policy introduces stricter measures to evaluate the validity of medical certifications, aiming to prevent potential fraud in the naturalization process. Key changes include:
- Greater emphasis on the truthfulness of medical certifications. The medical professional completing the N-648 must explain in detail how the applicant’s medical condition prevents them from meeting the English and civics requirements.
- Disability alone does not guarantee the exception. It is necessary to specifically demonstrate how the condition affects the applicant’s ability to meet naturalization requirements.
- Additional review if multiple forms are submitted. Submitting several N-648 Forms by the same medical professional could raise credibility concerns about the diagnoses and may be subject to stricter evaluation.
Why is this update being implemented?
USCIS has identified instances where the medical certification process was abused to improperly gain immigration benefits. Such practices undermine the trust and legality of the U.S. immigration system. Therefore, this guidance aims to ensure that only those who truly qualify under the established criteria receive disability exceptions.
Immediate application
The guidance is part of Volume 12 of the USCIS Policy Manual and aligns with Executive Orders 14148 and 14159. It applies immediately to all naturalization applications that include Form N-648 submitted on or after June 13, 2025.
Recommendation for applicants
Those considering submitting this form should consult qualified medical professionals and ensure that documentation meets the updated guidelines. USCIS will continue to monitor and review these processes to ensure transparency and legality.
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