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Navigating the New Era of Immigration Enforcement

Client Alert

What Employers Need to Know in 2025

Introduction

The landscape of U.S. business immigration is undergoing a seismic shift in 2025. For multinational corporations, the stakes have never been higher: federal agencies are intensifying scrutiny, increasing site visits, and rolling out new compliance requirements. These changes are not just bureaucratic hurdles—they directly impact your ability to hire and retain global talent, maintain legal compliance, and avoid costly disruptions.

This post will break down the latest enforcement trends, explain what they mean for your business, and provide actionable strategies to stay ahead.

1. The Rise of Immigration Audits and Site Visits

What’s Changing? Federal agencies, including U.S. Citizenship and Immigration Services (USCIS) and Immigration and Customs Enforcement (ICE), are conducting more frequent and detailed audits. Site visits—once relatively rare—are now a routine part of the compliance landscape. These inspections target everything from H-1B and L-1 visa holders to PERM labor certifications and I-9 records.

Why It Matters for Multinational Employers

  • Increased Scrutiny: Audits are no longer limited to high-risk industries or random checks. Employers in all sectors, especially those with large foreign workforces, should expect unannounced visits.
  • Broader Scope: Inspectors are reviewing not just visa documentation, but also payroll records, job descriptions, and even workplace conditions to ensure compliance with labor laws.
  • Higher Stakes: Non-compliance can result in fines, visa revocations, or even criminal charges for willful violations.

Real-World Impact A recent report from the Bush Center highlights that immigration arrests have more than doubled in 38 states, with ICE conducting an average of 666 arrests per day nationwide—up from fewer than 300 daily in 2024. While these numbers include all immigration enforcement, they underscore the heightened environment for all employers.

Read the complete article to find out more about these policies, strategies, and consequences for employees at www.removal-defense.com. Get a deeper understanding of:

2. The Role of the New Office of Immigration Policy

3. Actionable Strategies for Multinational Corporations

4. The Cost of Non-Compliance: Penalties and Consequences for Employers

5. The Road Ahead: Staying Proactive in a Shifting Landscape

For guidance on these immigration issues, please contact BMD Member Robert Ratliff at raratliff@bmdllc.com. With over 25 years of trial experience in criminal defense and immigration law, Robert’s unique insights as a former Immigration Judge allow him to offer strategic guidance for clients facing complex immigration challenges.


Proposed Health Information Privacy Reform Act Expands Protections Beyond HIPAA

The Health Information Privacy Reform Act (HIPRA) seeks to extend privacy protections to health data not covered under HIPAA, including data collected by apps and wearables. HIPRA introduces broader definitions of protected health information, strengthens privacy and security requirements, establishes patient notification rights, and sets national de-identification standards. Companies processing health data should monitor developments to ensure compliance.

Medicare Updates on Skin Substitutes: LCDs Withdrawn, Payment Changes Take Effect

Medicare’s planned Final Local Coverage Determinations (LCDs) for skin substitutes were withdrawn in late December 2025, meaning previous coverage rules remain in effect. The 2026 Medicare Physician Fee Schedule introduces a single payment rate of approximately $127.14 for these products. Providers should review implications for diabetic foot and venous leg ulcer treatments.

Understanding the Seven Core Elements of an Effective Healthcare Compliance Program

The Affordable Care Act requires healthcare providers participating in Medicare, Medicaid, and CHIP to maintain an effective compliance program. Guidance from the Department of Health and Human Services and the Office of Inspector General outlines seven core elements that form the foundation of these programs, from written policies and compliance oversight to auditing, training, and corrective action. This alert highlights each element and explains how practices can tailor compliance programs to their size and risk profile while meeting federal expectations.

Preventing a Board Investigation

Healthcare professionals in Ohio are subject to licensing board investigations that can lead to disciplinary action. Staying compliant with regulations, documenting carefully, and operating within your professional scope can help prevent issues. If contacted by a board, working with an attorney is critical to protect your license and rights.

Ohio Board of Nursing Proposes Rule Changes for Nurses

On Monday, January 12, 2026, the Ohio Board of Nursing (“BON”) released a package of proposed changes to the Ohio Administrative Code. There are two proposed changes to continuing education requirements that Ohio nurses should be watching.