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DHS/USCIS RIN: 1615-AD07 Publication ID: 2026 
Title: ●Improving the Process of Certification of Form N-648, Medical Certification for Disability Exceptions  
Abstract:

DHS proposes to amend its regulations governing the process of certifying Form N-648, Medical Certification for Disability Exceptions by certain medical professionals. Through this certification process, aliens qualify for exemptions from the English proficiency and civics requirements for naturalization. The proposed amendments seek to strengthen the integrity of the naturalization process by implementing streamlined certification procedures for medical professionals and ensuring that only qualified aliens are granted exemptions. These changes are intended to enhance safeguards designed to prevent fraudulent submissions and ensure proper administration of disability exception process for naturalization.

 
Agency: Department of Homeland Security(DHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
EO 14192 Designation: Fully or Partially Exempt 
CFR Citation: 8 CFR part 312    8 CFR 106.2    8 CFR part 336     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 8 U.S.C. 1103    8 U.S.C. 1423    8 U.S.C. 1443   
Legal Deadline:  None

Statement of Need:

Across the country and over the decades, there have been numerous instances where the medical certification process has been exploited. Some medical professionals have been arrested, indicted and convicted for submitting fraudulent Forms N-648 in violation of various federal statutes. This rule is intended to mitigate some of the concerns with the exploitation of the Form N-648 process, thereby further enhancing the integrity of naturalization process.

Anticipated Costs and Benefits:

DHS is currently considering the specific impacts of the proposed provisions.

Timetable:
Action Date FR Cite
NPRM  04/00/2027 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: Undetermined 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Mark Phillips
Residence and Naturalization Division Chief
Department of Homeland Security
U.S. Citizenship and Immigration Services
Office of Policy and Strategy, 5900 Capital Gateway Drive, Suite 4S190,
Camp Springs, MD 20588-0009
Phone:240 721-3000