PHOENIX (AZFamily) — As Arizona faces a growing shortage of OB-GYNs, a new federal policy could make it even harder for women to access care across the state.
Women’s health provider MomDoc, which operates clinics throughout Arizona, says it may now be forced to pay up to $100,000 per doctor to keep some of its physicians.
The change stems from new guidance under the Trump administration affecting the H-1B visa program, which allows U.S. employers to hire skilled foreign workers, including doctors in specialty occupations.
Under the revised policy, healthcare providers must now pay a substantial fee to continue sponsoring foreign-trained physicians. “It will impact access to care in Arizona and in other states that are barely making it today,” said Nick Goodman, CEO of MomDoc.
Currently in Arizona, fewer than 400 OB-GYNs deliver approximately 78,000 babies annually. According to Goodman, a major reason for the shortage is a decades-old freeze on funding for medical residency programs, which has prevented the training of enough new OB-GYNs in the U.S.
To fill the gap, MomDoc and other healthcare providers rely heavily on international doctors. Goodman says roughly 75% of their applicants are H-1B visa holders.
“Healthcare is already a very low-margin business,” Goodman said. “Adding a $100,000 fee makes it go from barely profitable to unprofitable.”
Experts warn the policy could further limit access to care, especially in rural or underserved areas where OB-GYN shortages are already severe.
However, there may be some relief. The U.S. Citizenship and Immigration Services (USCIS) recently clarified that the fee does not apply to individuals who are already in the U.S. and are changing their visa status. Such as medical residents transitioning to full-time positions, as long as they have received USCIS approval.
In the meantime, clinics like MomDoc are pursuing fee exemptions, hoping the new rule won’t apply to their current physicians. But Goodman warns that unless the policy is revised or rescinded, it could have lasting consequences.
“When you’re talking about the number of OB-GYN’s practicing in the state going down, which is already happening prior to this fee, it makes it harder and harder for women in Arizona,” he said.
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Arizona remains one of the fastest-growing states in the country, but new migration data suggests that growth is starting to level out.
According to the latest numbers from U-Haul, Arizona ranked number seven nationwide for growth in 2025. While that is down one spot from the year before, it marks the sixth consecutive year the state has remained in the top ten.
The rankings are based on more than 2.5 million one-way moving transactions for the Arizona-based company.
What stands out in the data is how close those numbers are.
In 2025, 50.3% of U-Haul’s one-way moves came into Arizona, while 49.7% moved out. In practical terms, that means for nearly every family moving into the state, there is another one packing up and leaving.
That does not mean Arizona is losing population. However, it does suggest the margin of growth is getting thinner than it has been in recent years.
Even with that shift, the greater Phoenix metro area continues to be a major driver of growth. Phoenix ranked fifth nationwide among U.S. metro areas, fueled by job creation and new housing across the Valley.
U-Haul leaders point to continued development tied to major employers, including chip manufacturing and data centers, as well as ongoing residential construction, as reasons Phoenix remains a top destination.
Experts who study migration trends say when in-migration and out-migration numbers get this close, it can be a sign that affordability pressures are starting to play a role, especially when it comes to housing.
The latest data does not point to a mass exodus, but it does show Arizona entering a period of transition, balancing opportunity and growth with affordability concerns.
The 2026 Arizona Legacy Races in Buckeye, Ariz., are ringing in a new year for futurity horses December 30 – January 6, at the Buckeye Equestrian & Events Center. Formerly known as the MVP Futurity and Greg Olson Futurity, these two races have been a staple in many professional trainers’ schedules for decades. This year, the two events boast $22,000 in added money.
Linzie Lindsey and Fame Dancin Yola claimed the Round 1 win with a 17.577 for $1,959. Barbara Merrill rode TKW Eye Am Tess to the 2D win.
After finishing out of the 1D money in Round 1, Loralee Ward and Dark Honey ran the fastest time of the futurity with a 17.030 to claim the Round 2 win. The duo also earned the Futurity Reserve Championship for $1,652.
Lindsey and Fame Dancin Yola finished second in Round 2 with a 17.164, adding $1,603 to their futurity earnings and claiming the Futurity Championship for another $2,019.
Jenna Duhon and PMC AintSheBeautiful earned the Round 2 2D win. In the 2D Average, it was Estella Martin and Quanahs Kingdom claiming the win.
Round 1 of a very tough Derby went to Jana Bean and Feature This Goodbye with a 17.268. 2025 futurity standout Blissful Version and Lora Nichols finished second in Round 1 with a 17.282, won Round 2 with a 17.032, and claimed the Average win.
“Buddy” and Nichols were in contention for the highest money-earning futurity horse of the previous season, before the cancellation of the last two major events of the season due to EHV-1. By $7 million sire Winners Version, Buddy banked over $300,000 in his futurity year.
Megan McLeod-Sprague and Seis Corona (“Jagger”) were hot off the 2025 National Finals Rodeo. The duo won the Roohide Hot Rod with a 17.004 for $1,368. They also earned the Friday Open 1D win for $1,083.
With the first 16-second run of the weekend, Sherry Cervi and MP Meter My Fame won the Saturday Open 1D with a 16.969.
Rita Cheeney and HP Dash Ta Fairfax ran the only other sub-17-second run of the weekend, with a 16.996 that took the top spot in Sunday’s Open 1D.
Nichols and Buddy doubled down on their derby earnings, placing deep in the Open 1D both days, as well as the Roohide Hot Rod, and Big Time Boss.
Youth competitor Tabitha Dyal also had an outstanding weekend, earning Open 1D money Friday, Saturday, and Sunday aboard Slym Shady. She swept the Youth 1D on Slym Shady and earned Open 1D, Open 2D, and Youth 1D checks on Promise Me Fame Guys and Smooth Operraider. Dyal wrapped up her weekend with several checks in the Big Time Boss.
Authorities say a prominent California agriculture heir is accused of traveling to Arizona to kill his estranged wife amid a bitter divorce, a case now drawing national attention for its cross-state trail and high-profile ties.
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