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.

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