
USCIS to stop accepting the TB skin test
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USCIS to stop accepting the TB skin test
Beginning October 1, 2018, the tuberculin skin test (TST) will no longer be accepted for US Citizenship and Immigration Services (USCIS) immigration exams (1). All US civil surgeons must use a TB blood test (interferon-gamma release assay or IGRA) as the initial screening method when a test for cell-mediated immunity to TB is required. This new requirement aligns with current CDC recommendations stating that IGRA testing is strongly preferred for those who are BCG-vaccinated.

June 30, 2025
Every owner of a closely-held family business wants to know the business will continue—even thrive—once they’re gone. A well run, well managed family business can provide for you and your loved ones long after you’ve stepped down from its operation. It can even support your family after you’re gone. Most owners I talk