TPS and Pathways to Adjustment of Status

Temporary Protected Status (TPS) is a temporary immigration benefit that allows nationals of designated countries to live and work in the United States during periods of ongoing armed conflict, environmental disasters, or other extraordinary conditions. TPS does not itself create a pathway to lawful permanent residence.

TPS holders who wish to obtain a green card must do so through an independent basis for adjustment of status, such as marriage to a U.S. citizen, an approved family-based or employment-based petition, or another qualifying category. The availability of adjustment of status for TPS holders has been the subject of litigation, and the rules may vary depending on how the TPS holder entered the United States.

Medical Exam Requirement for TPS Holders Adjusting Status

If a TPS holder becomes eligible to file Form I-485 to adjust status, they must complete an immigration medical examination with a USCIS-designated civil surgeon and submit Form I-693. The medical exam requirement is the same as for all other adjustment of status applicants.

TPS status does not waive or modify the medical exam requirement. The exam includes a complete physical examination, TB testing, required laboratory tests, and a vaccination review.

• Complete physical examination
• TB testing (skin test or IGRA blood test)
• Syphilis and gonorrhea testing (age 15+)
• Vaccination review and administration of missing vaccines
• Form I-693 completed and sealed by civil surgeon

TPS Travel Authorization and Adjustment of Status

Some TPS holders have traveled outside the United States using TPS-based travel authorization and returned to the U.S. Courts have addressed whether such travel creates a basis for adjustment of status for TPS holders who originally entered without inspection.

If TPS-based travel creates a basis for adjustment of status in your case, the medical exam requirement is the same as for any other I-485 applicant. Consult an immigration attorney to evaluate your specific eligibility and the current state of the law.

Timing the Medical Exam for TPS Holders

TPS holders who are eligible to adjust status should schedule their medical exam close to their planned I-485 filing date. The I-693 must be signed by the civil surgeon no more than 60 days before submission to USCIS, and it is valid for two years from the civil surgeon's signature date. Work closely with an immigration attorney to coordinate the timing of your medical exam and I-485 filing, particularly given the legal complexity of TPS-related adjustment of status cases.