New 186 TRT Rule Adversely Impacts Medical Practitioners’ PR Pathway

A significant regulatory amendment — the Migration Amendment (Skilled Visa Reform Technical Measures) Regulations 2025 — has introduced an adverse change affecting Subclass 186 Temporary Residence Transition (TRT) visa applicants in exempt occupations, including Medical Practitioners, CEOs, Corporate General Managers and Managing Directors.

This change applies to all 186 TRT visa applications lodged on or after 29 November 2025.


What Has Changed?

The amendment updates the employment requirement for the 186 TRT stream by inserting the words:

“…by an approved work sponsor.”

This requirement is added to both:

  • subclause 186.227(1) (non-exempt occupations), and
  • subclause 186.227(2) (exempt occupations)

Learn more about the 186 visa here:
👉 186 Visa – Employer Nomination Scheme


Why This Is a Serious Issue for Exempt Occupations

For exempt occupations, the change is not merely clarifying existing law — it introduces a NEW restriction.

Before 29 November 2025

✔️ Medical practitioners, CEOs and GMs could count relevant employment with a non-sponsoring employer toward the 2-year TRT requirement.

After 29 November 2025

❌ Time employed by a non-sponsoring entity will no longer count
✔️ Only employment by an approved Standard Business Sponsor will count toward the 2-year requirement

This is a major shift that will leave many previously eligible applicants instantly ineligible.

Explore employer sponsorship information:
👉 Standard Business Sponsorship Approval


Who Will Be Affected?

This change affects anyone in an exempt occupation who:

  • Has mixed periods of sponsored + non-sponsored employment
  • Works for a clinic, hospital, corporation or organisation that is not an approved sponsor
  • Intends to lodge a 186 TRT visa on or after 29 November 2025

This group includes many:

  • General practitioners
  • Specialist doctors
  • Hospital medical officers
  • CEOs, MDs and General Managers

Learn more about pathways for medical professionals here:
👉 Visas for Medical Professionals


Who Is NOT Affected?

✔️ Anyone who lodges their 186 TRT application before 29 November 2025
✔️ Anyone whose 2-year qualifying period is already fully sponsored
✔️ Applicants in non-exempt occupations


Immediate Actions Required

1. Eligible Now? Lodge Before 29 November 2025

If you are a Medical Practitioner, CEO or General Manager and have been relying on non-sponsored employment to meet the 2-year TRT requirement:

➡️ You MUST lodge your 186 TRT application before 29 November 2025.

2. Not Eligible Before the Deadline? You Must Act Fast

If you cannot meet the 2-year requirement by the deadline:

You may need to:

  • Request your employer to apply for a nomination transfer of your 482 visa, or
  • Move to an employer who is already an approved sponsor

Employer sponsorship details:
👉 Standard Business Sponsorship Approval

3. Employers & HR Teams Must Review All Affected Staff

Any employee in an exempt occupation whose PR plan depends on mixed employment arrangements must be reviewed immediately.

4. Seek Professional Assistance

These changes have major PR implications and strict timelines.

Book a consultation with an immigration expert:
👉 Contact VisaEnvoy


Need Help? VisaEnvoy Can Assist Immediately

This rule change is time-sensitive and may prevent potential applicants from qualifying for permanent residency unless they act quickly.

VisaEnvoy’s immigration lawyers and registered migration agents can help you determine:

  • Whether you still meet 186 TRT eligibility
  • Whether your employer needs to become a sponsor
  • Whether you need to lodge before the 29 November 2025 deadline
  • Alternative PR pathways
  • How to minimise risk and maintain your PR pathway

📩 Get advice now: https://visaenvoy.com/

Jamie Lim

Jamie is an Australian Regulated Migration Advisor (RMA 1799460).  Jamie has extensive immigration services experience across multiple visa subclasses and specialises in employer sponsored visas. He has a wide range of experience in corporate migration, including employer-sponsored visas and immigration compliance, and has managed small to large multinational corporate clients. Jamie also has specific experience with medical professionals, skills assessments, state sponsorships as well as partner visas. Book a time with Jamie here.

Jamie holds a Bachelor of Laws (Hons) from Monash University. Jamie speaks limited Mandarin Chinese as a second language.

His specialities include but not limited to: