My Google alerts let me know of this change which applies to some petitioners but not others. Not sure exactly when this applies either.
USCIS Now Requires Report of Immigration Medical Examination and Vaccination Record to be Submitted with Form I-485 for Certain Applicants
Release Date
12/02/2024
We now require certain applicants filing Form I-485, Application to Register Permanent Residence or Adjust Status, to submit Form I-693, Report of Immigration Medical Examination and Vaccination Record, with their Form I-485 or the Form I-485 may otherwise be rejected.
Applicants for adjustment of status generally must complete an immigration medical examination and all required vaccinations and submit a properly completed Form I-693 signed by a civil surgeon to show they are free from health conditions that would render them inadmissible under the health-related grounds.
If you are required to submit Form I-693, or a partial Form I-693 (such as the Vaccination Record), you must submit it with your Form I-485. Otherwise, we may reject your Form I-485. We have revised the Form I-485 instructions to make filing the two forms together a requirement.
We have made this change to reduce the number of Requests for Evidence we issue before adjudicating a Form I-485.
Additional information on the immigration benefits that require an immigration medical examination and vaccinations, and whether a civil surgeon or panel physician should conduct the immigration medical examination is available in Vol. 8, Part B, Chapter 3 - Applicability of Medical Examination and Vaccination Requirement of the USCIS Policy Manual.