Can my spouse work in the US on an H-4 visa?

Sometimes. H-4 spouses can generally apply for a work permit (EAD) only if the H-1B holder has reached a certain green card stage — typically an approved I-140 or an extension beyond six years under AC21. Without that, an H-4 spouse cannot work, which is a real hardship many families underestimate when planning a US move. Processing times for the EAD also vary. Confirm current eligibility and timelines on USCIS.gov before relying on a second income.