Guide

Which states have the most IM programs that sponsor no visa?

We read 654 Internal Medicine programs for the 2027 cycle, and 104 of them state, in at least one reading of their own page, that they sponsor no visa at all. Those 104 are not spread evenly. Some states carry a double-digit count of no-visa programs; 23 states show zero, meaning no program we read there states it sponsors nothing. This page is one aggregate table, not one page per state, because a template of 51 near-identical state pages is exactly the kind of scaled, low-value page a search engine is right to distrust.

The top 10 states by count

Ranked by number of no-visa programs first, then by how many programs we read in that state, then alphabetically to break any remaining tie:

State	Programs read	Sponsor no visa
California	58	16
Texas	46	11
Ohio	31	11
Michigan	35	7
New York	64	5
Washington	9	5
Florida	55	4
New Jersey	29	4
Arkansas	11	4
Puerto Rico	9	4

California and New York also have the largest programs-read counts on this site, so a large no-visa count there is partly a function of a large sample, not necessarily a stronger no-visa pattern. Washington and Puerto Rico make the top 10 with far smaller samples, 9 programs read each, which is a different kind of signal: a higher share of a small state's programs sponsoring nothing, not a large raw count.

What "sponsor no visa" actually captures

A program lands in this count when its own page states, in at least one place we read, that it sponsors nothing: no J-1, no H-1B, no other visa route at all. That is one specific reading among several a page can carry. A program that only mentions J-1 sponsorship is not counted here, even though it also does not offer H-1B, because "sponsors J-1 only" and "sponsors nothing" are different sentences with different consequences for an applicant who needs the other route. We do not fold a partial sponsorship position into the no-visa count just because it falls short of covering every visa type; the count only holds the programs whose own words say none.

Read count changes what a zero means

A state with zero no-visa programs among 57 read is a real pattern worth noting. A state with zero among 9 read, or fewer, is a thin sample: it means none of the small number of programs we have actually read there happens to state a no-visa position, not that no program in that state ever would. We are showing you what the pages say, on the date we read them, not making a claim about a state's underlying visa culture. A "no visa" reading is one sentence on one page on one day; programs change their own wording between cycles, and a state's true picture can shift without our count changing at all until we read it again.

Why we did not build 51 state pages

A page per state would look thorough and would mostly say the same three sentences with a different name and a different table swapped in. That is the shape of page a search engine is built to penalize, and it would also cost us nothing to produce, which is itself the warning sign: pages that cost nothing to generate rarely carry enough of their own substance to earn a reader's time. One table, sorted plainly, with the full state list available to anyone who wants it, tells you everything the 51-page version would, without pretending each state deserves its own thousand words when the underlying fact is a handful of numbers.

The 22 states with no read refusal

Colorado, Delaware, District of Columbia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maine, Massachusetts, Minnesota, Montana, Nebraska, New Hampshire, New Mexico, North Dakota, Rhode Island, South Dakota, Utah, Vermont and West Virginia have no program, among the ones we read, whose page states it sponsors no visa. That is not a promise that every program in those states sponsors a visa; several of them are among the thinnest samples on this site, and a program there may simply not have published a visa sentence we could read at all. Check the program's own page directly before relying on a state-level absence.

Counted on 10 September 2026 from 654 programs read. See how we read programs for the method, and start your own list, free for the 2027 cycle.