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The Messersmith Law Firm, P.A. J-1 Waivers and INA §212(e)
J-1 Waiver Law

What Does 22 C.F.R. §41.63(e) Require for Conrad State 30?

22 C.F.R. §41.63(e) implements the physician waiver process based on a request from a State Department of Public Health or its equivalent and incorporates the service requirements of INA §214(l).

Reviewed by Peter Messersmith · 2026-09-14

The state health agency makes the waiver request

Paragraph (e) permits a State Department of Public Health or equivalent agency to request waiver for a qualifying foreign medical graduate.

The request is tied to INA §214(l)

The regulation expressly makes the state physician waiver subject to the additional statutory conditions contained in INA §214(l).

The state package includes specific evidence

The regulation identifies supporting components including the waiver application information, designated state official's request, and the physician's employment contract.

Certain physicians may also need a special No Objection statement

Where a physician is contractually obligated to return to the home country, the regulation addresses the additional written No Objection documentation required for the state physician waiver.

Legal Authorities and Sources

  1. 22 C.F.R. §41.63 — Two-Year Home-Country Physical Presence Requirement
  2. 8 U.S.C. §1184(l) — Physician Waiver Restrictions
  3. U.S. Department of State — How to Apply for a J-1 Waiver

Frequently Asked Questions

Which paragraph of 22 CFR 41.63 addresses state physician waivers?

Paragraph (e).

Does INA 214(l) also apply?

Yes.

Does the state submit supporting documentation?

Yes.

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