Sure, but I've seen, and heard, many MD cars with bad exhausts, bad tires, cracked windsheilds among other things. In states with inspection programs, these things eventually get fixed.
Good for NY if they have a very rigorous inspection system.
I've heard some people say that they know Va inspectors and will take their cars to them for a new inspection sticker, bypassing the actual inspection part. It's not a perfect system and I certainly have seen my share of cars with badly out of alignment headlights. Do the State Police actually enforce that?