Second Regular Session
Seventy-third General Assembly
STATE OF COLORADO
ENGROSSED
This Version Includes All Amendments Adopted
on Second Reading in the House of Introduction
LLS NO. 22-0295.02 Christy Chase x2008
HOUSE BILL 22-1050
House Committees Senate Committees
Health & Insurance
Appropriations
A BILL FOR AN ACT
C
ONCERNING FACILITATING TH E INTEGRATION OF INTERNATIONAL101
MEDICAL GRADUATES INTO THE COLORADO HEALTH -CARE102
WORKFORCE.103
Bill Summary
(Note: This summary applies to this bill as introduced and does
not reflect any amendments that may be subsequently adopted. If this bill
passes third reading in the house of introduction, a bill summary that
applies to the reengrossed version of this bill will be available at
http://leg.colorado.gov
.)
Section 1 of the bill makes legislative declarations and findings
regarding the shortage of health-care providers in the state, the presence
of qualified, internationally trained medical professionals in the state, the
ability of those professionals to assist the state in addressing health-care
workforce needs, the barriers to entry into the health-care workforce these
HOUSE
Amended 2nd Reading
May 5, 2022
HOUSE SPONSORSHIP
Ricks,
SENATE SPONSORSHIP
Buckner,
Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment.
Capital letters or bold & italic numbers indicate new material to be added to existing statute.
Dashes through the words indicate deletions from existing statute. professionals face, and the need to reduce those barriers to facilitate the
integration of these professionals into the state's health-care workforce.
Section 2 establishes the following 2 programs in the department
of labor and employment (CDLE) to assist international medical
graduates (IMGs) seeking to integrate into the state's health-care
workforce:
! The IMG assistance program, the purpose of which is to
provide direct services to IMGs, including a review of an
IMG's education, training, and experience to recommend
appropriate next steps for integrating IMGs into the state's
health-care workforce; technical support through the
credential evaluation process; and scholarships to assist in
defraying the medical licensure process; and
! The clinical readiness program, the purpose of which is to
provide curriculum for and assessments of IMGs to help
them build the skills necessary to enter a medical residency
program.
Section 2 also directs the executive director of CDLE to include
in its annual report to the general assembly pursuant to the "State
Measurement for Accountable, Responsive, and Transparent (SMART)
Government Act" information about the IMG assistance program, the
clinical readiness program, and any progress made in addressing barriers
IMGs face in securing positions in medical residency programs.
Section 3 authorizes the executive director of the department of
regulatory agencies (DORA), subject to available funding, to award
funding to medical residency programs to provide additional residency
positions dedicated to qualified IMGs and directs the executive director
of DORA to report on any funding awarded for this purpose as part of
DORA's annual report to the general assembly pursuant to the "State
Measurement for Accountable, Responsive, and Transparent (SMART)
Government Act".
With regard to requirements for licensure under the "Colorado
Medical Practice Act" (act):
! Section 4 defines "IMG" for purposes of the act;
! Section 5 reduces the length of postgraduate clinical
training that an IMG must complete to qualify for a
medical license from up to 3 years to one year; and
! Section 6 allows an IMG to obtain a reentry license if the
IMG has a current or expired international medical license
and meets Colorado medical board-specified qualifications
and requirements, including an assessment of the IMG's
competency to practice.
Be it enacted by the General Assembly of the State of Colorado:1
1050-2- SECTION 1. Legislative declaration. (1) The general assembly1
finds that: 2
(a) A 2020 study by the Association of American Medical3
Colleges estimates that the United States could see a shortage of between4
54,100 and 139,000 physicians by 2033;5
(b) By 2030, Colorado is expected to have a statewide shortage of6
over 2,400 physicians;7
(c) As of January 2022, Colorado has 123 areas designated as8
primary care health professional shortage areas;9
(d) As of 2017, there were approximately 3,000 immigrants in10
Colorado whose health-related undergraduate degrees were underutilized,11
2,000 of whom received their education outside of the United States;12
(e) Between 1,200 and 1,900 patients can be served for each13
additional physician that is added to Colorado's workforce; and14
(f) According to the National Resident Matching Program: 15
(I) In 2021, international medical graduates (IMGs) represented 21% of16
medical residency matches nationwide compared to only 4.2% in17
Colorado; and18
(II) Only 2.5% of IMGs matched to a Colorado residency program19
in the past decade.20
(2) The general assembly further finds and declares that:21
(a) Colorado faces an ongoing shortage of physicians, while, at22
the same time, Coloradans who received their medical degrees and23
training and practiced as licensed physicians outside of the Unites States24
are underutilized and face prohibitive barriers to joining the health-care25
workforce in Colorado;26
(b) Supporting the integration of IMGs into the Colorado27
1050
-3- health-care workforce helps Coloradans across the state and increases1
access to qualified providers;2
(c) IMGs are uniquely situated to use their diverse backgrounds,3
experiences, language, and cultural skills to provide enhanced care to4
diverse patients and communities;5
(d) At the request of the governor and 12 state legislators, the6
nurse-physician advisory task force for Colorado health care (NPATCH)7
examined the issue of licensure pathways for IMGs and issued its8
recommendations on August 6, 2021; and9
(e) In order to help address health-care provider shortages in the10
state and position Colorado to benefit from much-needed and unrealized11
medical expertise in local communities, it is important to enact policies12
to provide qualified IMGs a pathway to licensure and into the state's13
health-care workforce.14
SECTION 2. In Colorado Revised Statutes, add article 87 to title15
8 as follows:16
ARTICLE 8717
International Medical Graduates18
Pathway to Health-care Workforce19
8-87-101. Definitions. A
S USED IN THIS ARTICLE 87, UNLESS THE20
CONTEXT OTHERWISE REQUIRES :21
(1) "ACGME" MEANS THE ACCREDITATION COUNCIL FOR22
GRADUATE MEDICAL EDUCATION, AN ORGANIZATION THAT SETS AND23
MONITORS THE PROFESSIONAL EDUCATIONAL STANDARDS FOR PHYSICIANS ,24
OR ANY SUCCESSOR ACCREDITING ENTITY .25
(2) "ASSISTANCE PROGRAM" MEANS THE IMG ASSISTANCE26
PROGRAM ESTABLISHED IN SECTION 8-87-102.27
1050
-4- (3) "CLINICAL PROGRAM" MEANS THE CLINICAL READINESS1
PROGRAM ESTABLISHED IN SECTION 8-87-103.2
(4) "COLORADO MEDICAL BOARD " MEANS THE COLORADO3
MEDICAL BOARD CREATED IN SECTION 12-240-105.4
(5) "DEPARTMENT" MEANS THE DEPARTMENT OF LABOR AND5
EMPLOYMENT.6
(6) "EXECUTIVE DIRECTOR" MEANS THE EXECUTIVE DIRECTOR OF7
THE DEPARTMENT OR THE EXECUTIVE DIRECTOR 'S DESIGNEE.8
(7) "INTERNATIONAL MEDICAL GRA DUATE " OR "IMG" MEANS A9
PHYSICIAN WHO RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS10
FROM A MEDICAL SCHOOL OUTSIDE OF THE UNITED STATES OR CANADA.11
(8) "PROGRAM PARTICIPANT" MEANS AN IMG PARTICIPATING IN12
THE ASSISTANCE PROGRAM OR THE CLINICAL PROGRAM .13
(9) "THIRD-PARTY ADMINISTRATOR " OR "THIRD PARTY TO14
ADMINISTER" MEANS THE GRANTEE SELECTED BY THE EXECUTIVE15
DIRECTOR PURSUANT TO SECTION 8-87-102 (1) TO ADMINISTER THE16
ASSISTANCE PROGRAM, INCLUDING RECEIVING GRANT FUNDS AND TAKING17
ON THE OBLIGATIONS OF THE ASSISTANCE PROGRAM , WHICH INCLUDES18
PROVIDING DIRECT SERVICES TO PROGRAM PARTICIPANTS AND REPORTING19
TO THE EXECUTIVE DIRECTOR.20
(10) "USMLE" MEANS THE UNITED STATES MEDICAL LICENSING21
E
XAMINATION, A THREE-STEP EXAMINATION FOR MEDICAL LICENSURE IN22
THE UNITED STATES.23
8-87-102. IMG assistance program - creation - services -24
report. (1) T
HE IMG ASSISTANCE PROGRAM IS ESTABLISHED IN THE25
DEPARTMENT TO PROVIDE DIRECT SERVICES TO INTERNATIONAL MEDICAL26
GRADUATES WISHING TO REESTABLISH THEIR MEDICAL CAREERS IN THIS27
1050
-5- STATE. THE EXECUTIVE DIRECTOR SHALL CONTRACT WITH A THIRD PARTY1
TO ADMINISTER THE ASSISTANCE PROGRAM AND SHALL COMPLY WITH THE2
"P
ROCUREMENT CODE", ARTICLES 101 TO 112 OF TITLE 24, IN SELECTING3
AND CONTRACTING WITH THE THIRD -PARTY ADMINISTRATOR.4
(2) T
HE ASSISTANCE PROGRAM MUST PROVIDE THE FOLLOWING5
DIRECT SERVICES TO PROGRAM PARTICIPANTS :6
(a) R
EVIEW THE BACKGROUND , EDUCATION, TRAINING, AND7
EXPERIENCE OF PROGRAM PARTICIPANTS IN ORDER TO RECOMMEND8
APPROPRIATE STEPS TO ENABLE PROGRAM PARTICIPANTS TO INTEGRATE9
INTO THE STATE'S HEALTH-CARE WORKFORCE AS PHYSICIANS OR TO10
PURSUE AN ALTERNATIVE HEALTH -CARE CAREER;11
(b) P
ROVIDE TECHNICAL SUPPORT AND GUIDANCE TO PROGRAM12
PARTICIPANTS THROUGH THE CREDENTIAL EVALUATION PROCESS ,13
INCLUDING PREPARING FOR THE USMLE AND OTHER APPLICABLE TESTS14
OR EVALUATIONS;15
(c) P
ROVIDE SCHOLARSHIPS OR ACCESS TO SCHOLARSHIPS OR16
FUNDS FOR CERTAIN PROGRAM PARTICIPANTS TO HELP COVER OR OFFSET17
THE COST OF THE MEDICAL LICENSURE PROCESS , INCLUDING THE COSTS OF18
THE CREDENTIAL EVALUATION PROCESS , PREPARING FOR THE USMLE AND19
OTHER APPLICABLE TESTS OR EVALUATIONS , THE RESIDENCY APPLICATION20
PROCESS, AND OTHER COSTS ASSOCIATED WITH RETURNING TO A CAREER21
IN HEALTH CARE;22
(d) I
N PARTNERSHIP WITH COMMUNITY ORGANIZATIONS WORKING23
WITH IMGS, DEVELOP:24
(I) A
VOLUNTARY ROSTER OF IMGS INTERESTED IN ENTERING THE25
STATE'S HEALTH-CARE WORKFORCE AS PHYSICIANS , IN ORDER TO ASSIST26
IN ASSISTANCE PROGRAM PLANNING AND ADMINISTRATION , INCLUDING27
1050
-6- MAKING AVAILABLE SUMMARY REPORTS THAT SHOW THE AGGREGATE1
NUMBER AND DISTRIBUTION, BY GEOGRAPHIC LOCATION AND SPECIALTY ,2
OF IMGS IN THE STATE; AND3
(II) A
VOLUNTARY ROSTER OF IMGS SEEKING ALTERNATIVE4
HEALTH-CARE CAREERS IN ORDER TO SUPPORT THOSE IMGS IN THEIR5
INTEGRATION INTO NONPHYSICIAN HEALTH -CARE ROLES; AND6
(e) P
ROVIDE GUIDANCE TO IMGS TO APPLY FOR MEDICAL7
RESIDENCY PROGRAMS OR OTHER PATHWAYS TO LICENSURE .8
(3) T
HE EXECUTIVE DIRECTOR SHALL DETERMINE , WITH INPUT9
FROM STAKEHOLDERS AND AFTER CONSIDERING RELEVANT RESEARCH OF10
THE NEEDS OF THE WORKFORCE AND IMGS IN COLORADO, THE ELIGIBILITY11
CRITERIA FOR PARTICIPATION IN THE PROGRAM , ANY LIMITS ON THE12
AMOUNT OF DIRECT SERVICES PROVIDED TO AN INDIVIDUAL PROGRAM13
PARTICIPANT, ANY CAPS ON SCHOLARSHIP AMOUNTS AVAILABLE UNDER14
THE ASSISTANCE PROGRAM , AND ANY OTHER MATTERS REGARDING THE15
ASSISTANCE PROGRAM THAT THE EXECUTIVE DIRECTOR DEEMS16
NECESSARY.17
(4) (a) W
ITHIN ONE YEAR AFTER IMPLEMENTATION OF THE18
PROGRAM AND ANNUALLY THEREAFTER , THE THIRD -PARTY19
ADMINISTRATOR SHALL SUBMIT A REPORT TO THE EXECUTIVE DIRECTOR20
REGARDING THE OPERATION OF THE ASSISTANCE PROGRAM , INCLUDING:21
(I) T
HE NUMBER OF IMGS WHO PARTICIPATED IN THE PROGRAM22
AND THEIR DEMOGRAPHICS;23
(II) T
HE SPECIFIC SERVICES PROVIDED TO PROGRAM PARTICIPANTS ,24
INCLUDING THE NUMBER OF PROGRAM PARTICIPANTS THAT RECEIVED THE25
SERVICE AND THE COST OF PROVIDING THE SERVICE ;26
(III) T
HE TOTAL AMOUNT AWARDED TO OR ACCESSED AS27
1050
-7- SCHOLARSHIPS OR OTHER FUNDS BY PROGRAM PARTICIPANTS , INCLUDING1
THE AMOUNT OF EACH SCHOLARSHIP OR OTHER FUNDS AWARDED OR2
ACCESSED AND THE ORIGINATION OF THE SCHOLARSHIP OR FUNDS ;3
(IV) T
HE TOTAL COST OF PROVIDING DIRECT SERVICES UNDER THE4
ASSISTANCE PROGRAM; AND5
(V) A
NY OTHER INFORMATION THE THIRD-PARTY ADMINISTRATOR6
DEEMS APPROPRIATE OR THE EXECUTIVE DIRECTOR REQUESTS .7
(b) T
HE REPORT MUST NOT INCLUDE ANY PERSONALLY8
IDENTIFYING INFORMATION ABOUT PROGRAM PARTICIPANTS .9
(c) T
HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS10
PART OF ITS REPORT PURSUANT TO SECTION 8-87-104.11
8-87-103. Clinical readiness program - creation -12
administration - required components - participant qualifications -13
report. (1) T
HE CLINICAL READINESS PROGRAM IS ESTABLISHED IN THE14
DEPARTMENT TO ASSIST IMGS ADMITTED TO THE CLINICAL PROGRAM IN15
BUILDING THE SKILLS NECESSARY TO BECOME SUCCESSFUL RESIDENTS IN16
THE UNITED STATES MEDICAL SYSTEM . BY JANUARY 1, 2023, THE17
EXECUTIVE DIRECTOR SHALL CONTRACT WITH A COLORADO-BASED18
MEDICAL SCHOOL
OR ACGME-ACCREDITED RESIDENCY PROGRAM TO19
SERVE AS THE PROGRAM ADMINISTRATOR RESPONSIBLE FOR DEVELOPING ,20
IMPLEMENTING, AND ADMINISTERING THE CLINICAL PROGRAM. THE21
EXECUTIVE DIRECTOR SHALL COMPLY WITH THE "PROCUREMENT CODE",22
ARTICLES 101 TO 112 OF TITLE 24, IN SELECTING AND CONTRACTING WITH23
A COLORADO MEDICAL SCHOOL OR RESIDENCY PROGRAM TO SERVE AS THE24
PROGRAM ADMINISTRATOR .25
(2) (a) T
HE PROGRAM ADMINISTRATOR MUST DEVELOP AND26
IMPLEMENT THE CLINICAL PROGRAM BY JANUARY 1, 2024. IN DEVELOPING27
1050
-8- AND IMPLEMENTING THE CLINICAL PROGRAM , THE PROGRAM1
ADMINISTRATOR MAY CONSULT AND COORDINATE WITH STAKEHOLDERS ,2
INCLUDING REPRESENTATIVES FROM :3
(I) S
TATE AGENCIES, INCLUDING:4
(A) T
HE COLORADO MEDICAL BOARD ;5
(B) T
HE DEPARTMENT OF REGULATORY AGENCIES ;6
(C) T
HE DEPARTMENT OF HIGHER EDUCATION ;7
(D) T
HE DEPARTMENT OF LABOR AND EMPLOYMENT ;8
(E) T
HE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ;9
(F) T
HE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING ;10
AND11
(G) T
HE OFFICE OF NEW AMERICANS CREATED IN SECTION12
8-3.7-103;13
(II) T
HE HEALTH-CARE INDUSTRY, INCLUDING:14
(A) H
OSPITALS;15
(B) C
OMMUNITY PROVIDERS; AND16
(C) M
EDICAL RESIDENCY PROGRAMS ;17
(III) C
OMMUNITY-BASED ORGANIZATIONS , INCLUDING A18
COMMUNITY-BASED ORGANIZATION SERVING IMMIGRANTS AND REFUGEES ;19
(IV) H
IGHER EDUCATION INSTITUTIONS; AND20
(V) T
HE IMG COMMUNITY.21
(b) T
HE CLINICAL PROGRAM MUST INCLUDE AT LEAST THE22
FOLLOWING ELEMENTS:23
(I) A
MECHANISM FOR PROCESSING AND ASSESSING PROGRAM24
APPLICATIONS;25
(II) P
ROGRAM CURRICULUM , INCLUDING CURRICULUM:26
(A) P
ERTAINING TO THE PRACTICE OF ONE OR MORE PRIMARY CARE27
1050
-9- SPECIALTIES; AND1
(B) T
HAT PROVIDES INPATIENT AND OUTPATIENT TRAINING2
OPPORTUNITIES COMBINED WITH COMMUNITY AND CLASSROOM -BASED3
COMPONENTS TO PREPARE PROGRAM PARTICIPANTS TO MATCH INTO AND4
SUCCEED IN A UNITED STATES RESIDENCY PROGRAM ; AND5
(III) A
N ASSESSMENT SYSTEM TO ASSESS THE CLINICAL READINESS6
OF PROGRAM PARTICIPANTS TO SERVE IN A UNITED STATES RESIDENCY7
PROGRAM, INCLUDING CLINICAL READINESS FOR THE PRACTICE OF ONE OR8
MORE PRIMARY CARE SPECIALTIES AND ADDITIONAL ASSESSMENTS AS9
RESOURCES ARE AVAILABLE.10
(3) (a) T
HE PROGRAM ADMINISTRATOR SHALL DESIGNATE A11
PROGRAM DIRECTOR, WHO MUST BE A PHYSICIAN LICENSED TO PRACTICE12
MEDICINE IN THIS STATE.13
(b) T
HE PROGRAM DIRECTOR SHALL :14
(I) D
EVELOP AN OPERATING PLAN AND BUDGET FOR THE CLINICAL15
PROGRAM;16
(II) D
EVELOP AND IMPLEMENT THE CURRICULUM FOR AND17
ASSESSMENTS OF PROGRAM PARTICIPANTS FOR CLINICAL READINESS ,18
EXCEPT AS PROVIDED IN SUBSECTION (3)(c) OF THIS SECTION;19
(III) W
ORK WITH RESIDENCY PROGRAMS IN THE STATE TO ADDRESS20
BARRIERS IMGS FACE IN SECURING RESIDENCY POSITIONS IN THE STATE ,21
INCLUDING EVALUATING OTHER METHODS FOR TESTING AN IMG'S22
CLINICAL READINESS, EXPLORING ALTERNATIVES TO THE REQUIREMENT23
THAT AN APPLICANT FOR A RESIDENCY POSITION BE A RECENT GRADUATE24
OF MEDICAL SCHOOL, AND DEVELOPING RIGOROUS CLINICAL ASSESSMENTS25
AND OPPORTUNITIES FOR IMGS TO OBTAIN IN -DEPTH CLINICAL26
EXPERIENCE IN THE UNITED STATES; AND27
1050
-10- (IV) MAKE REPORTS AND RECOMME NDATIONS AS REQUIRED BY1
SUBSECTION (6) OF THIS SECTION.2
(c) T
HE PROGRAM DIRECTOR MAY CONTRACT WITH AN3
INDEPENDENT ENTITY OR A STATE AGENCY TO CONDUCT ASSESSMENTS OF4
THE CLINICAL READINESS OF PROGRAM PARTICIPANTS .5
(4) T
O QUALIFY TO PARTICIPATE IN THE CLINICAL PROGRAM , AN6
APPLICANT MUST:7
(a) B
E AN IMG WHOSE MEDICAL DEGREE OR QUALIFICATIONS8
HAVE BEEN EVALUATED BY A CREDENTIALING AGENCY APPROVED BY THE9
C
OLORADO MEDICAL BOARD AND DETERMINED TO BE EQUIVALENT TO A10
MEDICAL DEGREE FROM AN ACCREDITED MEDICAL SCHOOL IN THE UNITED11
S
TATES OR CANADA OR A STATE OR COUNTRY WITH WHICH COLORADO12
HAS A RECIPROCAL LICENSE AGREEMENT ; AND13
(b) H
AVE ACHIEVED A PASSING SCORE ON THE USMLE STEP ONE14
AND STEP TWO EXAMINATIONS .15
(5) O
NCE A PROGRAM PARTICIPANT COMPLETES THE CURRICULUM16
FOR THE CLINICAL PROGRAM, THE PROGRAM DIRECTOR OR AN ENTITY WITH17
WHOM THE PROGRAM DIRECTOR C ONTRACTS SHALL ASSESS THE PROGRAM18
PARTICIPANT FOR CLINICAL READINESS FOR A RESIDENCY PROGRAM . IF THE19
PROGRAM PARTICIPANT PASSES THE ASSESSMENT , THE PROGRAM DIRECTOR20
SHALL:21
(a) I
SSUE THE PROGRAM PARTICIPANT AN INDUSTRY -RECOGNIZED22
CREDENTIAL OF CLINICAL READINESS; AND23
(b) S
UBMIT A REPORT AND RECOMMENDATION TO THE24
ADMINISTRATOR OF THE ASSISTANCE PROGRAM AND THE DEPARTMENT25
REGARDING THE PROGRAM PARTICIPANT .26
(6) THE PROGRAM ADMINISTRATOR SHALL ALLOW AN IMG WHO27
1050
-11- SUCCESSFULLY COMPLETES THE CLINICAL PROGRAM TO INTERVIEW FOR A1
POSITION IN THE PROGRAM ADMINISTRATOR 'S RESIDENCY PROGRAM.2
(7) (a) BY JANUARY 1, 2025, AND BY EACH JANUARY 13
THEREAFTER, THE PROGRAM DIRECTOR , IN CONSULTATION WITH THE4
C
OLORADO MEDICAL BOARD AND OTHER STAKEHOLDERS , SHALL SUBMIT5
A REPORT REGARDING THE CLINICAL PROGRAM TO :6
(I) T
HE EXECUTIVE DIRECTOR; AND7
(II) T
HE EXECUTIVE DIRECTOR OF THE DEPARTMENT OF8
REGULATORY AGENCIES.9
(b)
THE REPORT MUST INCLUDE:10
(I) I
NFORMATION ABOUT THE OPERATIONS OF THE CLINICAL11
PROGRAM, INCLUDING THE NUMBER OF IMGS WHO PARTICIPATED IN AND12
COMPLETED THE CLINICAL PROGRAM ; AND13
(II) R
ECOMMENDATIONS REGARDING :14
(A) C
HANGES TO PROFESSIONAL LICENSURE REQUIREMENTS THAT15
PROMOTE THE INCREASED UTILIZATION OF IMGS IN THE STATE'S16
HEALTH-CARE WORKFORCE; AND17
(B) T
HE CREATION OF A CERTIFICATION RECOGNIZED BY THE18
DEPARTMENT, THE DEPARTMENT OF HIGHER EDUCATION , OR THE UNITED19
S
TATES DEPARTMENT OF LABOR .20
(c) T
HE REPORT MUST NOT INCLUDE ANY PERSONALLY21
IDENTIFYING INFORMATION ABOUT ANY PROGRAM PARTICIPANT .22
(d) T
HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS23
PART OF ITS REPORT PURSUANT TO SECTION 8-87-104.24
8-87-104. Report to the general assembly. T
HE EXECUTIVE25
DIRECTOR SHALL REPORT ON THE ASSISTANCE PROGRAM AND THE26
CLINICAL PROGRAM AS PART OF THE DEPARTMENT 'S ANNUAL REPORTING27
1050
-12- UNDER THE "STATE MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE,1
AND TRANSPARENT (SMART) GOVERNMENT ACT", PART 2 OF ARTICLE 72
OF TITLE 2. THE EXECUTIVE DIRECTOR SHALL INCLUDE IN THE REPORT3
PURSUANT TO THIS SECTION INFORMATION INCLUDED IN THE REPORTS4
SUBMITTED TO THE EXECUTIVE DIRECTOR PURS UANT TO SECTIONS5
8-87-102
(4) AND 8-87-103
(7) AND INFORMATION REGARDING ANY6
PROGRESS MADE PURSUANT TO SECTION 8-87-103 (3)(b)(III) IN7
ADDRESSING BARRIERS INTERNATIONAL MEDICAL GRADUATES FACE IN8
SECURING POSITIONS IN MEDICAL RESIDENCY PROGRAMS .9
8-87-105. Funding for programs - gifts, grants, and donations10
- implementation contingent on receipt of funding. (1) THE GENERAL11
ASSEMBLY MAY APPROPRIATE MONEY FROM THE GENERAL FUND OR ANY12
OTHER SOURCE TO THE DEPARTMENT FOR THE PURPOSES OF IMPLEMENTING13
AND ADMINISTERING THE ASSISTANCE PROGRAM AND THE CLINICAL14
PROGRAM PURSUANT TO THIS ARTICLE 87.15
(2) THE DEPARTMENT MAY SEEK, ACCEPT, AND EXPEND GIFTS,16
GRANTS, OR DONATIONS FROM PRIVATE OR PUBLIC SOURCES FOR THE17
PURPOSES OF IMPLEMENTING AND ADMINISTERING THE ASSISTANCE18
PROGRAM AND THE CLINICAL PROGRAM PURSUANT TO THIS ARTICLE 87.19
(3) (a) UNLESS THE DEPARTMENT RECEIVES AN AMOUNT OF20
APPROPRIATIONS, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER21
THE COSTS OF THE ASSISTANCE PROGRAM, THE DEPARTMENT SHALL NOT22
IMPLEMENT THE ASSISTANCE PROGRAM .23
(b) UNLESS THE DEPARTMENT RECEIVES AN AMOUNT OF24
APPROPRIATIONS, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER25
THE COSTS OF THE CLINICAL PROGRAM , THE DEPARTMENT SHALL NOT26
IMPLEMENT THE CLINICAL PROGRAM .27
1050
-13- 1
SECTION 3. In Colorado Revised Statutes, 12-240-104, amend2
(5.7); and add (5.6) as follows:3
12-240-104. Definitions. As used in this article 240, unless the4
context otherwise requires:5
(5.6) "D
ISTANT SITE" HAS THE MEANING SET FORTH IN SECTION6
10-16-123 (4)(a).7
(5.7) "Distant site" has the meaning set forth in section 10-16-123
8
(4)(a) "INTERNATIONAL MEDICAL GRADUATE " MEANS A PHYSICIAN WHO9
RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS FROM A MEDICAL10
SCHOOL OUTSIDE OF THE UNITED STATES OR CANADA.11
SECTION 4. In Colorado Revised Statutes, 12-240-114, amend12
(1) introductory portion as follows:13
12-240-114. International medical graduates - degree14
equivalence. (1) For graduates of schools other than those approved by15
the Liaison Committee on Medical Education or the American16
Osteopathic Association, or the successor of either entity INTERNATIONAL17
MEDICAL GRADUATES, the board may SHALL require three years ONE YEAR18
of postgraduate clinical training approved by the board. An applicant19
whose foreign INTERNATIONAL medical school is not an approved medical20
college is eligible for licensure at the discretion of the board if the21
applicant meets all other requirements for licensure and holds specialty22
board certification, current at the time of application for licensure,23
conferred by a regular member board of the American Board of Medical24
Specialties or the American Osteopathic Association. The factors to be25
considered by the board in the exercise of its discretion in determining the26
qualifications of applicants shall MUST include the following:27
1050
-14- SECTION 5. In Colorado Revised Statutes, 12-240-119, amend1
(1) and (2)(a) introductory portion; and add (2)(a.5) and (4) as follows: 2
12-240-119. Reentry license - period of inactivity -3
international medical graduate - competency assessment - board4
rules - conversion to full license. (1) (a) Notwithstanding any other5
provision of this article 240, the board may issue a reentry license to:6
(I) A physician,
A physician assistant, or AN anesthesiologist7
assistant who has not actively practiced medicine, practiced as a physician8
assistant, or practiced as an anesthesiologist assistant, as applicable, for9
the two-year period immediately preceding the filing of an application for10
a reentry license, or who has not otherwise maintained continued11
competency during that period, as determined by the board;
OR12
(II) A
N INTERNATIONAL MEDICAL GRADUATE WHO :13
(A) H
OLDS A CURRENT OR EXPIRED INTERNATIONAL LICENSE OR14
MEETS OTHER QUALIFICATIONS SPECIFIED BY THE BOARD BY RULE ; AND15
(B) S
ATISFIES ANY OTHER REQUIREMENTS ESTABLISHED BY THE16
BOARD BY RULE, WHICH MAY INCLUDE A RECOMMENDATION OF THE17
INTERNATIONAL MEDICAL GRADUATE FROM THE ADMINISTRATOR OF THE18
IMG
ASSISTANCE PROGRAM CREATED IN SECTION 8-87-102 OR FROM THE19
PROGRAM DIRECTOR OF THE CLINICAL READINESS PROGRAM CREATED IN20
SECTION 8-87-103 OR A REQUIREMENT FOR SPECIFIC
TRAINING. 21
(b) The board may charge a fee for a reentry license.22
(2) (a) In order to qualify for a reentry license, the physician,23
physician assistant, or anesthesiologist assistant, OR INTERNATIONAL24
MEDICAL GRADUATE shall submit to evaluations, assessments, and an25
educational program as required by the board. The board may work with26
a private entity that specializes in physician, physician assistant, or27
1050
-15- anesthesiologist assistant assessment to:1
(a.5) F
OR INTERNATIONAL MEDICAL GRADUATES , THE BOARD MAY2
APPROVE AN ASSESSMENT MODEL TO ASSESS THE COMPETENCY OF3
INTERNATIONAL MEDICAL GRADUATES APPLYING FOR A REENTRY LICENSE4
UNDER THIS SECTION AND SHALL APPROVE CRITERIA , INCLUDING MINIMUM5
REQUIREMENTS, STANDARDS, AND COMPETENCIES, FOR THE ASSESSMENT6
OF THESE APPLICANTS.7
(4) T
HE BOARD SHALL ADOPT RULES AS NECESSARY :8
(I) T
O SPECIFY REQUIREMENTS APPLICABLE TO INTERNATIONAL9
MEDICAL GRADUATES PURSUANT TO SUBSECTION (1)(a)(II) OF THIS10
SECTION; AND11
(II) R
EGARDING THE CRITERIA FOR AN ASSESSMENT MODEL TO12
ASSESS THE COMPETENCY OF INTERNATIONAL MEDICAL GRADUATES13
PURSUANT TO SUBSECTION (2) OF THIS SECTION.14
SECTION
6. Safety clause. The general assembly hereby finds,15
determines, and declares that this act is necessary for the immediate16
preservation of the public peace, health, or safety. 17
1050
-16-