HOUSE BILL 22-1050
BY REPRESENTATIVE(S) Ricks, Bacon, Benavidez, Bernett, Bird,
Boesenecker, Caraveo, Exum, Gonzales-Gutierrez, Hooton, Jodeh, Kipp,
Lindsay, Lontine, Michaelson Jenet, Sirota, Titone;
also SENATOR(S) Buckner, Ginal, Gonzales, Hinrichsen, Jaquez Lewis,
Kolker, Lee, Pettersen, Winter, Fenberg.
C
ONCERNING FACILITATING THE INTEGRATION OF INTERNATIONAL MEDICAL
GRADUATES INTO THE
COLORADO HEALTH-CARE WORKFORCE.
Be it enacted by the General Assembly of the State of Colorado:
SECTION 1. Legislative declaration. (1) The general assembly
finds that:
(a) A 2020 study by the Association of American Medical Colleges
estimates that the United States could see a shortage of between 54,100 and
139,000 physicians by 2033;
(b) By 2030, Colorado is expected to have a statewide shortage of
over 2,400 physicians;
(c) As of January 2022, Colorado has 123 areas designated as
NOTE: This bill has been prepared for the signatures of the appropriate legislative
officers and the Governor. To determine whether the Governor has signed the bill
or taken other action on it, please consult the legislative status sheet, the legislative
history, or the Session Laws.
________
Capital letters or bold & italic numbers indicate new material added to existing law; dashes
through words or numbers indicate deletions from existing law and such material is not part of
the act. primary care health professional shortage areas;
(d) As of 2017, there were approximately 3,000 immigrants in
Colorado whose health-related undergraduate degrees were underutilized,
2,000 of whom received their education outside of the United States;
(e) Between 1,200 and 1,900 patients can be served for each
additional physician that is added to Colorado's workforce; and
(f) According to the National Resident Matching Program:
(I) In 2021, international medical graduates (IMGs) represented
21% of medical residency matches nationwide compared to only 4.2% in
Colorado; and
(II) Only 2.5% of IMGs matched to a Colorado residency program
in the past decade.
(2) The general assembly further finds and declares that:
(a) Colorado faces an ongoing shortage of physicians, while, at the
same time, Coloradans who received their medical degrees and training and
practiced as licensed physicians outside of the United States are
underutilized and face prohibitive barriers to joining the health-care
workforce in Colorado;
(b) Supporting the integration of IMGs into the Colorado health-care
workforce helps Coloradans across the state and increases access to
qualified providers;
(c) IMGs are uniquely situated to use their diverse backgrounds,
experiences, language, and cultural skills to provide enhanced care to
diverse patients and communities;
(d) At the request of the governor and 12 state legislators, the
nurse-physician advisory task force for Colorado health care (NPATCH)
examined the issue of licensure pathways for IMGs and issued its
recommendations on August 6, 2021; and
(e) In order to help address health-care provider shortages in the
PAGE 2-HOUSE BILL 22-1050 state and position Colorado to benefit from much-needed and unrealized
medical expertise in local communities, it is important to enact policies to
provide qualified IMGs a pathway to licensure and into the state's
health-care workforce.
SECTION 2. In Colorado Revised Statutes, add article 87 to title
8 as follows:
ARTICLE 87
International Medical Graduates
Pathway to Health-care Workforce
8-87-101. Definitions. A
S USED IN THIS ARTICLE 87, UNLESS THE
CONTEXT OTHERWISE REQUIRES
:
(1) "ACGME"
MEANS THE ACCREDITATION COUNCIL FOR
GRADUATE MEDICAL EDUCATION, AN ORGANIZATION THAT SETS AND
MONITORS THE PROFESSIONAL EDUCATIONAL STANDARDS FOR PHYSICIANS
,
OR ANY SUCCESSOR ACCREDITING ENTITY .
(2) "A
SSISTANCE PROGRAM" MEANS THE IMG ASSISTANCE PROGRAM
ESTABLISHED IN SECTION
8-87-102.
(3) "C
LINICAL PROGRAM" MEANS THE CLINICAL READINESS PROGRAM
ESTABLISHED IN SECTION
8-87-103.
(4) "C
OLORADO MEDICAL BOARD " MEANS THE COLORADO MEDICAL
BOARD CREATED IN SECTION
12-240-105.
(5) "D
EPARTMENT" MEANS THE DEPARTMENT OF LABOR AND
EMPLOYMENT
.
(6) "E
XECUTIVE DIRECTOR" MEANS THE EXECUTIVE DIRECTOR OF
THE DEPARTMENT OR THE EXECUTIVE DIRECTOR
'S DESIGNEE.
(7) "I
NTERNATIONAL MEDICAL GRADUATE " OR "IMG" MEANS A
PHYSICIAN WHO RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS
FROM A MEDICAL SCHOOL OUTSIDE OF THE
UNITED STATES OR CANADA.
(8) "P
ROGRAM PARTICIPANT" MEANS AN IMG PARTICIPATING IN THE
PAGE 3-HOUSE BILL 22-1050 ASSISTANCE PROGRAM OR THE CLINICAL PROGRAM .
(9) "T
HIRD-PARTY ADMINISTRATOR " OR "THIRD PARTY TO
ADMINISTER
" MEANS THE GRANTEE SELECTED BY THE EXECUTIVE DIRECTOR
PURSUANT TO SECTION
8-87-102 (1) TO ADMINISTER THE ASSISTANCE
PROGRAM
, INCLUDING RECEIVING GRANT FUNDS AND TAKING ON THE
OBLIGATIONS OF THE ASSISTANCE PROGRAM
, WHICH INCLUDES PROVIDING
DIRECT SERVICES TO PROGRAM PARTICIPANTS AND REPORTING TO THE
EXECUTIVE DIRECTOR
.
(10) "USMLE"
MEANS THE UNITED STATES MEDICAL LICENSING
EXAMINATION, A THREE-STEP EXAMINATION FOR MEDICAL LICENSURE IN THE
UNITED STATES.
8-87-102. IMG assistance program - creation - services - report.
(1) T
HE IMG ASSISTANCE PROGRAM IS ESTABLISHED IN THE DEPARTMENT
TO PROVIDE DIRECT SERVICES TO INTERNATIONAL MEDICAL GRADUATES
WISHING TO REESTABLISH THEIR MEDICAL CAREERS IN THIS STATE
. THE
EXECUTIVE DIRECTOR SHALL CONTRACT WITH A THIRD PARTY TO
ADMINISTER THE ASSISTANCE PROGRAM AND SHALL COMPLY WITH THE
"PROCUREMENT CODE", ARTICLES 101 TO 112 OF TITLE 24, IN SELECTING
AND CONTRACTING WITH THE THIRD
-PARTY ADMINISTRATOR.
(2) T
HE ASSISTANCE PROGRAM MUST PROVIDE THE FOLLOWING
DIRECT SERVICES TO PROGRAM PARTICIPANTS
:
(a) R
EVIEW THE BACKGROUND , EDUCATION, TRAINING, AND
EXPERIENCE OF PROGRAM PARTICIPANTS IN ORDER TO RECOMMEND
APPROPRIATE STEPS TO ENABLE PROGRAM PARTICIPANTS TO INTEGRATE INTO
THE STATE
'S HEALTH-CARE WORKFORCE AS PHYSICIANS OR TO PURSUE AN
ALTERNATIVE HEALTH
-CARE CAREER;
(b) P
ROVIDE TECHNICAL SUPPORT AND GUIDANCE TO PROGRAM
PARTICIPANTS THROUGH THE CREDENTIAL EVALUATION PROCESS
, INCLUDING
PREPARING FOR THE
USMLE AND OTHER APPLICABLE TESTS OR
EVALUATIONS
;
(c) P
ROVIDE SCHOLARSHIPS OR ACCE SS TO SCHOLARSHIPS OR FUNDS
FOR CERTAIN PROGRAM PARTICIPANTS TO HELP COVER OR OFFSET THE COST
OF THE MEDICAL LICENSURE PROCESS
, INCLUDING THE COSTS OF THE
PAGE 4-HOUSE BILL 22-1050 CREDENTIAL EVALUATION PROCESS , PREPARING FOR THE USMLE AND
OTHER APPLICABLE TESTS OR EVALUATIONS
, THE RESIDENCY APPLICATION
PROCESS
, AND OTHER COSTS ASSOCIATED WITH RETURNING TO A CAREER IN
HEALTH CARE
;
(d) I
N PARTNERSHIP WITH COMMUNITY ORGANIZATIONS WORKING
WITH
IMGS, DEVELOP:
(I) A
VOLUNTARY ROSTER OF IMGS INTERESTED IN ENTERING THE
STATE
'S HEALTH-CARE WORKFORCE AS PHYSICIANS , IN ORDER TO ASSIST IN
ASSISTANCE PROGRAM PLANNING AND ADMINISTRATION
, INCLUDING MAKING
AVAILABLE SUMMARY REPORTS THAT SHOW THE AGGREGATE NUMBER AND
DISTRIBUTION
, BY GEOGRAPHIC LOCATION AND SPECIALTY , OF IMGS IN THE
STATE
; AND
(II) A VOLUNTARY ROSTER OF IMGS SEEKING ALTERNATIVE
HEALTH
-CARE CAREERS IN ORDER TO SUPPORT THOSE IMGS IN THEIR
INTEGRATION INTO NONPHYSICIAN HEALTH
-CARE ROLES; AND
(e) PROVIDE GUIDANCE TO IMGS TO APPLY FOR MEDICAL RESIDENCY
PROGRAMS OR OTHER PATHWAYS TO LICENSURE
.
(3) T
HE EXECUTIVE DIRECTOR SHALL DETERMINE , WITH INPUT FROM
STAKEHOLDERS AND AFTER CONSIDERING RELEVANT RESEARCH OF THE
NEEDS OF THE WORKFORCE AND
IMGS IN COLORADO, THE ELIGIBILITY
CRITERIA FOR PARTICIPATION IN THE PROGRAM
, ANY LIMITS ON THE AMOUNT
OF DIRECT SERVICES PROVIDED TO AN INDIVIDUAL PROGRAM PARTICIPANT
,
ANY CAPS ON SCHOLARSHIP AMOUNTS AVAILABLE UNDER THE ASSISTANCE
PROGRAM
, AND ANY OTHER MATTERS REGARDING THE ASSISTANCE
PROGRAM THAT THE EXECUTIVE DIRECTOR DEEMS NECESSARY
.
(4) (a) W
ITHIN ONE YEAR AFTER IMPLEMENTATION OF THE PROGRAM
AND ANNUALLY THEREAFTER
, THE THIRD-PARTY ADMINISTRATOR SHALL
SUBMIT A REPORT TO THE EXECUTIVE DIRECTOR REGARDING THE OPERATION
OF THE ASSISTANCE PROGRAM
, INCLUDING:
(I) T
HE NUMBER OF IMGS WHO PARTICIPATED IN THE PROGRAM AND
THEIR DEMOGRAPHICS
;
(II) T
HE SPECIFIC SERVICES PROVIDED TO PROGRAM PARTICIPANTS ,
PAGE 5-HOUSE BILL 22-1050 INCLUDING THE NUMBER OF PROGRAM PARTICIPANTS THAT RECEIVED THE
SERVICE AND THE COST OF PROVIDING THE SERVICE
;
(III) T
HE TOTAL AMOUNT AWARDED TO OR ACCESSED AS
SCHOLARSHIPS OR OTHER FUNDS BY PROGRAM PARTICIPANTS
, INCLUDING
THE AMOUNT OF EACH SCHOLARSHIP OR OTHER F UNDS AWARDED OR
ACCESSED AND THE ORIGINATION OF THE SCHOLARSHIP OR FUNDS
;
(IV) T
HE TOTAL COST OF PROVIDING DIRECT SERVICES UNDER THE
ASSISTANCE PROGRAM
; AND
(V) ANY OTHER INFORMATION THE THIRD -PARTY ADMINISTRATOR
DEEMS APPROPRIATE OR THE EXECUTIVE DIRECTOR REQUESTS
.
(b) T
HE REPORT MUST NOT INCLUDE ANY PERSONALLY IDENTIFYING
INFORMATION ABOUT PROGRAM PARTICIPANTS
.
(c) T
HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS PART
OF ITS REPORT PURSUANT TO SECTION
8-87-104.
8-87-103. Clinical readiness program - creation - administration
- required components - participant qualifications - report. (1) T
HE
CLINICAL READINESS PROGRAM IS ESTABLISHED IN THE DEPARTMENT TO
ASSIST
IMGS ADMITTED TO THE CLINICAL PROGRAM IN BUILDING THE SKILLS
NECESSARY TO BECOME SUCCESSFUL RESIDENTS IN THE
UNITED STATES
MEDICAL SYSTEM
. BY JANUARY 1, 2023, THE EXECUTIVE DIRECTOR SHALL
CONTRACT WITH A
COLORADO-BASED MEDICAL SCHOOL OR
ACGME-ACCREDITED RESIDENCY PROGRAM TO SERVE AS THE PROGRAM
ADMINISTRATOR RESPONSIBLE FOR DEVELOPING
, IMPLEMENTING, AND
ADMINISTERING THE CLINICAL PROGRAM
. THE EXECUTIVE DIRECTOR SHALL
COMPLY WITH THE
"PROCUREMENT CODE", ARTICLES 101 TO 112 OF TITLE
24, IN SELECTING AND CONTRACTING WITH A COLORADO MEDICAL SCHOOL
OR RESIDENCY PROGRAM TO SERV E AS THE PROGRAM ADMINISTRATOR
.
(2) (a) T
HE PROGRAM ADMINISTRATOR MUST DEVELOP AND
IMPLEMENT THE CLINICAL PROGRAM BY
JANUARY 1, 2024. IN DEVELOPING
AND IMPLEMENTING THE CLINICAL PROGRAM
, THE PROGRAM
ADMINISTRATOR MAY CONSULT AND COORDINATE WITH STAKEHOLDERS
,
INCLUDING REPRESENTATIVES FROM :
PAGE 6-HOUSE BILL 22-1050 (I) STATE AGENCIES, INCLUDING:
(A) T
HE COLORADO MEDICAL BOARD ;
(B) T
HE DEPARTMENT OF REGULATORY AGENCIES ;
(C) T
HE DEPARTMENT OF HIGHER EDUCATION ;
(D) T
HE DEPARTMENT OF LABOR AND EMPLOYMENT ;
(E) T
HE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT ;
(F) T
HE DEPARTMENT OF HEALTH CARE POLICY AND FINANCING ; AND
(G) THE OFFICE OF NEW AMERICANS CREATED IN SECTION 8-3.7-103;
(II) T
HE HEALTH-CARE INDUSTRY, INCLUDING:
(A) H
OSPITALS;
(B) C
OMMUNITY PROVIDERS; AND
(C) MEDICAL RESIDENCY PROGRAMS ;
(III) C
OMMUNITY-BASED ORGANIZATIONS , INCLUDING A
COMMUNITY
-BASED ORGANIZATION SERVING IMMIGRANTS AND REFUGEES ;
(IV) H
IGHER EDUCATION INSTITUTIONS; AND
(V) THE IMG COMMUNITY.
(b) T
HE CLINICAL PROGRAM MUST INCLUDE AT LEAST THE
FOLLOWING ELEMENTS
:
(I) A
MECHANISM FOR PROCESSING AND ASSESSING PROGRAM
APPLICATIONS
;
(II) P
ROGRAM CURRICULUM , INCLUDING CURRICULUM:
(A) P
ERTAINING TO THE PRACTICE OF ONE OR MORE PRIMARY CARE
PAGE 7-HOUSE BILL 22-1050 SPECIALTIES; AND
(B) THAT PROVIDES INPATIENT AND OUTPATIENT TRAINING
OPPORTUNITIES COMBINED WITH COMMUNITY AND CLASSROOM
-BASED
COMPONENTS TO PREPARE PROGRAM PARTICIPANTS TO MATCH INTO AND
SUCCEED IN A
UNITED STATES RESIDENCY PROGRAM ; AND
(III) AN ASSESSMENT SYSTEM TO A SSESS THE CLINICAL READINESS
OF PROGRAM PARTICIPANTS TO SERVE IN A
UNITED STATES RESIDENCY
PROGRAM
, INCLUDING CLINICAL READINESS FOR THE PRACTICE OF ONE OR
MORE PRIMARY CARE SPECIALTIES AND ADDITIONAL ASSESSMENTS AS
RESOURCES ARE AVAILABLE
.
(3) (a) T
HE PROGRAM ADMINISTRATOR SHALL DESIGNATE A
PROGRAM DIRECTOR
, WHO MUST BE A PHYSICIAN LICENSED TO PRACTICE
MEDICINE IN THIS STATE
.
(b) T
HE PROGRAM DIRECTOR SHALL :
(I) D
EVELOP AN OPERATING PLAN AND B UDGET FOR THE CLINICAL
PROGRAM
;
(II) D
EVELOP AND IMPLEMENT THE CURRICULUM FOR AND
ASSESSMENTS OF PROGRAM PARTICIPANTS FOR CLINICAL READINESS
, EXCEPT
AS PROVIDED IN SUBSECTION
(3)(c) OF THIS SECTION;
(III) W
ORK WITH RESIDENCY PROGRAMS IN THE STATE TO ADDRESS
BARRIERS
IMGS FACE IN SECURING RESIDENCY POSITIONS IN THE STATE ,
INCLUDING EVALUATING OTHER METHODS FOR TESTING AN IMG'S CLINICAL
READINESS
, EXPLORING ALTERNATIVES TO THE REQUIREMENT THAT AN
APPLICANT FOR A RESIDENCY POSITION BE A RECENT GRADUATE OF MEDICAL
SCHOOL
, AND DEVELOPING RIGOROUS CLINICAL ASSESSMENTS AND
OPPORTUNITIES FOR
IMGS TO OBTAIN IN-DEPTH CLINICAL EXPERIENCE IN
THE
UNITED STATES; AND
(IV) MAKE REPORTS AND RECOMMENDATIONS AS REQUIRED BY
SUBSECTION
(7) OF THIS SECTION.
(c) T
HE PROGRAM DIRECTOR MAY CONTRACT WITH AN INDEPENDENT
ENTITY OR A STATE AGENCY TO CONDUCT ASSESSMENTS OF THE CLINICAL
PAGE 8-HOUSE BILL 22-1050 READINESS OF PROGRAM PARTICIPANTS .
(4) T
O QUALIFY TO PARTICIPATE IN THE CLINICAL PROGRAM , AN
APPLICANT MUST
:
(a) B
E AN IMG WHOSE MEDICAL DEGREE OR QUALIFICATIONS HAVE
BEEN EVALUATED BY A CREDENTIALING AGENCY APPROVED BY THE
COLORADO MEDICAL BOARD AND DETERMINED TO BE EQUIVALENT TO A
MEDICAL DEGREE FROM AN ACCREDITED MEDICAL SCHOOL IN THE
UNITED
STATES OR CANADA OR A STATE OR COUNTRY WITH WHICH COLORADO HAS
A RECIPROCAL LICENSE AGREEMENT
; AND
(b) HAVE ACHIEVED A PASSING SCORE ON THE USMLE STEP ONE
AND STEP TWO EXAMINATIONS
.
(5) O
NCE A PROGRAM PARTICIPANT COMPLETES THE CURRICULUM
FOR THE CLINICAL PROGRAM
, THE PROGRAM DIRECTOR OR AN ENTITY WITH
WHOM THE PROGRAM DIRECTOR C ONTRACTS SHALL ASSESS THE PROGRAM
PARTICIPANT FOR CLINICAL READINESS FOR A RESIDENCY PROGRAM
. IF THE
PROGRAM PARTICIPANT PASSES THE ASSESSMENT
, THE PROGRAM DIRECTOR
SHALL
:
(a) I
SSUE THE PROGRAM PARTICIPANT AN INDUSTRY -RECOGNIZED
CREDENTIAL OF CLINICAL READINESS
; AND
(b) SUBMIT A REPORT AND RECOMMENDATION TO THE
ADMINISTRATOR OF THE ASSISTANCE PROGRAM AND THE DEPARTMENT
REGARDING THE PROGRAM PARTICIPANT
.
(6) T
HE PROGRAM ADMINISTRATOR SHALL ALLOW AN IMG WHO
SUCCESSFULLY COMPLETES THE CLINICAL PROGRAM TO INTERVIEW FOR A
POSITION IN THE PROGRAM ADMINISTRATOR
'S RESIDENCY PROGRAM.
(7) (a) B
Y JANUARY 1, 2025, AND BY EACH JANUARY 1 THEREAFTER,
THE PROGRAM DIRECTOR, IN CONSULTATION WITH THE COLORADO MEDICAL
BOARD AND OTHER STAKEHOLDERS
, SHALL SUBMIT A REPORT REGARDING
THE CLINICAL PROGRAM TO
:
(I) T
HE EXECUTIVE DIRECTOR; AND
PAGE 9-HOUSE BILL 22-1050 (II) THE EXECUTIVE DIRECTOR OF THE DEPARTMENT OF REGULATORY
AGENCIES
.
(b) T
HE REPORT MUST INCLUDE:
(I) I
NFORMATION ABOUT THE OPERATIONS OF THE CLINICAL
PROGRAM
, INCLUDING THE NUMBER OF IMGS WHO PARTICIPATED IN AND
COMPLETED THE CLINICAL PROGRAM
; AND
(II) RECOMMENDATIONS REGARDING :
(A) C
HANGES TO PROFESSIONAL LICENSURE REQUIREMENTS THAT
PROMOTE THE INCREASED UTILIZATION OF
IMGS IN THE STATE'S
HEALTH
-CARE WORKFORCE; AND
(B) THE CREATION OF A CERTIFICATION RECOGNIZED BY THE
DEPARTMENT
, THE DEPARTMENT OF HIGHER EDUCATION , OR THE UNITED
STATES DEPARTMENT OF LABOR .
(c) T
HE REPORT MUST NOT INCLUDE ANY PERSONALLY IDENTIFYING
INFORMATION ABOUT ANY PROGRAM PARTICIPANT
.
(d) T
HE EXECUTIVE DIRECTOR SHALL INCLUDE THE REPORT AS PART
OF ITS REPORT PURSUANT TO SECTION
8-87-104.
8-87-104. Report to the general assembly. T
HE EXECUTIVE
DIRECTOR SHALL REPORT ON THE ASSISTANCE PROGRAM AND THE CLINICAL
PROGRAM AS PART OF THE DEPARTMENT
'S ANNUAL REPORTING UNDER THE
"STATE MEASUREMENT FOR ACCOUNTABLE, RESPONSIVE, AND
TRANSPARENT (SMART) GOVERNMENT ACT", PART 2 OF ARTICLE 7 OF
TITLE
2. THE EXECUTIVE DIRECTOR SHALL INCLUDE IN THE REPORT
PURSUANT TO THIS SECTION INFORMATION INCLUDED IN THE REPORTS
SUBMITTED TO THE EXECUTIVE DIRECTOR PURSUANT TO SECTIONS
8-87-102
(4)
AND 8-87-103 (7) AND INFORMATION REGARDING ANY PROGRESS MADE
PURSUANT TO SECTION
8-87-103 (3)(b)(III) IN ADDRESSING BARRIERS
INTERNATIONAL MEDICAL GRADUATES FACE IN SECURING POSITIONS IN
MEDICAL RESIDENCY PROGRAMS
.
8-87-105. Funding for programs - gifts, grants, and donations -
implementation contingent on receipt of funding. (1) T
HE GENERAL
PAGE 10-HOUSE BILL 22-1050 ASSEMBLY MAY APPROPRIATE MONEY FROM THE GENERAL FUND OR ANY
OTHER SOURCE TO THE DEPARTMENT FOR THE PURPOSES OF IMPLEMENTING
AND ADMINISTERING THE ASSISTANCE PROGRAM AND THE CLINICAL
PROGRAM PURSUANT TO THIS ARTICLE
87.
(2) T
HE DEPARTMENT MAY SEEK , ACCEPT, AND EXPEND GIFTS,
GRANTS, OR DONATIONS FROM PRIVATE OR PUBLIC SOURCES FOR THE
PURPOSES OF IMPLEMENTING AND ADMINISTERING THE ASSISTANCE
PROGRAM AND THE CLINICAL PROGRAM PURSUANT TO THIS ARTICLE
87.
(3) (a) U
NLESS THE DEPARTMENT RECEIVES AN AMOUNT OF
APPROPRIATIONS
, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER
THE COSTS OF THE ASSISTANCE PROGRAM
, THE DEPARTMENT SHALL NOT
IMPLEMENT THE ASSISTANCE PROGRAM
.
(b) U
NLESS THE DEPARTMENT RECEIVES AN AMOUNT OF
APPROPRIATIONS
, GIFTS, GRANTS, AND DONATIONS SUFFICIENT TO COVER
THE COSTS OF THE CLINICAL PROGRAM
, THE DEPARTMENT SHALL NOT
IMPLEMENT THE CLINICAL PROGRAM
.
SECTION 3. In Colorado Revised Statutes, 12-240-104, amend
(5.7); and add (5.6) as follows:
12-240-104. Definitions. As used in this article 240, unless the
context otherwise requires:
(5.6) "D
ISTANT SITE" HAS THE MEANING SET FORTH IN SECTION
10-16-123 (4)(a).
(5.7) "Distant site" has the meaning set forth in section 10-16-123
(4)(a) "INTERNATIONAL MEDICAL GRADUATE " MEANS A PHYSICIAN WHO
RECEIVED A BASIC MEDICAL DEGREE OR QUALIFICATIONS FROM A MEDICAL
SCHOOL OUTSIDE OF THE
UNITED STATES OR CANADA.
SECTION 4. In Colorado Revised Statutes, 12-240-114, amend (1)
introductory portion as follows:
12-240-114. International medical graduates - degree
equivalence. (1) For graduates of schools other than those approved by the
Liaison Committee on Medical Education or the American Osteopathic
PAGE 11-HOUSE BILL 22-1050 Association, or the successor of either entity INTERNATIONAL MEDICAL
GRADUATES
, the board may
SHALL require three years ONE YEAR of
postgraduate clinical training approved by the board. An applicant whose
foreign
INTERNATIONAL medical school is not an approved medical college
is eligible for licensure at the discretion of the board if the applicant meets
all other requirements for licensure and holds specialty board certification,
current at the time of application for licensure, conferred by a regular
member board of the American Board of Medical Specialties or the
American Osteopathic Association. The factors to be considered by the
board in the exercise of its discretion in determining the qualifications of
applicants shall
MUST include the following:
SECTION 5. In Colorado Revised Statutes, 12-240-119, amend (1)
and (2)(a) introductory portion; and add (2)(a.5) and (4) as follows:
12-240-119. Reentry license - period of inactivity - international
medical graduate - competency assessment - board rules - conversion
to full license. (1) (a) Notwithstanding any other provision of this article
240, the board may issue a reentry license to:
(I) A physician,
A physician assistant, or AN anesthesiologist
assistant who has not actively practiced medicine, practiced as a physician
assistant, or practiced as an anesthesiologist assistant, as applicable, for the
two-year period immediately preceding the filing of an application for a
reentry license, or who has not otherwise maintained continued competency
during that period, as determined by the board;
OR
(II) AN INTERNATIONAL MEDICAL GRADUATE WHO :
(A) H
OLDS A CURRENT OR EXPIRED INTERNATIONAL LICENSE OR
MEETS OTHER QUALIFICATIONS SPECIFIED BY THE BOARD BY RULE
; AND
(B) SATISFIES ANY OTHER REQUIREMENTS ESTABLISHED BY THE
BOARD BY RULE
, WHICH MAY INCLUDE A RECOMMENDATION OF THE
INTERNATIONAL MEDICAL GRADUATE FROM THE ADMINISTRATOR OF THE
IMG ASSISTANCE PROGRAM CREATED IN SECTION 8-87-102 OR FROM THE
PROGRAM DIRECTOR OF THE CLINICAL READINESS PROGRAM CREATED IN
SECTION
8-87-103 OR A REQUIREMENT FOR SPECIFIC TRAINING.
(b) The board may charge a fee for a reentry license.
PAGE 12-HOUSE BILL 22-1050 (2) (a) In order to qualify for a reentry license, the physician,
physician assistant, or anesthesiologist assistant, OR INTERNATIONAL
MEDICAL GRADUATE
shall submit to evaluations, assessments, and an
educational program as required by the board. The board may work with a
private entity that specializes in physician, physician assistant, or
anesthesiologist assistant assessment to:
(a.5) F
OR INTERNATIONAL MEDICAL GRADUATES , THE BOARD MAY
APPROVE AN ASSESSMENT MODEL TO ASSESS THE COMPETENCY OF
INTERNATIONAL MEDICAL GRADUATES APPLYING FOR A REENTRY LICENSE
UNDER THIS SECTION AND SHALL APPROVE CRITERIA
, INCLUDING MINIMUM
REQUIREMENTS
, STANDARDS, AND COMPETENCIES, FOR THE ASSESSMENT OF
THESE APPLICANTS
.
(4) T
HE BOARD SHALL ADOPT RULES AS NECESSARY :
(a) T
O SPECIFY REQUIREMENTS APPLICABLE TO INTERNATIONAL
MEDICAL GRADUATES PURSUANT TO SUBSECTION
(1)(a)(II) OF THIS SECTION;
AND
(b) REGARDING THE CRITERIA FOR AN ASSESSMENT MODEL TO
ASSESS THE COMPETENCY OF INTERNATIONAL MEDICAL GRADUATES
PURSUANT TO SUBSECTION
(2) OF THIS SECTION.
SECTION 6. Safety clause. The general assembly hereby finds,
PAGE 13-HOUSE BILL 22-1050 determines, and declares that this act is necessary for the immediate
preservation of the public peace, health, or safety.
____________________________ ____________________________
Alec Garnett Steve Fenberg
SPEAKER OF THE HOUSE PRESIDENT OF
OF REPRESENTATIVES THE SENATE
____________________________ ____________________________
Robin Jones Cindi L. Markwell
CHIEF CLERK OF THE HOUSE SECRETARY OF
OF REPRESENTATIVES THE SENATE
APPROVED________________________________________
(Date and Time)
_________________________________________
Jared S. Polis
GOVERNOR OF THE STATE OF COLORADO
PAGE 14-HOUSE BILL 22-1050