EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
[Brackets] indicate matter deleted from existing law.
Underlining indicates amendments to bill.
Strike out indicates matter stricken from the bill by amendment or deleted from the law by
amendment.
*hb1199*
HOUSE BILL 1199
J2 5lr2981
By: Delegates Hill, Feldmark, Patterson, Taveras, Wims, and Woorman Woorman,
Alston, Bagnall, Bhandari, Cullison, Guzzone, S. Johnson, Kaiser, Kerr,
Martinez, Pena–Melnyk, Rosenberg, Ross, White Holland, and Woods
Introduced and read first time: February 6, 2025
Assigned to: Health and Government Operations
Committee Report: Favorable with amendments
House action: Adopted with floor amendments
Read second time: March 17, 2025
CHAPTER ______
AN ACT concerning 1
Physicians – Licensing – Internationally Trained Physicians 2
FOR the purpose of authorizing the State Board of Physicians to issue a certain license to 3
practice medicine to an internationally trained physician under certain 4
circumstances; and generally relating to the licensure of internationally trained 5
physicians. 6
BY adding to 7
Article – Health Occupations 8
Section 14–321 9
Annotated Code of Maryland 10
(2021 Replacement Volume and 2024 Supplement) 11
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 12
That the Laws of Maryland read as follows: 13
Article – Health Occupations 14
14–321. 15
(A) (1) BEGINNING OCTOBER 1, 2027, THE BOARD MAY ISSUE A LICENSE 16
TO PRACTICE MEDICINE TO A PHYSICIAN LICEN SED IN A COUNTRY OTH ER THAN THE 17 2 HOUSE BILL 1199
UNITED STATES, ITS TERRITORIES OR P OSSESSIONS, PUERTO RICO, OR CANADA 1
WHO MEETS THE REQUIR EMENTS OF THIS SECTI ON. 2
(2) THE TERM OF A LICENSE ISSUED BY THE BOARD UNDER THIS 3
SECTION MAY NOT EXCEE D 3 YEARS. 4
(3) A LICENSE ISSUED BY TH E BOARD UNDER THIS SECT ION MAY NOT 5
BE RENEWED . 6
(B) AN APPLICANT SHALL SU BMIT EVIDENCE ACCEPT ABLE TO THE BOARD 7
THAT THE APPLICANT : 8
(1) HAS RECEIVED A DEGREE OF DOCTOR OF MEDICIN E OR ITS 9
EQUIVALENT FROM A LEGALLY CHARTERED MEDICAL SC HOOL OUTSIDE THE 10
UNITED STATES, ITS TERRITORIES OR P OSSESSIONS, PUERTO RICO, OR CANADA 11
THAT IS RECOGNIZED B Y THE WORLD HEALTH ORGANIZATION; 12
(2) HAS COMPLETED AT LEAS T 2 YEARS OF POSTGRADUAT E 13
TRAINING IN THE COUN TRY IN WHICH THE APPLI CANT IS LICENSED THA T IS 14
EQUIVALENT TO A POST GRADUATE RESIDENCY P ROGRAM ACCREDITED BY THE 15
ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION; 16
(3) HAD NO DISCIPLINE OR COMPETENCY ISSUES RA ISED DURING 17
THE APPLICANT ’S POSTGRADUATE TRA INING; 18
(4) (3) HAS BEEN LICENSED OR OTHERWISE AUTHORIZED TO 19
PRACTICE MEDICINE IN A COUNTRY OTHER THAN THE UNITED STATES, ITS 20
TERRITORIES OR POSSE SSIONS, PUERTO RICO, OR CANADA, AND HAS PRACTICED 21
MEDICINE FOR AT LEAS T 5 OF THE 7 YEARS IMMEDIATELY PRECEDING THE DATE O F 22
APPLICATION; 23
(5) (4) IS IN GOOD STANDING W ITH THE MEDICAL LICE NSING OR 24
REGULATORY AUTHORITY IN THE COUNTRY OTHER THAN THE UNITED STATES, ITS 25
TERRITORIES OR POSSE SSIONS, PUERTO RICO, OR CANADA WITH WHICH THE 26
BOARD, THE FEDERATION OF STATE MEDICAL BOARDS, OR ANOTHER NATIONALL Y 27
RECOGNIZED MEDICAL S TANDARDS OVERSIGHT E NTITY IS ABLE TO VER IFY THE 28
PHYSICIAN’S DISCIPLINE AND CRI MINAL BACKGROUND HIS TORY; 29
(6) (5) HAS NOT BEEN PREVIOUSLY DISCIPLINED AND HAS NO 30
PENDING DISCIPLINARY MATTERS BEFORE ANY LICENSING OR REGULATORY BODY ; 31
(7) (6) HAS A VALID CERTIFICA TE ISSUED BY THE EDUCATIONAL 32
COMMISSION FOR FOREIGN MEDICAL GRADUATES; 33
HOUSE BILL 1199 3
(8) (7) HAS ACHIEVED A PASSIN G SCORE ON STEP 1, STEP 2 1
(CLINICAL KNOWLEDGE ), AND STEP 3 OF THE UNITED STATES MEDICAL 2
LICENSING EXAMINATION; 3
(9) HAS RESIDED IN THE STATE FOR AT LEAST 1 YEAR; 4
(8) IS DOMICILED IN THE STATE; 5
(10) (9) DEMONSTRATES ORAL AND WRITTEN COMPETENCY I N THE 6
ENGLISH LANGUAGE ; 7
(11) (10) IS OF GOOD MORAL CHAR ACTER; 8
(12) (11) MEETS THE REQUIREMENT S UNDER §§ 14–309 AND 14–313 9
OF THIS SUBTITLE; AND 10
(13) (12) HAS SATISFIED ANY OTH ER CRITERIA ESTABLIS HED BY THE 11
BOARD FOR ISSUANCE OF A LICENSE UNDER THIS SECTION. 12
(C) THE BOARD MAY DETERMINE A N APPLICANT INELIGIB LE FOR 13
LICENSURE IF THE APP LICANT HAD: 14
(1) A PREVIOUS DISCIPLINAR Y ACTION; OR 15
(2) DISCIPLINE OR COMPETENCY ISSUES DURING THE APPLICANT ’S 16
POSTGRADUATE TRAININ G. 17
(C) (D) THE BOARD MAY REVOKE A LI CENSE ISSUED UNDER THIS 18
SECTION IF: 19
(1) THE LICENSEE HAS PRAC TICED OUTSIDE THE SC OPE OF THE 20
LICENSE; 21
(2) THE LICENSEE’S EMPLOYMENT IS TERM INATED; 22
(3) THE LICENSEE HAS BEEN THE SUBJECT OF A DIS CIPLINARY 23
ACTION; OR 24
(4) THE LICENSEE IS NO LO NGER ELIGIBLE FOR THE LICENSE . 25
(D) (E) THE BOARD SHALL ADOPT REG ULATIONS: 26
(1) TO ESTABLISH MINIMUM QUALIFICATIONS AND A PPLICATION 27
FEES FOR A LICENSE I SSUED UNDER THIS SEC TION; 28
4 HOUSE BILL 1199
(2) TO ESTABLISH CONDITIO NS APPLICABLE TO A L ICENSEE; 1
(3) TO PROVIDE A PATHWAY TO FULL LICENSURE AFTER THE 2
LICENSEE SUCCESSFULL Y SATISFIES ANY LICE NSE CONDITIONS ESTAB LISHED BY 3
THE BOARD UNDER ITEM (2) OF THIS SUBSECTION ; AND 4
(4) NECESSARY FOR THE IMP LEMENTATION , ADMINISTRATION , AND 5
ENFORCEMENT OF THIS SECTION. 6
SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 7
October 1, 2025. 8
Approved:
________________________________________________________________________________
Governor.
________________________________________________________________________________
Speaker of the House of Delegates.
________________________________________________________________________________
President of the Senate.