SB 1054 - HB 1201
FISCAL NOTE
Fiscal Review Committee
Tennessee General Assembly
March 10, 2025
Fiscal Analyst: Chris Higgins | Email: chris.higgins@capitol.tn.gov | Phone: 615-741-2564
SB 1054 - HB 1201
SUMMARY OF BILL: Establishes that the Board of Medical Examiners (Board) is required
to only issue a foreign training license of limited duration to an internationally licensed physician
who possesses a certificate from an approved medical school and a copy of a permanent
Educational Commission for Foreign Medical Graduates certificate. Requires the internationally
licensed physician to have been in good standing with the medical licensing or regulatory institution
of the licensing country within the last five years and not have any pending discipline before such
body. Establishes that an applicant for a foreign training license must be legally entitled to live or
work in the United States, have sufficient evidence of good moral character, and have paid the
appropriate application and examination fees.
FISCAL IMPACT:
NOT SIGNIFICANT
Assumptions:
• Pursuant to Tenn. Code Ann. § 63-6-207(g)(1), the Board may issue a foreign training
license of limited duration to an international medical school graduate who has
demonstrated competency as determined by the Board; completed a postgraduate training
program of a minimum of three years in the graduate's licensing country; and has otherwise
practiced as a medical professional performing the duties of a physician for the last three
years outside the United States.
• The proposed legislation limits eligibility for a foreign training license to only internationally
licensed physicians and requires applicants to meet additional criteria.
• Public Chapter 929 of 2024, which established the current standards for foreign training
licenses, went into effect on January 1, 2025, and the Board rules regarding issuance of
foreign training licenses are not yet finalized.
• It is assumed that the Board can accommodate the required changes to licensure criteria
utilizing existing resources, without a significant increase in expenditures.
• Applicants for a foreign training license are currently required to pay an application fee of
$1,010.
• Any change in the amount of licensing revenue collected by the Board as a result of the
proposed legislation is estimated to be not significant.
SB 1054 - HB 1201 2
CERTIFICATION:
The information contained herein is true and correct to the best of my knowledge.
Bojan Savic, Executive Director