1 | 1 | | By: Harrison H.B. No. 5074 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | A BILL TO BE ENTITLED |
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5 | 5 | | AN ACT |
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6 | 6 | | relating to the issuance of a license to practice medicine to |
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7 | 7 | | certain applicants licensed or educated in a foreign country. |
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8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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9 | 9 | | SECTION 1. Subchapter A, Chapter 155, Occupations Code, is |
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10 | 10 | | amended by adding Sections 155.012 and 155.013 to read as follows: |
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11 | 11 | | Sec. 155.012. ISSUANCE OF LICENSE TO APPLICANT LICENSED TO |
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12 | 12 | | PRACTICE MEDICINE IN CERTAIN FOREIGN COUNTRIES. Notwithstanding |
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13 | 13 | | Sections 155.003, 155.004, 155.005, and 155.051, the board shall |
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14 | 14 | | issue a license to practice medicine to an applicant who presents |
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15 | 15 | | proof satisfactory to the board that the applicant: |
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16 | 16 | | (1) is a resident of and licensed in good standing to |
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17 | 17 | | practice medicine in Australia, Canada, Ireland, Israel, New |
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18 | 18 | | Zealand, Singapore, South Africa, Switzerland, or the United |
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19 | 19 | | Kingdom; |
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20 | 20 | | (2) has been granted a degree of doctor of medicine or |
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21 | 21 | | a substantially similar degree by a program of medical education |
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22 | 22 | | determined by the board to be in good standing in accordance with |
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23 | 23 | | board rule; |
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24 | 24 | | (3) has: |
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25 | 25 | | (A) completed a residency or substantially |
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26 | 26 | | similar post-graduate medical training in the applicant's country |
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27 | 27 | | of residence; or |
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28 | 28 | | (B) practiced as a medical professional |
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29 | 29 | | performing the duties of a physician in the applicant's country of |
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30 | 30 | | residence for not less than two years; |
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31 | 31 | | (4) has proficiency in the English language; and |
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32 | 32 | | (5) is authorized under federal law to work in the |
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33 | 33 | | United States. |
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34 | 34 | | Sec. 155.013. ISSUANCE OF LICENSE TO GRADUATE OF CERTAIN |
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35 | 35 | | BOARD-APPROVED FOREIGN MEDICAL PROGRAMS. (a) Notwithstanding |
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36 | 36 | | Sections 155.003, 155.004, and 155.005, the board shall issue a |
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37 | 37 | | license to practice medicine to an applicant who satisfies: |
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38 | 38 | | (1) the eligibility requirements of this section; and |
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39 | 39 | | (2) the examination requirements of Section 155.051. |
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40 | 40 | | (b) To be eligible for a license under this section, an |
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41 | 41 | | applicant must present proof satisfactory to the board that the |
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42 | 42 | | applicant: |
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43 | 43 | | (1) has been granted a degree of doctor of medicine or |
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44 | 44 | | a substantially similar degree by a foreign medical program |
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45 | 45 | | approved under Subsection (c); |
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46 | 46 | | (2) is licensed in good standing to practice medicine |
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47 | 47 | | in another country; |
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48 | 48 | | (3) has: |
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49 | 49 | | (A) completed a residency or substantially |
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50 | 50 | | similar post-graduate medical training in the applicant's country |
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51 | 51 | | of licensure; or |
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52 | 52 | | (B) practiced as a medical professional |
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53 | 53 | | performing the duties of a physician in the applicant's country of |
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54 | 54 | | licensure for not less than two years; |
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55 | 55 | | (4) has proficiency in the English language; and |
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56 | 56 | | (5) is authorized under federal law to work in the |
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57 | 57 | | United States. |
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58 | 58 | | (c) The board shall adopt rules regarding the approval of |
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59 | 59 | | foreign medical programs for purposes of this section. Rules |
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60 | 60 | | adopted under this subsection must provide that a foreign medical |
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61 | 61 | | program is eligible to apply under this section only if the program |
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62 | 62 | | is a medical school, residency program, medical internship program, |
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63 | 63 | | or other entity that provides medical education or training outside |
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64 | 64 | | of the United States that is substantially similar to the education |
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65 | 65 | | or training provided by a medical school described by Section |
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66 | 66 | | 155.003(a)(4). |
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67 | 67 | | (d) The board shall approve an application under this |
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68 | 68 | | section not later than the 120th day after the date the application |
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69 | 69 | | is submitted unless: |
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70 | 70 | | (1) the board determines the applicant does not meet |
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71 | 71 | | the eligibility requirements described by Subsection (c); or |
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72 | 72 | | (2) the board finds by clear and convincing evidence |
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73 | 73 | | that the majority of the program's graduates are not likely to |
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74 | 74 | | provide medical care that satisfies applicable board standards |
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75 | 75 | | relating to safety, competency, or professional conduct in the |
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76 | 76 | | practice of medicine. |
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77 | 77 | | (e) A foreign medical program may appeal the board's denial |
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78 | 78 | | of the program's application under this section. The appeal is |
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79 | 79 | | considered to be a contested case under Chapter 2001, Government |
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80 | 80 | | Code. |
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81 | 81 | | (f) The board shall approve for purposes of this section a |
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82 | 82 | | foreign medical program if at least five graduates of the program |
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83 | 83 | | have been issued a license to practice medicine under Section |
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84 | 84 | | 155.1015(c). |
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85 | 85 | | (g) The board shall maintain on the board's Internet website |
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86 | 86 | | a list of all foreign medical programs approved under this section |
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87 | 87 | | and provide a copy of the list on request. |
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88 | 88 | | SECTION 2. Subchapter C, Chapter 155, Occupations Code, is |
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89 | 89 | | amended by adding Section 155.1015 to read as follows: |
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90 | 90 | | Sec. 155.1015. ISSUANCE OF PROVISIONAL LICENSE TO CERTAIN |
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91 | 91 | | FOREIGN MEDICAL PROGRAM GRADUATES WITH OFFERS OF EMPLOYMENT. (a) |
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92 | 92 | | On application, the board shall issue a provisional license to |
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93 | 93 | | practice medicine to an applicant who: |
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94 | 94 | | (1) has been granted a degree of doctor of medicine or |
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95 | 95 | | a substantially similar degree by a foreign program of medical |
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96 | 96 | | education determined to be in good standing in accordance with |
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97 | 97 | | board rule; |
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98 | 98 | | (2) is licensed in good standing to practice medicine |
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99 | 99 | | in another country; |
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100 | 100 | | (3) has: |
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101 | 101 | | (A) completed a residency or substantially |
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102 | 102 | | similar post-graduate medical training in the applicant's country |
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103 | 103 | | of licensure; or |
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104 | 104 | | (B) practiced as a medical professional |
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105 | 105 | | performing the duties of a physician in the applicant's country of |
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106 | 106 | | licensure for not less than two years; |
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107 | 107 | | (4) has proficiency in the English language; |
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108 | 108 | | (5) is authorized under federal law to work in the |
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109 | 109 | | United States; |
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110 | 110 | | (6) passes the examination required by Section |
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111 | 111 | | 155.051; and |
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112 | 112 | | (7) has been offered employment in this state as a |
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113 | 113 | | physician by a person who provides health care services in the |
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114 | 114 | | normal course of business, including a health system, hospital, |
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115 | 115 | | hospital-based facility, freestanding emergency facility, or |
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116 | 116 | | urgent care clinic. |
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117 | 117 | | (b) A provisional license issued under this section expires |
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118 | 118 | | on the earlier of: |
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119 | 119 | | (1) the date the board issues the provisional license |
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120 | 120 | | holder a license under this subtitle or denies the provisional |
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121 | 121 | | license holder's application for a license under Subsection (c); or |
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122 | 122 | | (2) the third anniversary of the date the provisional |
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123 | 123 | | license was issued. |
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124 | 124 | | (c) On application, the board shall issue a license under |
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125 | 125 | | this subtitle to the holder of a provisional license under this |
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126 | 126 | | section if the provisional license holder: |
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127 | 127 | | (1) will have practiced under the provisional license |
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128 | 128 | | for at least three years at the time the license will be issued; |
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129 | 129 | | (2) passes the examination required by Section |
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130 | 130 | | 155.051; and |
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131 | 131 | | (3) satisfies any other requirement under board rule |
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132 | 132 | | for the issuance of a license under this subsection. |
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133 | 133 | | SECTION 3. Not later than December 1, 2023, the Texas |
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134 | 134 | | Medical Board shall adopt rules as necessary to implement Sections |
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135 | 135 | | 155.012, 155.013, and 155.1015, Occupations Code, as added by this |
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136 | 136 | | Act. |
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137 | 137 | | SECTION 4. This Act takes effect September 1, 2023. |
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