89R14997 CMO-F By: McLaughlin H.B. No. 4186 A BILL TO BE ENTITLED AN ACT relating to student loan repayment assistance for certain physicians employed as county medical examiners. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 61.532, Education Code, is amended by adding Subsection (a-1) to read as follows: (a-1) A physician employed as a forensic pathologist is eligible to receive repayment assistance under this subchapter to the same extent as a physician who qualifies for repayment assistance under Subsection (a), if the physician: (1) satisfies the requirements of Subsections (a)(1) and (2); and (2) enters into a written agreement with the board to complete four consecutive years of practice as a forensic pathologist employed as a county medical examiner in a county located within 100 kilometers of the Rio Grande River. SECTION 2. Section 61.533, Education Code, is amended by adding Subsections (c) and (d) to read as follows: (c) Repayment assistance grants paid in relation to services described by Section 61.532(a-1) are limited to 10 physicians. In selecting physicians to receive repayment assistance under this subsection, the board shall prioritize physicians employed as a county medical examiner serving counties with the highest demand for forensic pathologist services based on: (1) the relative scarcity of forensic pathologists in the county; and (2) the average caseload of the county medical examiner. (d) A physician employed as a forensic pathologist who enters into an agreement with the board under Section 61.532(a-1)(2) shall reimburse the board for the amount of any repayment assistance received by the physician under this subchapter if the physician fails to complete the consecutive years of practice required by that section. The board by rule may provide an exception to the reimbursement required under this subsection in the event of a hardship or for other good cause shown by a physician. SECTION 3. This Act takes effect September 1, 2025.