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Senate panel advances discussion of S.142 to create two-step licensure pathway for internationally trained physicians

Senate Health & Welfare · February 13, 2026
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Summary

Sen. Wendy Harrison introduced S.142, a two-step provisional-to-limited licensure pathway aimed at expanding Vermont's primary-care workforce. Supporters from hospitals, FQHCs and advocacy groups backed the bill; debate centered on a 3-of-5-years recency requirement and implementation resources for the Board of Medical Practice.

Montpelier — The Senate Health & Welfare Committee on Tuesday took up S.142, a bill sponsored by Sen. Wendy Harrison that would establish a two-step licensure pathway for internationally trained physicians and medical graduates to practice in Vermont.

Harrison, the bill's lead sponsor, told the committee the measure aims to increase primary-care capacity, especially in rural areas, by allowing qualified internationally trained physicians to receive a provisional, supervised license for two years and then a limited license for up to two additional years before applying for full, unrestricted licensure. The bill requires applicants to submit credential evaluations, show prior licensure in another country, and meet U.S. Medical Licensing Examination requirements (steps 1 and 2 for the provisional stage; step 3 for the limited license), Harrison said.

Why it matters: Witnesses said Vermont faces a growing shortage of primary-care providers and that a supervised, mentored pathway would add capacity while preserving patient-safety safeguards. Michael Zimmer of World Education Services told the committee Vermont…

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