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Senate approves pilot pathway to physician licensure for international medical graduates
Summary
Substitute Senate Bill 5,185, creating a pilot program to establish a pathway to physician licensure for international medical graduates, passed the Senate Feb. 5, 2026; the section expires on 06/30/2035 as read on the floor.
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The Washington State Senate on Feb. 5, 2026, advanced and passed Substitute Senate Bill 5,185, a pilot program intended to create a pathway to physician licensure for internationally trained physicians working in the state.
Context: Sponsor Senator Saldanha said the pilot addresses workforce shortages and enables internationally trained physicians already working in parts of Washington to pursue permanent licensure. "This program creates a pathway to permanent licensure," she said, noting years of advocacy by international medical graduates and stakeholder groups.
Provisions and timeline: The floor text as read included an expiration for the section on June 30, 2035. Senators emphasized safety oversight by the Washington State Medical Commission and protections incorporated through negotiation with the Washington State Medical Association and community health partners.
Vote and procedure: The Senate suspended rules to advance the substitute to third reading and final passage; the presiding officer declared the bill passed by constitutional majority.
Next steps: The enrolled bill should be consulted for effective dates and implementation details; relevant state agencies (Medical Commission, Department of Health) will be responsible for rule-making and oversight if the bill proceeds to enrollment and the governor's signature.
