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Committee advances bill to create supervised provisional license pathway for internationally trained physicians

State Senate Health and Human Services Committee · February 5, 2026
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Summary

The Senate Health and Human Services committee passed a substitute to S.B. 427 to allow internationally trained physicians to hold limited provisional licenses while working under supervision in rural counties, licensed hospitals or accredited medical schools; supporters said the pathway helps address physician shortages, while members raised questions about scope, oversight and immigration status.

The Senate Health and Human Services committee advanced a substitute to S.B. 427 after an extended presentation, several rounds of questioning and supportive testimony from the medical board and advocacy groups.

The bill creates a limited provisional license for internationally trained physicians (ITPs) who meet defined eligibility criteria: a current active foreign license not expired more than three years, recognized medical-school credentials (or IAMRA-equivalent recognition), a minimum period of postgraduate practice or residency, demonstrated English proficiency, and legal authorization to work in the United States. Under the substitute, provisional licensees may practice only under the supervision of a designated supervising physician in a rural county, at a licensed hospital, or at an accredited medical school; a medical director would oversee the program and the composite board would quantify participants.

The sponsor…

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