Bill Text: IA SF439 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to the licensure of internationally trained physicians and including effective date provisions.(See SF 477.)
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2023-03-01 - Committee report approving bill, renumbered as SF 477. S.J. 454. [SF439 Detail]
Download: Iowa-2023-SF439-Introduced.html
Senate
File
439
-
Introduced
SENATE
FILE
439
BY
BOUSSELOT
A
BILL
FOR
An
Act
relating
to
the
licensure
of
internationally
trained
1
physicians
and
including
effective
date
provisions.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
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Section
1.
NEW
SECTION
.
148I.1
Definitions.
1
For
the
purposes
of
this
chapter:
2
1.
“Board”
means
the
board
of
medicine
established
pursuant
3
to
chapter
147.
4
2.
“Health
care
facility”
means
all
of
the
following:
5
a.
A
facility
as
defined
in
section
514J.102.
6
b.
A
facility
licensed
pursuant
to
chapter
135B.
7
c.
A
facility
licensed
pursuant
to
chapter
135C.
8
3.
“International
medical
graduate”
means
an
individual
who
9
meets
all
of
the
following
requirements:
10
a.
Has
a
medical
doctorate
or
substantially
similar
degree
11
issued
by
an
international
medical
program
in
good
standing.
12
b.
Is
in
good
standing
with
the
medical
licensing
or
13
regulatory
institution
of
the
individual’s
resident
country.
14
c.
Has
completed
a
residency
or
substantially
similar
15
post-graduate
medical
training
in
the
individual’s
resident
16
country
or
has
practiced
as
a
medical
professional
performing
17
medicine
and
surgery
or
osteopathic
medicine
and
surgery
for
18
at
least
two
years.
19
d.
Possesses
basic
fluency
in
the
English
language.
20
4.
“International
medical
program”
means
a
medical
school,
21
residency
program,
medical
internship
program,
or
entity
that
22
provides
physicians
with
a
medical
education
or
training
23
outside
of
the
United
States
that
is
substantially
similar
to
24
the
practice
of
medicine
and
surgery
or
osteopathic
medicine
25
and
surgery
in
Iowa.
26
Sec.
2.
NEW
SECTION
.
148I.2
Licensure
of
international
27
medical
graduates.
28
1.
The
board
shall
a
grant
a
license
to
practice
medicine
29
and
surgery
or
osteopathic
medicine
and
surgery
in
this
state
30
to
an
international
medical
graduate
who
is
a
resident
of
and
31
licensed
to
practice
in
any
of
the
following
countries:
32
a.
Australia.
33
b.
Canada.
34
c.
Hong
Kong.
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d.
Ireland.
1
e.
Israel.
2
f.
New
Zealand.
3
g.
Singapore.
4
h.
South
Africa.
5
i.
Switzerland.
6
j.
The
United
Kingdom.
7
k.
Additional
countries
as
determined
by
the
board
by
rule.
8
2.
An
international
medical
graduate
holding
a
medical
9
degree
from
an
international
medical
program
accredited
10
pursuant
to
section
148I.3
shall
be
granted
a
license
to
11
practice
medicine
and
surgery
or
osteopathic
medicine
and
12
surgery
in
this
state
without
meeting
additional
training
or
13
residency
requirements.
However,
the
board
shall
not
grant
a
14
license
pursuant
to
this
subsection
to
an
international
medical
15
graduate
who
does
not
possess
a
federal
immigration
status
16
allowing
the
international
medical
graduate
to
practice
as
a
17
physician
in
the
United
States.
18
Sec.
3.
NEW
SECTION
.
148I.3
Accreditation
of
international
19
medical
programs.
20
1.
The
board
shall
adopt
rules
pursuant
to
chapter
17A
21
to
allow
an
international
medical
program
to
apply
for
22
accreditation
with
the
board.
23
2.
The
board
shall
grant
an
application
pursuant
to
24
subsection
1
within
one
hundred
twenty
days
of
receiving
the
25
application
unless
the
board
finds
by
clear
and
compelling
26
evidence
that
a
majority
of
the
international
medical
program’s
27
graduates
are
not
likely
to
provide
medical
services
that
28
satisfy
this
state’s
medical
safety,
competence,
or
conduct
29
standards.
An
international
medical
program
may
appeal
a
30
denial
pursuant
to
this
subsection
in
a
court
of
competent
31
jurisdiction
within
one
hundred
twenty
days
of
the
denial.
32
3.
The
board
shall
grant
accreditation
pursuant
to
this
33
section,
to
an
international
medical
program
that
has
granted
34
a
medical
degree
to
five
international
medical
graduates
who
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later
received
a
permanent
license
to
practice
medicine
and
1
surgery
or
osteopathic
medicine
and
surgery
pursuant
to
section
2
148I.4,
subsection
1,
paragraph
“b”
.
3
4.
The
board
shall
post
a
complete
list
of
accredited
4
international
medical
programs
on
the
internet
site
of
the
5
board.
6
Sec.
4.
NEW
SECTION
.
148I.4
International
medical
graduates
7
——
provisional
licenses.
8
1.
a.
The
board
shall
grant
a
provisional
license
to
9
practice
medicine
and
surgery
or
osteopathic
medicine
and
10
surgery
in
this
state
to
an
international
medical
graduate
11
with
an
offer
for
employment
as
a
physician
at
a
health
care
12
facility
in
this
state.
However,
the
board
shall
not
grant
a
13
license
pursuant
to
this
subsection
to
an
international
medical
14
graduate
who
does
not
possess
a
federal
immigration
status
15
allowing
the
international
medical
graduate
to
practice
as
a
16
physician
in
the
United
States.
17
b.
A
provisional
license
granted
pursuant
to
paragraph
“a”
18
shall
be
converted
to
a
full
license
to
practice
medicine
and
19
surgery
or
osteopathic
medicine
and
surgery
after
one
year
20
unless
the
license
has
been
revoked
pursuant
to
subsection
2
21
or
surrendered
by
the
licensee.
22
2.
The
board
may
revoke
a
provisional
license
granted
23
pursuant
to
subsection
1,
paragraph
“a”
,
if
the
board
finds
by
24
clear
and
compelling
evidence
that
the
licensee
has
violated
25
a
provision
of
section
148.6.
A
licensee
may
appeal
a
26
revocation
pursuant
to
this
subsection
in
a
court
of
competent
27
jurisdiction
within
one
hundred
twenty
days
of
the
revocation.
28
Sec.
5.
EFFECTIVE
DATE.
This
Act
takes
effect
January
1,
29
2024.
30
EXPLANATION
31
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
32
the
explanation’s
substance
by
the
members
of
the
general
assembly.
33
This
bill
relates
to
the
licensure
of
international
34
medical
graduates
in
Iowa.
The
bill
defines
“international
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medical
graduate”
as
a
person
who
holds
a
medical
doctorate
or
1
substantially
similar
degree
issued
by
an
international
medical
2
program,
is
in
good
standing
with
the
medical
regulatory
body
3
of
the
person’s
country
of
residence,
has
completed
a
residency
4
or
similar
post-graduate
education
program,
and
has
a
basic
5
fluency
in
English.
The
bill
defines
“international
medical
6
program”
as
a
medical
training
program
or
entity
that
provides
7
physicians
with
a
medical
education
or
training
outside
of
the
8
United
States
that
is
substantially
similar
to
the
practice
of
9
medicine
and
surgery
or
osteopathic
medicine
and
surgery
in
10
Iowa.
11
The
bill
requires
the
board
of
medicine
to
grant
a
license
12
to
practice
medicine
and
surgery
or
osteopathic
medicine
13
and
surgery
to
an
international
medical
graduate
who
is
a
14
resident
of
and
licensed
to
practice
in
a
country
listed
in
15
the
bill.
An
international
medical
graduate
holding
a
medical
16
degree
from
an
international
medical
program
shall
be
allowed
17
to
practice
medicine
and
surgery
or
osteopathic
medicine
18
and
surgery
in
Iowa
without
meeting
additional
training
or
19
residency
requirements,
provided
that
the
person
has
a
federal
20
immigration
status
allowing
the
person
to
practice
as
a
21
physician
in
the
United
States.
The
bill
allows
the
board
of
22
medicine
to
expand
the
list
by
rule.
23
The
bill
requires
the
board
of
medicine
to
adopt
rules
24
to
allow
an
international
medical
program
to
apply
for
25
accreditation
by
the
board.
The
board
shall
grant
an
26
application
within
120
days
of
receiving
an
application
27
unless
the
board
finds
by
clear
and
compelling
evidence
that
28
a
majority
of
the
international
medical
program’s
graduates
29
are
not
likely
to
provide
medical
services
that
satisfy
this
30
state’s
medical
safety,
competence,
or
conduct
standards.
A
31
denial
of
accreditation
may
be
appealed
to
a
court
of
competent
32
jurisdiction.
An
international
medical
program
that
produces
33
five
graduates
who
later
receive
full
licenses
pursuant
to
this
34
provision
shall
become
an
accredited
international
medical
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program.
1
The
bill
requires
the
board
of
medicine
to
issue
a
2
provisional
license
to
practice
medicine
and
surgery
or
3
osteopathic
medicine
and
surgery
in
Iowa
to
an
international
4
medical
graduate
who
has
an
offer
for
employment
as
a
physician
5
with
a
health
care
facility
in
this
state,
defined
in
the
6
bill.
The
board
may
revoke
a
provisional
license
if
the
board
7
finds
by
clear
and
compelling
evidence
that
the
licensee
has
8
engaged
in
conduct
for
which
a
licensee
in
medicine
and
surgery
9
or
osteopathic
medicine
and
surgery
may
be
disciplined.
If
10
a
provisional
license
is
not
revoked
or
surrendered,
the
11
provisional
license
shall
be
converted
to
a
full
license
after
12
one
year.
13
The
bill
takes
effect
January
1,
2024.
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