Senate File 477 H-8173 Amend Senate File 477, as amended, passed, and reprinted by 1 the Senate, as follows: 2 1. By striking everything after the enacting clause and 3 inserting: 4 < Section 1. NEW SECTION . 148J.1 Definitions. 5 For the purposes of this chapter: 6 1. “Board” means the board of medicine established pursuant 7 to chapter 147. 8 2. “Health care facility” means all of the following: 9 a. A facility as defined in section 514J.102. 10 b. A facility licensed pursuant to chapter 135B. 11 c. A facility licensed pursuant to chapter 135C. 12 3. “International medical program” means a medical school, 13 residency program, medical internship program, or entity that 14 provides physicians with a medical education or training 15 outside of the United States that is substantially similar to 16 the practice of medicine and surgery or osteopathic medicine 17 and surgery in Iowa and that has been evaluated by the 18 educational commission on foreign medical graduates. 19 4. “International physician” means an individual who meets 20 all of the following requirements: 21 a. Has a medical doctorate or substantially similar degree 22 issued by an international medical program in good standing. 23 b. Has been in good standing with the medical licensing or 24 regulatory institution of the individual’s resident country 25 during the immediately preceding five years and has no pending 26 discipline before the licensing or regulatory institution. 27 c. Has completed a residency or substantially similar 28 postgraduate medical training in the individual’s resident 29 country. 30 d. Has practiced medicine and surgery or osteopathic 31 medicine and surgery as a licensed physician for five years 32 following the completion of a residency or substantially 33 similar postgraduate medical training. 34 e. Possesses basic fluency in the English language. 35 -1- SF 477.3188 (2) 90 ss/ko 1/ 3 #1.

Sec. 2. NEW SECTION . 148J.2 International physicians —— 1 provisional licenses. 2 1. a. The board shall grant a provisional license to 3 practice medicine and surgery or osteopathic medicine and 4 surgery in this state to an international physician with an 5 offer for employment as a physician at a health care facility 6 in this state. However, the board shall not grant a license 7 pursuant to this subsection to an international physician who 8 does not possess a federal immigration status allowing the 9 international medical graduate to practice as a physician 10 in the United States, or to an international physician who 11 fails to obtain a passing score on the United States medical 12 licensing examination. 13 b. A provisional license granted pursuant to paragraph “a” 14 may be converted to a full license to practice medicine and 15 surgery or osteopathic medicine and surgery after three years, 16 unless the license has been revoked pursuant to subsection 2 17 or surrendered by the licensee. 18 2. a. The board may revoke a provisional license granted 19 pursuant to subsection 1, paragraph “a” , if the board finds by 20 clear and compelling evidence that the licensee has violated 21 a provision of section 148.6. A licensee may appeal a 22 revocation pursuant to this subsection in a court of competent 23 jurisdiction within one hundred twenty days of the date of 24 revocation. 25 b. The board may revoke a provisional license granted 26 pursuant to subsection 1, paragraph “a” , if the international 27 physician is not employed by a health care facility in this 28 state during the entirety of the provisional licensing period. 29 3. This section does not require the board to grant a 30 provisional license or full license pursuant to subsection 1 to 31 an individual that does not do all of the following: 32 a. Complete training substantially similar to a physician 33 and surgeon or osteopathic physician and surgeon. 34 b. Receive a passing score on the United States medical 35 -2- SF 477.3188 (2) 90 ss/ko 2/ 3

licensing examination. 1 c. Pass a background check as required by the board. 2 d. Complete a licensure application as required by the 3 board. 4 e. Pay all required fees as required by the board. 5 Sec. 3. EFFECTIVE DATE. This Act takes effect January 1, 6 2025. > 7 ______________________________ YOUNG of Dallas -3- SF 477.3188 (2) 90 ss/ko 3/ 3