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          AN ACT
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        relating to the graduate medical training requirements for certain  | 
      
      
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        foreign medical school graduates applying for a license to practice  | 
      
      
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        medicine in this state. | 
      
      
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               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
      
      
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               SECTION 1.  Section 155.003(a), Occupations Code, is amended  | 
      
      
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        to read as follows: | 
      
      
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               (a)  To be eligible for a license under this chapter, an  | 
      
      
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        applicant must present proof satisfactory to the board that the  | 
      
      
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        applicant: | 
      
      
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                     (1)  is at least 21 years of age; | 
      
      
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                     (2)  is of good professional character and has not  | 
      
      
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        violated Section 164.051, 164.052, or 164.053; | 
      
      
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                     (3)  has completed: | 
      
      
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                           (A)  at least 60 semester hours of college  | 
      
      
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        courses, other than courses in medical school, that are acceptable  | 
      
      
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        to The University of Texas at Austin for credit on a bachelor of  | 
      
      
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        arts degree or a bachelor of science degree; | 
      
      
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                           (B)  the entire primary, secondary, and  | 
      
      
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        premedical education required in the country of medical school  | 
      
      
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        graduation, if the medical school is located outside the United  | 
      
      
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        States or Canada; or | 
      
      
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                           (C)  substantially equivalent courses as  | 
      
      
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        determined by board rule; | 
      
      
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                     (4)  is a graduate of a medical school located in the  | 
      
      
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        United States or Canada and approved by the board; | 
      
      
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                     (5)  has either: | 
      
      
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                           (A)  successfully completed one year of graduate  | 
      
      
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        medical training approved by the board in the United States or  | 
      
      
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        Canada; or | 
      
      
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                           (B)  graduated from a medical school located  | 
      
      
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        outside the United States or Canada and has successfully completed  | 
      
      
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        two [three] years of graduate medical training approved by the  | 
      
      
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        board in the United States or Canada; | 
      
      
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                     (6)  has passed an examination accepted or administered  | 
      
      
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        by the board; and | 
      
      
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                     (7)  has passed a Texas medical jurisprudence  | 
      
      
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        examination as determined by board rule. | 
      
      
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               SECTION 2.  Section 155.004, Occupations Code, is amended to  | 
      
      
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        read as follows: | 
      
      
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               Sec. 155.004.  ADDITIONAL ELIGIBILITY REQUIREMENTS FOR  | 
      
      
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        GRADUATES OF CERTAIN FOREIGN MEDICAL SCHOOLS.  A license applicant  | 
      
      
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        who is a graduate of a medical school that is located outside the  | 
      
      
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        United States and Canada must present proof satisfactory to the  | 
      
      
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        board that the applicant: | 
      
      
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                     (1)  is a graduate of a school whose curriculum meets  | 
      
      
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        the requirements for an unapproved medical school as determined by  | 
      
      
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        a committee of experts selected by the Texas Higher Education  | 
      
      
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        Coordinating Board; | 
      
      
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                     (2)  has successfully completed[:
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                           [(A)
           
           
          at least three years of graduate medical 
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          training in the United States or Canada that was approved by the 
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          board; or
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                           [(B)]  at least two years of graduate medical  | 
      
      
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        training in the United States or Canada that was approved by the  | 
      
      
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        board [and at least one year of graduate medical training outside 
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          the United States or Canada that was approved for advanced standing 
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          by a specialty board organization approved by the board]; | 
      
      
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                     (3)  holds a valid certificate issued by the  | 
      
      
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        Educational Commission for Foreign Medical Graduates; and | 
      
      
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                     (4)  is able to communicate in English. | 
      
      
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               SECTION 3.  Section 155.005(a), Occupations Code, is amended  | 
      
      
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        to read as follows: | 
      
      
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               (a)  To be eligible for a license under this chapter, an  | 
      
      
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        applicant who has been a student of a foreign medical school must  | 
      
      
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        present proof satisfactory to the board that the applicant: | 
      
      
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                     (1)  meets the requirements of Section 155.003; | 
      
      
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                     (2)  has studied medicine in a medical school located  | 
      
      
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        outside the United States and Canada that is acceptable to the  | 
      
      
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        board; | 
      
      
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                     (3)  has completed all of the didactic work of the  | 
      
      
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        foreign medical school but has not graduated from the school; | 
      
      
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                     (4)  has attained a score satisfactory to a medical  | 
      
      
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        school in the United States approved by the Liaison Committee on  | 
      
      
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        Medical Education on a qualifying examination and has  | 
      
      
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        satisfactorily completed one academic year of supervised clinical  | 
      
      
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        training for foreign medical students, as defined by the American  | 
      
      
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        Medical Association Council on Medical Education (Fifth Pathway  | 
      
      
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        Program), under the direction of the medical school in the United  | 
      
      
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        States; | 
      
      
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                     (5)  has attained a passing score on the Educational  | 
      
      
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        Commission for Foreign Medical Graduates examination or another  | 
      
      
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        examination, if required by the board; | 
      
      
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                     (6)  has successfully completed at least two [three]  | 
      
      
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        years of graduate medical training in the United States or Canada  | 
      
      
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        that was approved by the board as of the date the training was  | 
      
      
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        completed; and | 
      
      
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                     (7)  has passed the license examination under  | 
      
      
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        Subchapter B required by the board of each applicant. | 
      
      
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               SECTION 4.  The changes in law made by this Act to Sections  | 
      
      
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        155.003, 155.004, and 155.005, Occupations Code, apply only to an  | 
      
      
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        application for a license to practice medicine submitted to the  | 
      
      
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        Texas Medical Board on or after the effective date of this Act.  An  | 
      
      
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        application for a license submitted before that date is governed by  | 
      
      
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        the law in effect on the date the application was submitted, and the  | 
      
      
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        former law is continued in effect for that purpose. | 
      
      
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               SECTION 5.  This Act takes effect September 1, 2011. | 
      
      
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        ______________________________ | 
        ______________________________ | 
      
      
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           President of the Senate | 
        Speaker of the House      | 
      
      
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               I certify that H.B. No. 1380 was passed by the House on April  | 
      
      
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        19, 2011, by the following vote:  Yeas 145, Nays 0, 2 present, not  | 
      
      
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        voting; and that the House concurred in Senate amendments to H.B.  | 
      
      
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        No. 1380 on May 16, 2011, by the following vote:  Yeas 142, Nays 1,  | 
      
      
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        2 present, not voting. | 
      
      
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        ______________________________ | 
      
      
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        Chief Clerk of the House    | 
      
      
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               I certify that H.B. No. 1380 was passed by the Senate, with  | 
      
      
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        amendments, on May 10, 2011, by the following vote:  Yeas 31, Nays  | 
      
      
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        0. | 
      
      
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        ______________________________ | 
      
      
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        Secretary of the Senate    | 
      
      
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        APPROVED: __________________ | 
      
      
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                        Date        | 
      
      
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                 __________________ | 
      
      
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                      Governor        |