By McCall                                             H.B. No. 1987
         76R7404 SMH-F                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the examinations administered or accepted for licensure
 1-3     of physicians.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Section 3.05, Medical Practice Act (Article
 1-6     4495b, Vernon's Texas Civil Statutes), is amended to read as
 1-7     follows:
 1-8           Sec. 3.05.  EXAMINATIONS ADMINISTERED OR ACCEPTED
 1-9     [EXAMINATION].  (a)  The board may administer or accept the
1-10     following examinations for licensure as determined by rule:
1-11                 (1)  a state board licensing examination;
1-12                 (2)  the Medical Council of Canada Examination (LMCC)
1-13     or its successor;
1-14                 (3)  the National Board of Osteopathic Medical
1-15     Examiners (NBOME) examination or its successor;
1-16                 (4)  the National Board of Medical Examiners (NBME)
1-17     examination or its successor;
1-18                 (5)  the Federation Licensing Examination (FLEX) with a
1-19     weighted average in one sitting before June 1985;
1-20                 (6)  the Federation Licensing Examination (FLEX) after
1-21     May 1985;
1-22                 (7)  the United States Medical Licensing Examination
1-23     (USMLE) or its successor;
1-24                 (8)  a combination of the examinations described by
 2-1     Subdivisions (3) and (6) of this subsection as determined by board
 2-2     rule; or
 2-3                 (9)  a combination of the examinations described by
 2-4     Subdivisions (4), (6), and (7) of this subsection as determined by
 2-5     board rule.
 2-6           (b)  Each examination used by the board for licensure to
 2-7     practice medicine must be in writing in the English language and
 2-8     shall be entirely fair and impartial to all individuals and to
 2-9     every school or system of medicine.  An applicant who wishes to
2-10     request reasonable accommodations due to a disability shall submit
2-11     the request on filing the application.
2-12           (c)  Examinations shall include subjects generally taught by
2-13     medical schools, a knowledge of which is commonly and generally
2-14     required of candidates for the degree of doctor of medicine or
2-15     doctor of osteopathy conferred by schools in this state.
2-16           (d)  The board shall also administer the Texas medical
2-17     jurisprudence examination to all applicants.
2-18           (e)  The minimum passing grade for each examination used by
2-19     the board shall be determined by rule.
2-20           (f)  Examinations administered to evaluate basic medical
2-21     knowledge and clinical competency shall be prepared by a national
2-22     testing service or the board and validated by qualified independent
2-23     testing professionals.
2-24           (g)  All questions, answers, and grades shall be preserved
2-25     for one year as directed by the board by rule.
2-26           (h)  All applicants shall be given notice of the date and
2-27     place of the examination if the examination is administered by the
 3-1     board.
 3-2           (i)  Not later than the 120th day after the date on which an
 3-3     examination is administered by the board, each examinee shall be
 3-4     notified of the results of the examination.  However, if an
 3-5     examination is graded or reviewed by a national testing service,
 3-6     the board shall notify each examinee of the results of the
 3-7     examination not later than the 30th day after the date the board
 3-8     receives the results from the testing service.
 3-9           (j)  An applicant must pass each part of an examination
3-10     described by Subsection (a)(2), (3), (4), (6), or (7) of this
3-11     section within seven years.
3-12           (k)  An applicant may not take an examination more than three
3-13     times.  [All examinations for license to practice medicine shall be
3-14     conducted in writing in the English language and in a manner as to
3-15     be entirely fair and impartial to all individuals and to every
3-16     school or system of medicine.  Examinations shall be conducted on
3-17     and cover those subjects generally taught by medical schools, a
3-18     knowledge of which is commonly and generally required of candidates
3-19     for the degree of doctor of medicine or doctor of osteopathy
3-20     conferred by schools or colleges of medicine approved by the board,
3-21     and the examinations shall also be conducted on and cover the
3-22     subject of medical jurisprudence.  Examinations shall be prepared
3-23     by a national testing service or prepared by the board and
3-24     validated by qualified independent testing professionals.  On
3-25     satisfactory examination conducted as required by this Act under
3-26     rules of the board, applicants may be granted licenses to practice
3-27     medicine.  All questions and answers, with the grades attached,
 4-1     shall be preserved for one year in the executive office of the
 4-2     board or such other repository as the board by rule may direct.
 4-3     All applicants examined at the same time shall be given identical
 4-4     questions.  All certificates shall be attested by the seal of the
 4-5     board.  The board in its discretion may give the examination for
 4-6     license in two or more parts.]
 4-7           [(b)  In addition to the requirements prescribed by this Act,
 4-8     the board may require applicants to comply with other requirements
 4-9     that the board considers appropriate and establish reasonable fees
4-10     for examination.]
4-11           [(c)  All applicants for license to practice medicine in this
4-12     state not otherwise licensed under the provisions of law must
4-13     successfully pass a uniform examination approved by the board as
4-14     determined by rule.  The board is authorized to adopt and enforce
4-15     all rules of procedure not inconsistent with statutory
4-16     requirements.  All applicants shall be given due notice of the date
4-17     and place of the examination.  If any applicant, because of failure
4-18     to pass the required examination, is refused a license, the
4-19     applicant, at a time as the board may fix, shall be permitted to
4-20     take a subsequent examination not more than two additional times as
4-21     the board may prescribe on the payment of a fee as the board may
4-22     determine to be reasonable.  In the event satisfactory grades shall
4-23     be made on the subjects prescribed and taken on the reexamination,
4-24     the board may grant the applicant a license to practice medicine.
4-25     The board shall determine the credit to be given examinees on
4-26     answers turned in on the subjects of complete and partial
4-27     examination, and its decision is final.]
 5-1           [(d)  Examination questions that may be used in the future,
 5-2     examinations other than the one taken by the person requesting it,
 5-3     and deliberations and records relating to the professional
 5-4     character and fitness of applicants are exempted from the Open
 5-5     Meetings Law and the Open Records Law.  The records, however, shall
 5-6     be disclosed to individual applicants upon written request, unless
 5-7     the person supplying the information to the board requests that it
 5-8     not be disclosed.]
 5-9           [(e)  Within 90 days after the day on which an examination is
5-10     administered under this Act, the board shall notify each examinee
5-11     of the results of the examination.  However, if an examination is
5-12     graded or reviewed by a national testing service, the board shall
5-13     notify each examinee of the results of the examination not later
5-14     than the 30th day after the date the board receives the results
5-15     from the testing service.  If the notice of the examination results
5-16     will be delayed for longer than 90 days after the examination, the
5-17     board shall notify the examinee of the reason for the delay before
5-18     the 90th day.]
5-19           [(f)  If requested in writing by a person who fails the
5-20     examination administered under this Act, the board shall furnish
5-21     the person with a summarized analysis of the person's performance
5-22     on the examination consisting of the person's score on each portion
5-23     of the examination.]
5-24           SECTION 2.  The importance of this legislation and the
5-25     crowded condition of the calendars in both houses create an
5-26     emergency and an imperative public necessity that the
5-27     constitutional rule requiring bills to be read on three several
 6-1     days in each house be suspended, and this rule is hereby suspended,
 6-2     and that this Act take effect and be in force from and after its
 6-3     passage, and it is so enacted.