By:  Cain                                             S.B. No. 1206
         99S0666/1                           
                                A BILL TO BE ENTITLED
                                       AN ACT
 1-1     relating to examinations accepted or administered for licensure of
 1-2     physicians.
 1-3           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-4           SECTION 1.  Section 3.05, Medical Practice Act (Article
 1-5     4495b, Vernon's Texas Civil Statutes), is amended to read as
 1-6     follows:
 1-7           Sec. 3.05.  EXAMINATIONS ACCEPTED OR ADMINISTERED.  (a)  The
 1-8     board may administer or accept the following examinations for
 1-9     licensure as determined by rule:
1-10                 (1)  a state board licensing examination;
1-11                 (2)  the Medical Council of Canada Examination (LMCC)
1-12     or its successor;
1-13                 (3)  the National Board of Osteopathic Medical
1-14     Examiners (NBOME) examination or its successor;
1-15                 (4)  the National Board of Medical Examiners (NBME)
1-16     examination or its successor;
1-17                 (5)  the Federation Licensing Examination (FLEX) with a
1-18     weighted average in one sitting before June, 1985;
1-19                 (6)  the Federation Licensing Examination (FLEX) after
1-20     May, 1985;
1-21                 (7)  the United States Medical Licensing Examination
1-22     (USMLE) or its successor; or
1-23                 (8)  a combination of the National Board of Osteopathic
1-24     Medical Examiners examination and the Federation Licensing
 2-1     Examination after May, 1985, or of the United States Medical
 2-2     Licensing Examination, the Federal Licensing Examination after May,
 2-3     1985, and the National Board of Medical Examiners examination, as
 2-4     determined by board rule.
 2-5           (b)  All examinations used by the board for licensure to
 2-6     practice medicine shall be in writing in the English language and
 2-7     in a manner that is entirely fair and impartial to all individuals
 2-8     and to every school or system of medicine.  Applicants who wish to
 2-9     request reasonable and appropriate accommodations due to a
2-10     documented disability shall submit the request in writing when
2-11     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 Texas.
2-16           (d)  The board shall administer the Texas medical
2-17     jurisprudence examination to all applicants.
2-18           (e)  The minimum passing grade for all examinations 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 be prepared by the board and validated by
2-23     qualified independent testing professionals.
2-24           (g)  All questions and answers, with grades attached, shall
2-25     be preserved for one year as the board may direct by rule.
2-26           (h)  All applicants shall be given due notice of the date and
 3-1     place of the examination if the examination is to be administered
 3-2     by the board.
 3-3           (i)  Within 120 days after the date on which an examination
 3-4     is administered by the board, each examinee shall be notified of
 3-5     the results of the examination.  However, if an examination is
 3-6     graded or reviewed by a national testing service, the board shall
 3-7     notify each examinee of the results of the examination not later
 3-8     than 30 days after the date the board receives the results from the
 3-9     testing service.
3-10           (j)  All parts of the National Board of Osteopathic Medical
3-11     Examiners examination, the National Board of Medical Examiners
3-12     examination, the Medical Council of Canada Examination, the
3-13     Federation Licensing Examination after May, 1985, and the United
3-14     States Medical Licensing Examination must be passed within seven
3-15     years.
3-16           (k)  An applicant must pass each part of an examination
3-17     described in Subsection (a) of this section within three attempts,
3-18     except that an applicant may attempt to pass one part of the
3-19     examination a fourth time.
3-20           (l)  The board shall adopt rules as necessary to implement
3-21     Subsection (k) of this section.  [EXAMINATION.  (a)  All
3-22     examinations for license to practice medicine shall be conducted in
3-23     writing in the English language and in a manner as to be entirely
3-24     fair and impartial to all individuals and to every school or system
3-25     of medicine. Examinations shall be conducted on and cover those
3-26     subjects generally taught by medical schools, a knowledge of which
 4-1     is commonly and generally required of candidates for the degree of
 4-2     doctor of medicine or doctor of osteopathy conferred by schools or
 4-3     colleges of medicine approved by the board, and the examinations
 4-4     shall also be conducted on and cover the subject of medical
 4-5     jurisprudence.  Examinations shall be prepared by a national
 4-6     testing service or prepared by the board and validated by qualified
 4-7     independent testing professionals.  On satisfactory examination
 4-8     conducted as required by this Act under rules of the board,
 4-9     applicants may be granted licenses to practice medicine.  All
4-10     questions and answers, with the grades attached, shall be preserved
4-11     for one year in the executive office of the board or such other
4-12     repository as the board by rule may direct.  All applicants
4-13     examined at the same time shall be given identical questions.  All
4-14     certificates shall be attested by the seal of the board.  The board
4-15     in its discretion may give the examination for license in two or
4-16     more parts.]
4-17           [(b)  In addition to the requirements prescribed by this Act,
4-18     the board may require applicants to comply with other requirements
4-19     that the board considers appropriate and establish reasonable fees
4-20     for examination.]
4-21           [(c)  All applicants for license to practice medicine in this
4-22     state not otherwise licensed under the provisions of law must
4-23     successfully pass a uniform examination approved by the board as
4-24     determined by rule.  The board is authorized to adopt and enforce
4-25     all rules of procedure not inconsistent with statutory
4-26     requirements.  All applicants shall be given due notice of the date
 5-1     and place of the examination.  If any applicant, because of failure
 5-2     to pass the required examination, is refused a license, the
 5-3     applicant, at a time as the board may fix, shall be permitted to
 5-4     take a subsequent examination not more than two additional times as
 5-5     the board may prescribe on the payment of a fee as the board may
 5-6     determine to be reasonable.  In the event satisfactory grades shall
 5-7     be made on the subjects prescribed and taken on the reexamination,
 5-8     the board may grant the applicant a license to practice medicine.
 5-9     The board shall determine the credit to be given examinees on
5-10     answers turned in on the subjects of complete and partial
5-11     examination, and its decision is final.]
5-12           [(d)  Examination questions that may be used in the future,
5-13     examinations other than the one taken by the person requesting it,
5-14     and deliberations and records relating to the professional
5-15     character and fitness of applicants are exempted from the Open
5-16     Meetings Law and the Open Records Law.  The records, however, shall
5-17     be disclosed to individual applicants upon written request, unless
5-18     the person supplying the information to the board requests that it
5-19     not be disclosed.]
5-20           [(e)  Within 90 days after the day on which an examination is
5-21     administered under this Act, the board shall notify each examinee
5-22     of the results of the examination.  However, if an examination is
5-23     graded or reviewed by a national testing service, the board shall
5-24     notify each examinee of the results of the examination not later
5-25     than the 30th day after the date the board receives the results
5-26     from the testing service.  If the notice of the examination results
 6-1     will be delayed for longer than 90 days after the examination, the
 6-2     board shall notify the examinee of the reason for the delay before
 6-3     the 90th day.]
 6-4           [(f)  If requested in writing by a person who fails the
 6-5     examination administered under this Act, the board shall furnish
 6-6     the person with a summarized analysis of the person's performance
 6-7     on the examination consisting of the person's score on each portion
 6-8     of the examination.]
 6-9           SECTION 2.  The importance of this legislation and the
6-10     crowded condition of the calendars in both houses create an
6-11     emergency and an imperative public necessity that the
6-12     constitutional rule requiring bills to be read on three several
6-13     days in each house be suspended, and this rule is hereby suspended,
6-14     and that this Act take effect and be in force from and after its
6-15     passage, and it is so enacted.