HB 598 Maryland House of Delegates · 2026 Regular Session

Physicians - Licensing - Internationally Trained Physicians and Licensed Physicians Residing in Other Jurisdictions

HB 598 creates a temporary license for internationally trained physicians to practice medicine in Maryland under specific conditions. It allows the State Board of Physicians to issue a 3-year license (non-renewable) to doctors who hold a WHO-recognized medical degree outside the U.S., completed 2 years of equivalent postgraduate training, practiced medicine for 5 of the last 7 years abroad, passed U.S. medical exams (USMLE Steps 1-3), and meet other criteria like English proficiency and Maryland residency. The license requires physicians to pursue full licensure through board-established pathways after the temporary period ends. This directly affects internationally trained doctors seeking to work in Maryland’s healthcare system, providing a structured but limited pathway to practice.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
Apr 2026
House of Delegates Passage
Mar 2026
Senate Passage
Governor
Introduced Jan 28, 2026 Last action Apr 13, 2026
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What changed between versions

First - Physicians - Licensing - Internationally Trained Physicians Third - Physicians - Licensing - Internationally Trained Physicians and Licensed Physicians Residing in Other Jurisdictions · 6 edits
MODERATE
The bill was significantly expanded from focusing solely on internationally trained physicians to also include licensed physicians residing in other jurisdictions. The scope shifted from creating a new temporary license pathway to repealing an existing temporary license section and amending permanent licensure rules to allow foreign-trained doctors to practice without a license under specific conditions. Key changes include removing strict requirements for USMLE exam scores and foreign medical graduate certificates, while introducing new definitions and standards for assessing clinical judgment and practice history.
Scope change
The bill's scope expanded from exclusively addressing internationally trained physicians to also covering licensed physicians residing in other jurisdictions, changing the legislative approach from creating a new temporary license to modifying existing permanent licensure statutes.
SCOPE

The bill title and purpose were updated to include licensed physicians residing in other jurisdictions, broadening the legislation beyond just internationally trained physicians.

REQUIREMENT

Specific eligibility requirements for internationally trained physicians were removed, including the mandatory passing scores for USMLE exams (Steps 1, 2, and 3) and the requirement for a Certificate of Eligibility for Foreign Medical Graduates.

DEFINITION

New definitions were added for terms such as 'Solo Practice', 'State Standard of Care Assessment', and 'Community Sponsor' to clarify how the new provisions apply.

ELIGIBILITY

Eligibility criteria were altered to focus on disciplinary history and malpractice records rather than standardized testing, allowing physicians from other jurisdictions to practice without a license if they meet specific character and training standards.

TIMELINE

The effective date for the new license pathway was removed, as the bill now repeals the temporary license section entirely rather than establishing a new one with a future start date.

ENFORCEMENT

Revocation conditions were adjusted to focus on practicing outside the scope of the license or employment termination, rather than the specific conditions of the temporary license program.

Floor votes · House of Delegates Mar 10, 2026

How they voted

10034
Passed · 8 other
Total votes 142
Mar 10, 2026
D Democratic103
97 Yea 6
94% Yea
R Republican39
3 Yea 34 Nay 2
87% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
11
Key actions
5
Committee
5
Apr 13, 2026
Upper · Passed
Favorable with Amendments Report by Finance
upper
Mar 23, 2026
Committee
Referred Finance
upper
Mar 23, 2026
Lower · Passed
Third Reading Passed
lower
Mar 21, 2026
Lower · Passed
Favorable with Amendments {
lower
Mar 21, 2026
Lower · Passed
Favorable with Amendments Report by Health
lower
Mar 10, 2026
House Of Delegates · Passed
House of Delegates Vote: pass (100-34-8)
house of delegates
Jan 28, 2026
Committee
First Reading Health
lower
15 primary · 0 co-sponsors

Sponsors