Professions and occupations; foreign applicants and requirements; international medical school graduates; foreign licensure body; limited licensure; parameters; employment; training programs; supervision; full licensure; unprofessional conduct; professional competence; good moral character; effective date.

Document header changed from 'House Committee Substitute' to 'House of Representatives - Floor Version'

Page numbering and formatting were reorganized to accommodate floor version presentation

Section headers and act title formatting were adjusted for floor consideration

Core requirements for foreign medical graduate licensure, including ECFMG certification, training program verification, and supervision requirements remain substantively the same

The entire bill text was replaced with a new version labeled as a Policy Committee Substitute, indicating it went through committee review and amendment.

Formatting and numbering were updated throughout the document, including section headers and line references.

Added a detailed amendment description explaining the bill relates to foreign applicants, international medical school graduates, limited licensure, and various other provisions.

The title section was updated to conform to the amendments, including adding details about employment, training programs, supervision, and professional competence requirements.

Minor text adjustments in section content, such as changing 'three-year' to 'three-year' and 'post-graduate' to 'post-graduate' for consistency.

Updated the bill title and summary to reflect new requirements for international medical school graduates, including original source verification of medical certifications.

Modified the language regarding postgraduate training verification, changing from 'verification of successful completion' to 'verification that the applicant otherwise practiced' for alternative pathways.

Updated the English language competency requirement, changing the examination body from 'EDFMG' to 'ECFMG' (Educational Commission for Foreign Medical Graduates).

Corrected the structure of the Board's authority to require graduate medical training, changing from 'D. E.' to 'D. E.' with clearer formatting.

Updated the requirement for English translations of foreign documents, changing the accrediting organization from 'North Central Association of Colleges and Schools' to include proper formatting.

Modified the original source verification requirement, changing from 'H. The Board requires' to 'H. The Board requires' with improved formatting and clarity.

Changed requirements for limited licensure from a single paragraph structure to a more detailed two-paragraph structure with clearer subcategories for verification.

Added co-sponsor 'Archer' to the House sponsor list in the enrolled version, changing from 'Stinson of the House' to 'Stinson and Archer of the House'.

Added new Section D.E requiring notarized English translations for foreign language credentials by accredited institutions.

Added new Section F.G requiring foreign applicants and international medical school graduates to provide evidence of permanent residence or temporary nonimmigrant status.

Added new Section G requiring original source verification of ECFMG or MCCQUE certifications by the Board.

Added new Section I prohibiting applicants with criminal conduct that would constitute grounds for disciplinary action.

Added new Section J subjecting applicants who haven't practiced medicine for more than two years to Section 495h of the title.

Reorganized and renumbered sections, adding new subsections E through J while removing some intermediate sections from the Engrossed version.

Added Section 2 establishing an effective date of November 1, 2025, and recording passage dates by the House (March 12, 2025) and Senate (April 30, 2025).

Document title changed from 'PROPOSED POLICY COMMITTEE SUBSTITUTE' to 'COMMITTEE SUBSTITUTE' and updated the reference number from 12438 to 13096

Minor formatting adjustments to section headers and spacing throughout the document

Added new subsections F through I containing requirements for immigration status verification, source documentation, and conduct standards for foreign applicants