SB 476: Relating to professional workforce; and declaring an emergency. - Oregon

C-Engrossed → Enrolled · 6 edits · Aug 1, 2025

MODERATE

The bill was finalized as an enrolled version, adding Representatives to the sponsor list and including new provisions for provisional licensing of internationally trained physicians. The enrolled version also adds specific application requirements, supervision rules, and clarifies that provisionally licensed physicians are treated as fully licensed for credentialing and billing purposes.

Scope change

The bill's scope expanded from just requiring culturally responsive training and guidance to include a full provisional licensure program for internationally trained physicians with specific eligibility criteria and supervision requirements.

ELIGIBILITY

Added specific eligibility requirements for internationally trained physicians including graduation from a substantially similar medical school, completion of approved training, ECFMG certification, three years of practice abroad, employment offer, and moral character evidence.

REQUIREMENT

Added application requirements including formal application submission, fee payment, and provision of additional information as required by the board.

Added supervision requirements specifying that provisionally licensed physicians must practice under supervision of a licensed physician in approved facilities, federally qualified health centers, or other board-approved clinical locations.

ENFORCEMENT

Added provisions stating that provisionally licensed physicians are considered fully licensed for credentialing and insurance billing purposes and are subject to the same duties, responsibilities, penalties, and sanctions as other physicians.

TECHNICAL

Added Representatives GRAYBER, NELSON, TRAN to the sponsor list and changed document status from C-Engrossed to Enrolled.

Changed document header from C-Engrossed to Enrolled and removed conflict resolution language.

B-Engrossed → C-Engrossed · 3 edits · Jun 23, 2025

MINOR

This bill was amended from B-Engrossed to C-Engrossed to resolve conflicts between Senate and House versions. The main substantive change adds a requirement that applicants for provisional medical licensure must demonstrate good moral character in all countries where they practiced and received training, not just Oregon. The bill also clarifies that the guidance on licensure pathways must include specific information about eligibility requirements, processes, costs, and timelines.

Scope change

The bill's scope remains focused on professional licensing boards, culturally responsive training, and provisional licensure for internationally educated physicians, but the moral character requirement now applies more broadly to all jurisdictions where the applicant practiced.

ELIGIBILITY

Added requirement that applicants for provisional medical licensure must provide evidence of good moral character in each country or jurisdiction where they practiced and received education and training, expanding the original requirement that only mentioned Oregon.

REQUIREMENT

Clarified that guidance on licensure pathways for internationally educated individuals must include specific information on eligibility requirements, processes, costs, and timelines.

TECHNICAL

Changed bill designation from B-Engrossed to C-Engrossed and updated ordering information to reflect House amendments were added to resolve conflicts.

A-Engrossed → B-Engrossed · 5 edits · Jun 23, 2025

MODERATE

The bill was amended from A-Engrossed to B-Engrossed with changes to the Senate sponsorship, dates, and digest summaries. The core policy provisions remain largely the same, though some text was refined for clarity and consistency. The main substantive additions include new eligibility requirements for internationally trained physicians seeking provisional licensure.

Scope change

The bill's scope remains focused on professional licensing boards and internationally educated workers, with no significant expansion or contraction of applicability.

TECHNICAL

Updated Senate sponsorship to include additional senators (FREDERICK, MANNING JR, NERON, PATTERSON, REYNOLDS; Senator PHAM K) and changed the ordering date from April 2 to June 19.

Revised digest summaries to improve clarity and consistency, with the main digest now matching the bracketed version more closely.

REQUIREMENT

Added new eligibility requirements for internationally trained physicians seeking provisional licensure, including compliance with all board rules applicable to similar applicants and evidence of good moral character.

Changed the supervision requirement for provisional license holders from a fixed four-year period to a requirement that supervision and assessment be provided in accordance with standards established by the board by rule.

Added a new requirement that the board establish standards by rule for the supervision and assessment of applicants for provisional licensure.

Introduced → A-Engrossed · 5 edits · Jun 23, 2025

MODERATE

This bill was amended to expand provisions for internationally trained physicians and clarify staff training requirements. The Senate added a new provisional license program for internationally trained physicians and updated reporting requirements, while also correcting a reference to the wrong Oregon Revised Statute section.

Scope change

The bill now includes a new provisional license program for internationally trained physicians and expands reporting requirements for the Oregon Medical Board.

ELIGIBILITY

Added a new provisional license program allowing the Oregon Medical Board to issue limited licenses to qualified internationally trained physicians under supervision for four years before applying for full licensure.

REQUIREMENT

Added requirement for the Oregon Medical Board to submit annual reports on provisional licensure of internationally trained physicians to the Legislative Assembly.

Clarified that staff training requirements apply to all staff interacting with internationally educated individuals, not just specific categories.

Removed language prohibiting the Oregon Medical Board from imposing time limits on USMLE completion, replaced with new provisional license provisions.

TECHNICAL

Corrected the statute reference from ORS 677.132 to ORS 677.010 and 677.100 in the bill title.

Relating to professional workforce; and declaring an emergency.

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