Relating to medical school admissions, coursework, academic standards, and employment decisions in this state.

HB 291 requires Texas medical schools to ensure at least 50% of required coursework for medical degrees uses letter grades (A-F) or equivalent tiered systems for assessment. It prohibits medical schools from using standardized test scores as the sole factor in admissions decisions and mandates that schools must notify the legislature and Texas Higher Education Coordinating Board before revising admission or academic standards. The bill also explicitly prohibits medical schools from considering race, sex, color, ethnicity, or national origin in admissions or employment decisions. These provisions apply to all medical schools in Texas offering medical degrees or certificates.