Immigration

SB 5185 proposes a new pathway for international medical graduates (IMGs) to obtain full medical licensure in Washington without completing standard U.S. postgraduate training. It establishes a "preceptorship pathway" requiring 48 months of supervised clinical practice under a licensed physician, followed by evaluations and board certification (ABMS or AAGP), to qualify for unrestricted licensure. The bill also creates hardship waivers for IMGs facing refugee status, persecution, or other documented barriers preventing standard documentation, excluding inability to pass ECFMG exams. This directly affects IMGs seeking to practice in Washington and the Washington Medical Commission, which would implement the new rules. The bill is currently pending in the Senate Health & Long-Term Care Committee.