Texas Modifies Law to Welcome Foreign-Trained Doctors

Texas has enacted a significant change in its medical licensing process, aimed at attracting foreign-trained doctors. Starting this year, these professionals will no longer be required to complete a second residency in the United States, which has been a longstanding hurdle for many international medical graduates.

Key Changes with HB 2038

House Bill 2038, also known as the DOCTOR Act, was introduced by state Representative Tom Oliverson. The legislation seeks to create optimized pathways for medical professionals who already reside in the U.S. but didn’t finish their residency here.

New Licensing Rules

The Texas Medical Board has approved provisional medical licenses for foreign-trained doctors who have completed their residency abroad. These new rules become effective immediately.

• Eligible doctors must have five years of experience as a physician prior to entering the U.S.
• They must possess English proficiency and maintain a clean record without disciplinary actions.
• To qualify, candidates must have a job offer in Texas and pass essential parts of the U.S. licensing examination.

After four years under supervision, these doctors can apply for a regular medical license in Texas.

Addressing Physician Shortage

Texas is currently facing a notable shortage of physicians. An estimated 10,000 additional doctors will be needed by 2032. This shortage is attributed to factors including population growth and an aging workforce.

Approximately 100,000 doctors are licensed in Texas, with about 25% of them trained outside the U.S. Despite this, many of these foreign-trained doctors are not currently practicing in their field.

Many health experts believe that the new law will alleviate issues related to healthcare access, particularly in rural areas where the need for medical services is critical. Dr. Sherif Zaafran of the Texas Medical Board stated that these changes could help fill the gaps in underserved areas.

Concerns Over Visa Costs

Challenges remain regarding the recruitment of foreign doctors, particularly due to increased H-1B visa fees. These costs have escalated, creating barriers that may discourage potential candidates. Dallas immigration attorney Ann Badmus has noted a decline in inquiries from foreign doctors as uncertainty surrounding the fees persists.

Future Implications

Experts, including Dr. Avneesh Chhabra from UT Southwestern Medical Center, express hope that the federal government will eventually reconsider the high visa fees, especially given the ongoing physician shortage. However, concerns about the vetting process of foreign medical graduates persist.

Ultimately, while the DOCTOR Act is a promising step toward addressing the healthcare needs in Texas, the effectiveness of the program will hinge on meticulous oversight and the integration of foreign-trained physicians into the healthcare system.