TITLE I—INCENTIVIZING STATES 
TO 
ALLOW 
TRANSITIONAL 
PRACTICE 
BY 
INTER-
NATIONAL 
MEDICAL 
GRAD-
UATES 
SEC. 101. GRANTS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may award grants to States to develop 
and implement programs to allow eligible international 
medical graduates, for a period of up to 4 years while com-
pleting steps 1 and 2 of the United States Medical Licens-
ing Examination, to practice medicine in the respective 
State under the supervision of a fully licensed physician. 
(b) DEFINITION.—In this section: 
(1) The term ‘‘eligible international medical 
graduate’’ means an individual who— 
(A) graduated from a school of medicine 
outside of the United States or Canada; and 
(B) is— 
(i) lawfully admitted for permanent 
residence; 
(ii) admitted as a refugee under sec-
tion 207 of the Immigration and Nation-
ality Act (8 U.S.C. 1157); 
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(iii) granted asylum under section 208 
of such Act (8 U.S.C. 1158); or 
(iv) a person otherwise authorized to 
be employed in the United States. 
(2) The term ‘‘State’’ includes the District of 
Columbia and any territory of the United States. 
SEC. 102. EXEMPTION OF CERTAIN ELIGIBLE INTER-
NATIONAL MEDICAL GRADUATES FROM AP-
PLICATION OF FTE CAP. 
(a) IN GENERAL.—Section 1886(h)(4)(H) of the So-
cial Security Act (42 U.S.C. 1395ww(h)(4)(H)) is amend-
ed by adding at the end the following new clause: 
‘‘(vii) EXEMPTION OF CERTAIN FOR-
EIGN MEDICAL GRADUATES FROM COUNT-
ING TOWARDS CAP.— 
‘‘(I) IN GENERAL.—For purposes 
of applying the limit described in sub-
paragraph (F), a specified resident 
(as defined in subclause (II)) shall not 
be taken into account in determining 
the total number of full-time equiva-
lent residents before application of 
weighting 
factors 
(as 
determined 
under this paragraph) with respect to 
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a hospital’s approved medical resi-
dency training program. 
‘‘(II) SPECIFIED
RESIDENT
DE-
FINED.—For purposes of subclause 
(I), the term ‘specified resident’ 
means an eligible international med-
ical graduate (as defined in section 
101(b) of the Pathways to Health 
Care Act of 2022) who is a resident 
in a hospital’s approved medical resi-
dency training program, but only if 
such hospital— 
‘‘(aa) has in effect an agree-
ment with a Federally qualified 
health center under which resi-
dents training in such program 
spend time training at such cen-
ter; 
‘‘(bb) is located in a State 
that allows such eligible inter-
national medical graduates to 
practice medicine as described in 
section 101(a) of such Act; and 
‘‘(cc) predominantly serves 
medically 
underserved 
popu-
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lations (as defined in section 
330(b)(3)(A) 
of 
the 
Public 
Health Service Act), as deter-
mined by the Secretary.’’. 
(b) STUDY ON REMOVAL OF RESIDENT CAP.—Not 
later than 180 days after the date of the enactment of 
this Act, the Secretary of Health and Human Services 
shall submit to Congress a report on the possibility of re-
moving the resident cap under section 1886(h)(4)(F) of 
the Social Security Act (42 U.S.C. 1395ww(h)(4)(F)). 
TITLE 
II—ASSISTING 
INTER-
NATIONAL 
MEDICAL 
GRAD-
UATES DURING PURSUIT OF 
LICENSURE 
SEC. 201. GRANTS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may award grants to States to provide 
assistance to eligible international medical graduates while 
such graduates are completing steps 1 and 2 of the United 
States Medical Licensing Examination. 
(b) COVERED ASSISTANCE.—Assistance provided to 
an eligible international medical graduate pursuant to this 
section may include paying the costs of the United States 
Medical Licensing Examination, career counseling, case 
management, classes in English as a second language, as-
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sistance in diploma verification, and test preparation 
courses. 
(c) DEFINITION.—In this section, the terms ‘‘eligible 
international medical graduate’’ and ‘‘State’’ have the 
meanings given to those terms in section 101. 
Æ 
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