An Act to Implement the Recommendations of the Commission Regarding Foreign-trained Physicians Living in Maine to Establish a Sponsorship Program for International Medical Graduates
Maine Legislature, Session 131, LD 2268
Committee Amendment CA_A_H926 (House)

COMMITTEE AMENDMENT" A" to H.P. 1458, L.D. 2268, "An Act to Implement 
the Recommendations of the Commission Regarding Foreign-trained Physicians Living in 
Maine to Establish a Sponsorship Program for International Medical Graduates" 
Amend the bill by striking out the title and substituting the following: 
'An Act to Implement the Recommendations of the Commission Regarding Foreign-
trained Physicians Living in Maine to Establish a Sponsorship Program for Foreign-
trained Physicians' 
Amend the bill in section 1 in § 12103-B by striking out all of subsection 4 (page 1, 
lines 22 to 25 in L.D.) and inserting the following: 
'4. Application. An internationally trained physician shall apply directly to a rural 
graduate medical education collaborative in the State for screening and placement by using 
a process and qualifying criteria developed by a rural graduate medical education 
collaborative in the State.' 
Amend the bill in section 1 in §12103-B in subsection 5 in the last line (page 1, line 34 
in L.D.) by inserting after the following: "for" the following: 'reasonable administrative 
expenses and for' 
Amend the bill in section 1 in § 12103-B by inserting after subsection 5 the following: 
'6. Rules. The authority may adopt rules as necessary to implement this section. Rules 
adopted pursuant to this section are routine technical rules as defined in Title 5, chapter 
375. subchapter 2-A.' 
Amend the bill in section 2 in subsection 8 in paragraph A in subparagraph (1) in the 
5th line (page 2, line 7 in L.D.) by inserting after the following: "States:" the following: 
'and' 
Amend the bill in section 2 in subsection 8 in paragraph A in subparagraph (1) in the 
last line (page 2, line 8 in L.D.) by striking out the following: ": and who has lived in this 
State for at least 12 months" 
COMMITTEE AMENDMENT 
~oS 
COMMITTEE AMENDMENT 'A "to H.P. 1458, L.D. 2268 
Amend the bill in section 2 in subsection 8 in paragraph B in the first line (page 2, line 
in L.D.) by striking out the following: "limited" and inserting the following: 'temporary 
educational' 
Amend the bill in section 2 in subsection 8 in paragraph B in subparagraph (1) in the 
first line (page 2, line 23 in L.D.) by inserting after the following: "physician" the 
following: 'and who has lived in this State for at least 12 months' 
Amend the bill in section 2 in subsection 8 in paragraph B in subparagraph (5) in the 
last 2 lines (page 2, lines 36 and 37 in L.D.) by striking out the following: "limited license 
to practice medicine" and inserting the following: 'license pursuant to this paragraph' 
Amend the bill in section 2 in subsection 8 in paragraph C in the first line (page 2, line 
in L.D.) by striking out the following: "limited" 
Amend the bill in section 2 in subsection 8 in paragraph D in the 4th line (page 3, line 
in L.D.) by striking out the following: "restricted" 
Amend the bill in section 2 in subsection 8 in paragraph E in the first line (page 3, line 
in L.D.) by striking out the following: "a minimum of 2 years ofrestricted practice" and 
inserting the following: 'practicing' 
Amend the bill in section 2 in subsection 8 in paragraph E in the 2nd line (page 3, line 
in L.D.) by inserting after the following: "paragraph D" the following: 'for a minimum of 
the same years of practice pursuant to paragraph B' 
Amend the bill in section 2 in subsection 8 by inserting after paragraph Ethe following: 
'F. Beginning January 1, 2027 and biennially thereafter, the board shall report to the 
joint standing committee of the Legislature having jurisdiction over matters related to 
the licensing of physicians on the status of the International Medical Graduates 
Sponsorship Program established in Title 20-A, section 12103-B and the alternative 
license pathway established in this subsection. The board shall report on the number of 
internationally trained physicians participating in the program and the progress of those 
physicians toward obtaining a full and unrestricted license to practice medicine in this 
State. The joint standing committee of the Legislature having jurisdiction over matters 
related to the licensing of physicians may report out legislation based on a report 
submitted in accordance with this paragraph to the regular or special session of the 
Legislature in which the report is submitted.' 
Amend the bill by inserting after section 2 the following: 
'Sec, 3. Appropriations and allocations. The following appropriations and 
allocations are made. 
FINANCE AUTHORITY OF MAINE 
International Medical Graduates Sponsorship Program N493 
Initiative: Provides ongoing funds to establish 10 positions annually at one or more 
sponsoring institutions for the employment and training of an internationally trained 
physician issued a limited license to practice medicine pursuant to the Maine Revised 
Statutes, Title 32, section 3271, subsection 8. 
GENERAL FUND 
All Other 
2023-24 
$0 
COMMITTEE AMENDMENT 
2024-25 
$2,500,000 
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~ 
COMMITTEE AMENDMENT 'A "to H.P. 1458, L.D. 2268 
GENERAL FUND TOTAL 
$0 
$2,500,000 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment changes the title and makes clarifying changes to the bill. The 
amendment also adds a requirement directing the Board of Licensure in Medicine to report 
on a biennial basis to the Legislature, beginning January 1, 2027, on the status of the 
sponsorship program and the alternative license pathway established for foreign-trained 
physicians. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
r·r·• .. 
Approved: 03/29/24 .:'bPae 
LD 2268 
LR 3083(02) 
An .Act to implement the Recommendations of the Commission Regarding Foreign-trained Physicians 
Living in Maine to Establish a Sponsorship Program for Inte1·national Medical Graduates 
• 
Fiscal Note for Bill as Amended by Committee A~endment •A• { H-f 2 {o J 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Required: Yes 
Fiscal Note 
FY 2024-25 
Projections 
FY 2025-26 
Projections 
FY 2026-27 
Net Cost (Savi~gs). 
6eiiei·al Fund 
FY 2023-24 
$0 
$2,500,000 
$2,500,0D0 
$2,500,000 
Appropriations/ Allocations 
General Fund 
Fiscal Detail and Notes 
$0 
$2,500,000 
$2,500,000 
$2,500,000 
This bill includes ongoing General Fund appropriations of $2,500,000 per year beginning in fiscal year 2024-25 to a 
newly established International Medical Graduates Sponsorship Program within the Finance Authority of Maine to 
provide funding for 10 slots per year at one or more sponsoring institutions for the employment and training of an 
internationally trained physician issued a temporary educational license to practice medicine in the State. This fiscal 
note assumes 10 slots are funded each year at a cost of $250,000 per slot per year. The Finance Authority of Maine 
has indicated that it will be able to administer the program within the provisions included in the bill, 
Additional costs to the Board of Licensure in Medicine, affiliated with the Department of Professional and Financial 
_.Regulation, to implement the requirements of this legislation can be absorbed within existing budgeted resources. 
LR3083(02) - Fiscal Note - Page 1 of l