An Act to Implement the
Maine Legislature, Session 132, LD 0105
Committee Amendment CA_A_H281 (House)

COMMITTEE AMENDMENT "A" to H.P. 70,L.D. 105, "An Act to Implement the 
Recommendations of the Commission Regarding Foreign-trained Physicians Living in 
Maine to Establish a Sponsorship Program for Internationally Ti'ained Physicians"· 
Amend the bill in section 1 in§ 12103-B in subsection 2 in the 3rd line (page 1, line 14 
in L.D.) by striking out the following: ''alternative" and inserting the following: 'additional' 
Amend the bill in section l in§ 12103-B in subsection 3 in the 4th line (page 1, _line 21 
in L.D.) by inserting after the following: "practice" tqe following: 'supervised' .. ·: • • .... ;. . 
' 
' 
Amend the bill in section 2 in subsection 8 in the first line (page 2, line 1 in L.D.) by 
striking out the following: "Alternative" and inserting the following: 'Additional' 
Amend the bill in section 2 in subsection 8 in the 3rd line (page 2, line 3 in L.D.) by 
striking out the following: "alternative" and inserting the following: 'additional' 
Amend the bill in section 2 in subsection 8 in paragraph A by striking out all of 
subparagraph (1) (page 2, lines 9 to 14 in L.D.) and inserting the following: 
'~nternationally trained physician" means a physician who has received a 
degree of doctor of medicine or its equivalent from a legally chartered medical 
school outside the United States recognized by the World Federation for Medical 
Education and the Foundation for Advancement of International Medical 
Education and Research or their successor organizations: who has been licensed or 
otherwise authorized to practice medicine in a country other than the United States; 
and who has practiced medicine for at least 2 years.' 
Amend the bill in section 2 in subsection 8 in paragraph A in subparagraph (3) in the 
last 2 lines (page 2, lines 19 and 20 in L.D.) by striking out the following: "and that provides 
medical care in a physician sho1iage area" 
Amend the bill in section 2 in subsection 8 in paragraph B in the 2nd line (page 2, line 
in L.D.) by inserting after the following: 
11practice
the following: 'supervised' 
COMMITTEE AMENDMENT 
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COMMITTEE AMENJ?:MENT "A• to H.P. 70, L.D. 105 
Amend the bill in section 2 in subsection 8 in paragraph Bin subparagraph (4) in the 
3rd line (page 2, line 40 in L.D.) by inserting after the following: "with" the following: 
'clinical and' 
Amend the bill in section 2 in subsection 8 in paragraph E in the 2nd line (page 3, li~e 
in L.D.) by strili:ing out the following: "6 years" and inserting the following: 'the same 
number of years the internationally trained physician practiced supervised medicine 
pursuant to paragraph B' 
Amend the bill in section 2 in subsection 8 by inserting aftyr paragraph Ethe following: 
'F .. The board may adopt rules as necessary to implement this subsection. Rules 
adopted pursuant to this paragraph are routine technical rules as defined in Title 51 
chapter 375, subchapter 2-A.' 
Amend the bill in section 2 in subsection 8 in paragraph Fin the 4th line (page 3, line 
in L.D.) by striking out the following: "alternative" and inserting the· following: 
'additional' 
Amend the bill in section 2 in §3271 in subsection 8 by re!ettering the paragraphs· to 
read alphabetically. 
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 internationally trained 
physicians issued a temporary educational license to practice medicine pursuant to the 
Maine Revised Statutes, Title 32, section 3271, subsection 8. 
• 
GENERAL FUND 
All Other 
GENERAL FUND TOTAL 
2025-26 
$2,500,000 
$2,500,000 
2026-27 
$2,500,000 
$2,500,000 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment, which is the majority report of the committee, makes the following 
• changes to the bill. 
1. It changes "alternative license pathway" to "additional license pathway" to reflect 
current terminology used at the national level. 
2. It updates the names of the organizations currently responsible for maintaining the 
directory of world medical schools. 
COMMITTEE AMENDMENT 
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COMMITTEEAMENDMENT,A- "to H.P. 70,L.D.105 
3. It extends the time period that an internationally trained physician must have 
practiced medicine from at least 1 year to at least 2 years. 
4. It clarifies the time period required for an internationally trained physician to practice 
under the conditions specified in the bill before applying for a full and unrestricted license. 
5. It adds language authorizing the Board ofLicensure in Medicine to adopt rules. 
6. It adds an appropriations and allocations section. 
7. It makes other technical changes. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/06/25 LRL 
LD 105 
LR 193(02) 
An Act to Implement the Recommendations of the Commission Regarding Foreign-trained Physicians 
Living in Maine to Establish a Sponsorship Program for Internationally Trained Physicians 
Fiscal Note for Bill as Amended by Committee Amendment~' 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Note Required: Yes 
{H-Z?3l) 
Net Cost (Savings) 
General Fund 
Appropriations/Allocations 
General Fund 
Fiscal Detail and Notes 
Fiscal Note 
FY 2025-26 
$2,500,000 
$2,500,000 
FY 2026-27 
$2,500,000 
$2,500,000 
Projections 
FY 2027-28 
$2,500,000 
$2,500,000 
Projections 
FY 2028-29 
$2,500,000 
$2,500,000 
This bill includes ongoing General Fund appropriations of $2,500,000 per year beginning in fiscal year 2025-26 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 
intemationally trained physician issued a tempormy 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 ofLicensure 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, 
LR0193(02) - Fiscal Note - Page 1 of 1