Establishing preceptorship and hardship pathways to medical practice for international medical graduates.
Effective date 6/11/2026.
Summary
The bill sets up a new pathway for international medical graduates (IMGs) to become licensed physicians in Washington. It requires IMGs to hold a special clinical‑experience license, complete two years of supervised practice, pass Step 3 of the USMLE and a competency exam, then they can receive a full, unrestricted license. The program is limited to primary‑care work and runs until 2035.
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