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PUBLIC CHAPTER NO. 900
SENATE BILL NO. 2366
By Hensley
Substituted for: House Bill No. 2571
By Kumar, Sherrell, Helton-Haynes
AN ACT to amend Tennessee Code Annotated, Title 63, relative to health care.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE:
SECTION 1. Tennessee Code Annotated, Section 63-6-207(9), is amended by deleting the
subsection and substituting:
(g)(1) Barring any disqualifications determined by the board, the board shall issue a
provisional training license of two (2) years, which may be extended for an additional
one (1) year, to an internationally trained physician who has successfully completed
the examination as described in subsection (b) upon finding sufficient evidence that
the internationally trained physician:
(A) Possesses:
(i) A certificate or diploma from a medical school that:
(a) Meets the board's standards for an approved
international medical s~hool; or
(b) Is judged to be acceptable by the board; and
(ii) A copy of a permanent ECFMG certificate;
(B) Completed a postgraduate training program of a minimum of three
(3) years in a country approved by the internationally trained physician's
training country or has completed a one-year postgraduate training in the
United States;
(C) Has been in good standing with the medical licensing or regulatory
institution of the internationally trained physician's country of training within the
last five (5) years and does not have any pending disciplinary actions;
(D)(i) Is a United States citizen or a qualified alien, as defined in § 4-
58-102; or
(ii) Has applied to live or work in the United States;
(E) Has sufficient evidence of good moral character; and
(F) Has paid a non-refundable application fee of three hundred dollars
($300).
(2) An applicant under subdivision (g)(1) shall submit sufficient evidence that
the applicant is an internationally trained physician and has an offer for employment
as a clinical physician at an employer identified in subdivision (g)(3) that operates in
this state.
SB 2366
(3)(A) The board is authorized to identify the type of employer and clinical
facility authorized to employ and provide a supervising physician to supervise
and assess the skills and competency of an internationally trained physician
during the internationally trained physician's provisional training license period
and establish criteria and guidelines for such type of employers and
authorized clinical facilities.
(8) The type of employer must include:
(i) A federally qualified health center, as defined in § 63-6-204,
with an onsite supervising physician;
(ii) A rural health clinic, as defined in § 63-6-204, with an onsite
supervising physician;
(iii) A community health center, as defined in Pub. L. No. 110-
355, § 2(b)(A), with an onsite supervising physician;
(iv) An employer with a postgraduate training program
accredited by the accreditation council for graduate medical education
and that has an onsite supervising physician; and
(v) A supervising physician employer approved by the board
upon consideration of the practice and training opportunities, including
clinic and hospital experience.
(C) The board shall define additional types of employers based on
factors, including:
(i) Experience in medical education and assessment;
(ii) The ability to provide a supervising physician to oversee and
assess skills; and
(iii) Training resources, including clinic and hospital experience.
(4) An internationally trained physician who is granted a provisional training
license under subdivision (g)(1) shall only provide medical services at an employer
identified in subdivision (g)(3) during the period of the provisional training license
unless the licensee notifies the board of a change of eligible employer.
(5) Barring any disqualifications determined by the board, the board shall
grant a full and unrestricted license to practice medicine to an internationally trained
physician under subdivision (g)(1) who is in good standing, demonstrates
competency, has passed Steps 1, 2, and 3 of the USMLE, and has actively practiced
medicine in this state for two (2) years in a satisfactory manner after being granted a
provisional training license.
(6) The board is encouraged to collect and share data on the provisional
training license pathway to evaluate the pathway's effectiveness.
(7) As used in this subsection (g):
(A) "Clinical facility" means a facility or entity licensed pursuant to title
68, chapter 11 or a Level Ill office-based surgery under chapter 6 or 9 of this
title, as defined by the board of medical examiners or the board of osteopathic
examination;
(8) "Employer" means an entity, corporation, or organization, whether
for-profit or nonprofit, that furnishes, bills·, or is paid for a healthcare procedure
or service delivered in the normal course of business; and
(C) "Supervising physician" means a physician who:
(i) Holds an active, unencumbered medical license pursuant to
chapter 6 or 9 of this title;
(ii) Practices medicine or osteopathic medicine in the same
specialty as the internationally trained physician; and
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SB 2366
(iii) Is board certified in such specialty.
SECTION 2. Tennessee Code Annotated, Section 63-6-207(h)(2), is amended by deleting
"Subdivision (g)(3)" and substituting "Subdivision (g)(4)".
SECTION 3. The board of medical examiners and the board of osteopathic examination are
each authorized to promulgate rules to effectuate this act. The rules must be promulgated in
accordance with the Uniform Administrative Procedures Act, compiled in Tennessee Code
Annotated, Title 4, Chapter 5.
SECTION 4. For the purposes of promulgating rules, this act takes effect upon becoming a
law, the public welfare requiring it. For all other purposes, this act takes effect January 31, 2027, the
public welfare requiring it.
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SENATE BILL NO. 2366
PASSED: April 16, 2026
RANDY Mc
SPEAKER OF THE S
CAMERON"SEXTON,SPEAKER
HOUSE OF REPRESENTATIVES
APPROVED this cs-t:2:. day of M c ~ , 2026
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