The bill amends 59 O.S. 2021, Section 493.2, to include provisions for international medical school graduates alongside foreign applicants seeking medical licensure in Oklahoma. It establishes requirements for both groups, including the necessity of possessing a Doctor of Medicine degree from an accredited foreign medical school and the completion of a three-year post-graduate training program or equivalent practice experience. The bill introduces a limited licensure option for international medical school graduates, allowing them to practice under supervision at accredited healthcare providers while they work towards obtaining full licensure after three years of practice.

Additionally, the bill modifies existing language regarding English language proficiency, requiring satisfactory command as determined by the Educational Commission for Foreign Medical Graduates (ECFMG) rather than through a specific examination. It also emphasizes the need for original source verification of ECFMG Certification or Medical Council of Canada Qualifying Examination (MCCQE) Certification. The bill outlines the conditions under which limited licensees can transition to full licensure, including maintaining good standing and passing required examinations. The effective date for these changes is set for November 1, 2025.