The bill amends Sections 5-37-1 and 5-37-16 of the General Laws in Chapter 5-37, which governs the "Board of Medical Licensure and Discipline." It introduces new definitions for terms such as "ECFMG" (Educational Commission for Foreign Medical Graduates), "internationally-trained physician," "participating healthcare facility," and "Rhode Island physician shortage area," aimed at clarifying the roles and qualifications of healthcare professionals involved in the medical licensure process. Additionally, the term "USMLE" (United States Medical Licensure and Exam) is introduced to outline the licensure requirements for physicians. The bill also deletes outdated language to streamline definitions and enhance clarity in the legal text.

Furthermore, the legislation creates a pathway for internationally trained physicians to obtain limited registration to practice medicine in Rhode Island through a three-step assessment process via the USMLE. To qualify, these physicians must hold a valid ECFMG certificate, achieve passing scores on the first two steps of the USMLE, and enter into an agreement with a participating healthcare facility for evaluation of their nonclinical skills. The bill allows for a renewable one-year limited license, extendable for two years if the physician works in designated shortage areas, and after two years of restricted practice, they may apply for a full medical license. It also updates the language regarding the director's authority by replacing "he or she" with "the director," ultimately aiming to address physician shortages in underserved communities while providing an alternative to traditional residency requirements.