House Bill No. 5294 introduces new regulations regarding medical school admissions, coursework, academic standards, and employment decisions in Texas. It amends the Education Code by adding several sections that establish specific requirements for medical schools. Notably, medical schools must assess student performance in required coursework using a letter grading system (A to F) and cannot offer such coursework on a pass/fail basis. Additionally, any revisions to academic standards for awarding degrees or certificates must be submitted to the legislature and the Texas Higher Education Coordinating Board, along with a rationale and effective date for the proposed changes.

The bill also prohibits medical schools from granting admission or employment preferences based on race, sex, color, ethnicity, or national origin, while allowing for bona fide qualifications based on sex that are necessary for the normal operation of the school. These changes will take effect for admissions starting in the spring semester of 2026, with prior admissions governed by the existing law. The bill is set to take effect immediately upon receiving a two-thirds vote from both houses or on September 1, 2025, if that threshold is not met.

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