The bill amends the Education Code to establish new requirements for medical school admissions, coursework, academic standards, and employment decisions in Texas. It introduces Section 51.3095, which mandates that medical schools must assess student performance in required coursework using a letter grading system from A to F, prohibiting pass/fail grading for such courses. Additionally, any revisions to academic standards for awarding degrees or certificates must be submitted to the legislature and the Texas Higher Education Coordinating Board, including a copy of the proposed standards, a statement of reasons, and the effective date of the changes.

Furthermore, the bill adds Section 51.8425, which requires medical schools to consider standardized test performance in admissions decisions, but not as the sole criterion. It also introduces Section 51.9247, which 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 necessary for the operation of the school. The changes will take effect for admissions starting in the fall semester of 2026, with prior admissions governed by existing law.

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