The bill aims to establish a grant program to increase residency positions for international medical graduates (IMGs) in Washington state, addressing disparities in their successful placement within the residency system. It introduces new sections to chapter 18.71 RCW, which outline the creation of a grant program funded by appropriated amounts, with specific authorized specialties including family medicine, internal medicine, pediatrics, psychiatry, obstetrics and gynecology, and general surgery. The bill mandates that residency programs receiving funding must operate under a waiver from the national residency matching program and maintain accreditation, while also requiring them to provide demographic and funding usage information to the commission.

Additionally, the bill establishes processes for grant selection, including a requirement that at least 75% of residency positions be filled by IMGs, and creates an advisory committee to support the commission in decision-making. The commission is tasked with reporting to the legislature on the program's outcomes and recommendations for future funding by January 1st of each biennium, starting in 2027. The bill includes a provision that it will become null and void if specific funding is not provided by June 30, 2027.