This bill aims to establish a grant program to increase residency positions for international medical graduates (IMGs) in Washington state, addressing the disparity in their successful placements within the state's residency system. The legislation 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 from the Accreditation Council for Graduate Medical Education.

Additionally, the bill establishes a commission responsible for setting selection criteria for grant recipients, ensuring that at least 75% of residency positions are filled by IMGs, and creating an advisory committee to support these efforts. The commission is also tasked with reporting to the legislature on the program's outcomes and recommendations for future funding and specialty expansion. The act includes a provision that it will become null and void if specific funding is not provided by June 30, 2027, and it is set to expire on July 1, 2032.