SB 1179 California Senate · 2025-2026 Regular Session

Doctors from El Salvador Program.

Summary
Existing law, the Medical Practice Act, establishes the Medical Board of California to license and regulate the practice of medicine. Existing law establishes within the act the Licensed Physicians from Mexico Program, which authorizes the board to issue a limited number of nonrenewable 3-year physician's and surgeon's licenses to physicians from Mexico who are licensed, certified, or recertified and in good standing in their medical specialty in Mexico and who meet specified other requirements. This bill would establish the Doctors from El Salvador Program for the purpose of permitting licensed physicians from El Salvador to practice medicine in California for up to 3 years. The bill would require the program to be developed in consultation with representatives from a community health clinic in California that has an established partnership and framework with specified universities in El Salvador and would require the program to, among other things, recruit and vet candidates and assist candidates for the program in El Salvador to meet all program requirements. The bill would require the board to issue a nonrenewable 3-year physician and surgeon's license to a person who is licensed, certified, or recertified, and in good standing in the applicable medical specialty in El Salvador and who meets other requirements of the program. This bill would require a licensee in the program to practice only in the nonprofit community health center that offered the licensee employment and the corresponding hospital. The bill would require a federally qualified health center employing a licensee in the program to take certain actions, including creating and maintaining medical quality assurance protocols for those licensees. The bill would also require the federally qualified health centers to work with a California medical school or residency program to conduct 10 secondary reviews of randomly selected patient encounters with each of those licensees every 6 months, as specified. The bill would also require the faculty from the medical school or residency program and federally qualified health center chief medical officers to jointly develop 2 quality assurance seminars to be attended by the licensees. This bill would require an evaluation of the program to be conducted 12 months after the program has commenced by one of specified universities in El Salvador and an unspecified medical school in southern California, except that if the evaluation does not begin within 18 months of commencement of the program, the bill would require the Director of Consumer Affairs to select an independent consultant to conduct the evaluation. The bill would require progress reports to be provided to the Legislature on achievable time intervals beginning in the 2nd year of implementation of the program. The bill would require the board to coordinate with the community health center, as specified, to ensure that the number of program participants that are issued a license does not exceed a certain number of licensees, based on the year in which the applicant applies. The bill would establish various fees to be deposited in the Contingent Fund of the Medical Board of California or the CURES Fund, as specified. This bill would make legislative findings and declarations as to the necessity of a special statute.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 18, 2026 Last action May 14, 2026
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What changed between versions

02/18/26 - Introduced 04/09/26 - Amended Senate · 8 edits · Apr 9, 2026
MODERATE
The Senate amendment to SB 1179 (Doctors from El Salvador Program) adds a requirement that the program be developed in consultation with a specific California community health clinic, narrows where licensees may practice to only the center that hired them, establishes cohort caps ranging from 60 to 135 participants through 2048, creates a fee structure, and mandates a formal program evaluation with legislative reporting. These changes add accountability mechanisms, limit program scale, and tighten employment restrictions on participating physicians.
Scope change
The program's scope is narrowed in two ways: licensees are restricted to practicing only at the specific center that hired them (not any FQHC), and total participation is capped at 60-135 active licensees depending on the cohort period through 2048. The scope is also broadened by adding a formal evaluation and reporting framework and a fee structure.
SCOPE

New Section 2130.2 requires the program to be developed in consultation with a California community health clinic that has an established partnership with the Universidad Evangelica de El Salvador and Universidad de El Salvador. This clinic takes on roles including coordinating document collection, recruiting and vetting candidates, assisting candidates in El Salvador, selecting FQHCs, and monitoring productivity.

New Section 2130.10 establishes cohort caps on the number of active licensees: 60 (2028-2032), 85 (2032-2036), 110 (2036-2040), 135 (2040-2044), and 135 (2044-2048), with specific application windows for each cohort.

REQUIREMENT

Practice location restriction narrowed: licensees can now only practice at the specific nonprofit community health center that offered them employment and its corresponding hospital, rather than any federally qualified health center in California.

The interview examination and orientation program are now developed in consultation with the community health clinic referenced in Section 2130.2, rather than solely by the committee.

FISCAL

New Section 2130.12 establishes fees: an application/processing fee, an initial license fee at 1.5x the standard amount, a CURES fee at 3x the annual rate, and a Physician Corps Loan Repayment Program fee at 1.5x the standard amount. Fees are deposited into the Contingent Fund of the Medical Board or the CURES Fund.

Program administration costs must be secured from philanthropic entities, and applicants are responsible for working with both governments to obtain the required three-year visa.

ENFORCEMENT

New Section 2130.13 requires a program evaluation 12 months after commencement, conducted by a southern California medical school and an El Salvador university (or board-approved foreign medical school). The evaluation covers quality of care, adaptability, patient response, impact on limited-English-speaking populations, and recommendations on continuation. If the evaluation does not begin within 18 months, the Director of Consumer Affairs selects an independent consultant. Progress reports go to the Legislature beginning in year two.

DEFINITION

El Salvador medical certification is now explicitly required to be performed by the Consejo Nacional de las Especialidades Medicas or the Ministry of Health in El Salvador, adding specificity to the eligibility requirement.

Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
10
Key actions
3
Committee
3
Amendments
1
May 14, 2026
Upper · Passed
May 14 hearing: Held in committee and under submission.
upper
Apr 13, 2026
Upper · Passed
From committee: Do pass and re-refer to Com. on APPR. (Ayes 10. Noes 0. Page 3840.) (April 13). Re-referred to Com. on APPR.
upper
Apr 9, 2026
Upper · Passed
From committee with author's amendments. Read second time and amended. Re-referred to Com. on B. P. & E.D.
upper
Feb 26, 2026
Committee
Referred to Com. on B. P. & E.D.
upper
Feb 18, 2026
Introduced
Introduced. Read first time. To Com. on RLS. for assignment. To print.
upper
1 primary · 5 co-sponsors

Sponsors