HB 1199 Maryland House of Delegates · 2025 Regular Session

Physicians - Licensing - Internationally Trained Physicians

HB 1199 creates a new 3-year limited license for internationally trained physicians to practice medicine in Maryland, effective October 1, 2027. It directly affects foreign-trained doctors who meet strict criteria, including holding a WHO-recognized medical degree, completing 2+ years of equivalent postgraduate training, practicing for 5+ years in their home country, passing U.S. medical exams (USMLE Steps 1-3), and residing in Maryland for at least one year. The license cannot be renewed but may lead to full licensure through conditions set by the State Board of Physicians. This provision does not change existing full licensure pathways but adds a temporary option for eligible international physicians.

Issues: ✓ Healthcare ✓ Immigration

Bill status passed 3 of 5 stages cleared

Introduction

Feb 2025

Committee Review

Apr 2025

House of Delegates Passage

Apr 2025

Senate Passage

Governor

Introduced Feb 6, 2025 Last action Apr 5, 2025

Maddy AI version diff · 1 comparison

What changed between versions

First - Physicians - Licensing - Internationally Trained Physicians → Third - Physicians - Licensing - Internationally Trained Physicians · 4 edits

MODERATE

This bill was amended to add more sponsors and expand the list of sponsors, clarify the bill's status as adopted with amendments, and update the effective date to October 1, 2025. The core eligibility requirements for internationally trained physicians remain largely unchanged, though some formatting and numbering adjustments were made to align with legislative standards.

Scope change

No substantive change to the bill's scope or applicability; only procedural and formatting updates were made.

TECHNICAL

Added additional sponsors to the bill, including Alston, Bagnall, Bhandari, Cullison, Guzzone, S. Johnson, Kaiser, Kerr, Martinez, Pena-Melnyk, Rosenberg, Ross, White Holland, and Woods.

Formatting and numbering adjustments were made throughout the document to align with standard legislative markup conventions, including changes to section headers and line numbering.

Added explanatory notes about capitalization, brackets, underlining, and strike-throughs to clarify how amendments are marked in the document.

TIMELINE

The bill's effective date remains October 1, 2025, but the document now includes committee report and house action status indicating favorable adoption with amendments.

Floor votes · House of Delegates Mar 18, 2025

How they voted

133–1

Passed · 5 other

Total votes 139

Mar 18, 2025

D Democratic100

98 Yea 2

98% Yea

R Republican39

35 Yea 1 Nay 3

89% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 5, 2025

Committee

Rereferred to Finance

upper

Apr 3, 2025

Committee

Referred Rules

upper

Apr 2, 2025

Lower · Passed

Third Reading Passed

lower

Apr 2, 2025

Introduced

Floor Amendment {

lower

Apr 2, 2025

Lower · Passed

Favorable with Amendments {

lower

Apr 2, 2025

Lower · Passed

Favorable with Amendments Report by Health and Government Operations

lower

Mar 18, 2025

House Of Delegates · Passed

House of Delegates Vote: pass (133-1-5)

house of delegates

Feb 6, 2025

Committee

First Reading Health and Government Operations

lower

19 primary · 0 co-sponsors