Creates provisions relating to state-accredited residency programs

HB 3298 establishes a new pathway for Missouri to accredit medical residency programs, allowing hospitals and health systems to sponsor state-accredited programs instead of requiring national accreditation (like ACGME). It directly affects residency programs, physicians completing training, and hospitals seeking to expand physician staffing. Key provisions include allowing shorter training durations for specialties with workforce shortages (e.g., family medicine), requiring programs to meet specific competency standards, and prohibiting hospitals or licensing boards from denying privileges or licenses based on whether a physician completed a nationally or state-accredited program. During a pilot period ending in 2029, the state board may limit approvals based on geographic need or specialty shortages to address access gaps. The bill ensures state-accredited programs must still meet rigorous training and supervision requirements equivalent to national standards.