Professions and occupations; foreign applicants and requirements; international medical school graduates; foreign licensure body; limited licensure; parameters; employment; training programs; supervision; full licensure; unprofessional conduct; professional competence; good moral character; effective date.

Header formatting changed from 'House Committee Substitute' to 'House of Representatives - Floor Version' to reflect the bill's progression through the legislative process.

Page numbering and line breaks were adjusted to match standard floor version formatting conventions.

Minor text spacing and indentation changes were made throughout the document to align with floor version standards.

Added requirement that foreign applicants and international medical school graduates must provide evidence of meeting U.S. immigration status requirements for permanent residence or temporary nonimmigrant status.

Added requirement that foreign applicants must provide original source verification of ECFMG Certificate to the Board, with potential for waiver by rule for good cause.

Added provision stating applicants cannot have committed conduct that would constitute grounds for disciplinary action under the act, either in the United States or foreign jurisdictions.

Changed document title from 'PROPOSED POLICY COMMITTEE SUBSTITUTE' to 'COMMITTEE SUBSTITUTE' and updated request number from 12438 to 13096.

The bill title and header information were updated to reflect the Policy Committee substitute version, including new amendment metadata and formatting changes.

The requirements for limited licensure were reorganized and clarified, specifying that applicants must graduate from an ECFMG-recognized medical school and pay application fees.

Competency verification requirements were restructured to include either three years of postgraduate training in the applicant's licensing country or three years of medical practice outside the United States.

The pathway to full licensure was clarified, requiring three years of practice under limited licensure, good standing, and passing USMLE Steps 1, 2 CK, and 3.

The English language competency requirement was retained, requiring passage of an oral English competency examination through ECFMG.

The requirement for foreign credentials to include notarized English translations from accredited institutions was retained.

The Board's authority to require 12-24 months of Board-approved progressive graduate medical training was retained.

The definition of 'health care provider' was retained, specifying facilities within academic health systems or Oklahoma State University College of Osteopathic Medicine.

Added requirement that all foreign language credentials, diplomas, and documentation submitted to the Board must be accompanied by notarized English translations performed by an institution accredited by the North Central Association of Colleges and Schools.

Minor formatting and structural changes including page numbering updates, header changes from 'ENGROSSED' to 'ENROLLED', and reorganization of subsections D through G with new lettering (D, E, F, G instead of D, E, F, G).

Added final passage dates showing the bill passed the House on March 12, 2025, and the Senate on April 30, 2025, with the effective date of November 1, 2025.

Updated bill header from 'Introduced' to 'Engrossed' and corrected co-sponsorship attribution to include both House and Senate sponsors.

Corrected section numbering and formatting throughout the document, including page number references and section lettering (e.g., changing 'D. E.' to 'D. E.' and 'E. F.' to 'E. F.' for proper subsection organization).

Revised the summary description of the bill to clarify that it requires international medical school graduates to meet certain licensure requirements and adds language about original source verification of medical certifications.

Updated references from 'Educational Commission for Foreign Medical Graduates' to 'Educational Commission for Foreign Medical Graduates (ECFMG)' for consistency and accuracy.

Changed language regarding competency verification to require 'original source verification' of ECFMG certificates rather than just certified copies.

Refined the English language competency requirement to specify it must be demonstrated through an oral English competency examination administered by ECFMG.

Updated the limited licensure provisions to clarify that applicants must submit evidence of employment offers and postgraduate training program accreditation.