Relating to medical school admissions, coursework, academic standards, and employment decisions in this state.

HB 5294 requires Texas medical schools to ensure at least half of their required coursework uses letter grades (A-F) or equivalent tiered systems for assessment. It also mandates that medical schools consider standardized test scores in admissions (focusing on science and medical knowledge) but prohibits using them as the sole admission factor. Additionally, medical schools must notify the legislature and Texas Higher Education Coordinating Board before changing admission or academic standards, providing the proposed standards, rationale, and effective date. The bill directly affects medical schools and applicants seeking medical degrees in Texas.