Texas Provisional Medical License Pathway
For Foreign-Trained Physicians
A strategic initiative to expand healthcare capacity in Texas while maintaining the highest standards of medical practice and rigorous TMB oversight.
HB 2038
Texas Doctor's Act
Effective January 1, 2026Mission & Purpose
Expanding Medical Capacity Across Texas
The Texas Doctor's Act (HB 2038) establishes a new Provisional Medical License for qualified foreign-trained physicians. This innovative pathway addresses critical healthcare gaps while ensuring rigorous oversight by the Texas Medical Board (TMB).
Focus Areas
Rural communities & medically underserved areas
Quality Assurance
Maintains strict Texas Medical Board oversight
Primary Objectives
Strengthen Healthcare Readiness
Build a robust medical workforce prepared for Texas' growing needs
Increase Physician Access
Expand availability of qualified physicians in underserved regions
Uphold Texas Standards
Ensure all licensed physicians meet Texas' high medical standards
Eligibility Requirements
To qualify for the Provisional License, applicants must meet all criteria below
Medical Education
- MD or equivalent medical degree
- Medical school must qualify applicant for ECFMG eligibility
Foreign Licensure
- Active medical license in good standing from another country
- No pending disciplinary action or professional sanctions
Postgraduate Training / Experience
Path A — Countries requiring residency:
Path B — Countries not requiring residency:
Exam & Competency Requirements
Texas Medical Jurisprudence Examination click here
Test knowledge of Texas medical laws, rules, and regulations
USMLE Step 1 & Step 2, Click here
Or statutory equivalents as recognized by Texas Medical Board
English Language Proficiency click here
Demonstrated through approved testing (TOEFL, IELTS) or medical education in English
Legal & Employment Requirements
Work Authorization
Must be legally authorized to work in the United States
Employment in Texas
Must hold a verified job offer from a Texas healthcare facility:
- Hospital
- Facility-based practice
- Group medical practice
License Conditions
Duration
Initial provisional license is valid for 2 years from date of issuance
Non-renewable under same conditionsApproved Practice Settings
Initial License PeriodPhysician may only practice in:
Renewal Requirements
Requirements for Renewal
To renew the provisional license, physicians must:
- Hold a valid ECFMG certificate
- Have passed USMLE Step 1 and Step 2 (or equivalents)
- Maintain good standing with Texas Medical Board
Practice Restrictions After Renewal
Renewed license holders may only work in:
Rural Areas
Designated rural countiesMedically Underserved Areas (MUA)
HRSA-designated shortage areasHealth Professional Shortage Areas (HPSA)
Primary care shortage regionsPathway to Full Texas Medical Licensure
Experience Requirement
Complete 4 of the previous 7 years of active practice under the provisional license
Examination Requirements
Meet all Texas Medical Board examination and fitness requirements
Potential Denial Factors
The TMB may deny full licensure if the applicant has:
Official Resources
For compliance and updates, refer to official sources
Ready to Begin Your Texas Medical Journey?
Contact us for guidance through the provisional license application process