NY A04860

Creates the Interstate Medical Licensure Compact as a new article of New York Education Law, establishing an expedited licensure pathway for eligible physicians to practice in multiple member states without repeating full licensure requirements in each state.

Requires physicians to meet strict eligibility criteria including graduation from accredited medical schools, passage of USMLE or COMLEX-USA exams within three attempts, completed graduate medical education, specialty certification, and no criminal convictions, license discipline, or controlled substance violations.

Establishes an Interstate Medical Licensure Compact Commission composed of two voting representatives per member state to administer the compact, promulgate rules, oversee a centralized database, and coordinate disciplinary actions among member states.

Allows physicians to designate a "state of principal license" based on residency, primary practice location, employer location, or federal tax residence, with the member board in that state issuing verification of eligibility for expedited licenses in other participating states.

Becomes effective once seven states enact the compact and requires unanimous consent of all member states to amend; provides procedures for state withdrawal (effective after one year) and termination of non-compliant member states.