TX HB2038

Creates provisional medical licenses for foreign-trained physicians who have a doctor of medicine degree, are licensed in good standing abroad, have completed residency training, pass the Texas medical jurisprudence exam, demonstrate English proficiency, and have a job offer from a Texas healthcare facility

Provisional licenses expire after 2 years and restrict practice to settings with accredited residency programs; renewals allow practice only in rural communities or medically underserved areas designated by the U.S. Department of Health and Human Services

Excludes applicants from countries identified as national security risks in the Annual Threat Assessment or subject to International Traffic in Arms Regulations, unless they are U.S. citizens or have valid work visas

Establishes "physician graduate" limited licenses for recent medical school graduates who have not completed residency, requiring them to practice under supervision of a board-certified sponsoring physician and only in counties with populations under 100,000

Physician graduates must disclose their status to patients, can only provide services within their sponsoring physician's specialty, and the sponsoring physician retains legal responsibility for patient care activities

Allows insured individuals to select physician graduates for services covered under their health insurance policies, effective for policies delivered or renewed on or after January 1, 2026