HB 1132

relating to an alternate license to practice medicine in this state
and medical care provided at certain health care facilities by
physicians with an alternate license.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Chapter 222, Health and Safety Code, is amended
by adding Subchapter D to read as follows:
SUBCHAPTER D.  MEDICAL CARE PROVIDED AT CERTAIN HEALTH CARE
FACILITIES BY PHYSICIANS WITH ALTERNATE LICENSES
Sec. 222.101.  DEFINITIONS.  In this subchapter:
(1)  "Commission" means the Health and Human Services
(2)  "Executive commissioner" means the executive
commissioner of the commission.
(3)  "Health care facility" means a health care
facility licensed by the commission.
Sec. 222.102.  MEDICAL CARE PROVIDED BY PHYSICIANS WITH
ALTERNATE LICENSE TO PRACTICE MEDICINE.  A health care facility may
(1)  refuse to accept for board certification purposes
a physician's alternate license to practice medicine issued under
Section 155.012, Occupations Code, in employing or granting
practice or admitting privileges for the physician to provide
medical care to patients at the facility; or
(2)  otherwise discriminate against a physician
described by Subdivision (1) in an employment or privilege decision
based on the physician's alternate license.
Sec. 222.103.  LICENSE REVOCATION.  The commission shall
revoke the license of a health care facility that violates this
Sec. 222.104.  RULES.  The executive commissioner shall
adopt rules to implement this subchapter.
SECTION 2.  Subchapter A, Chapter 155, Occupations Code, is
amended by adding Section 155.012 to read as follows:
Sec. 155.012.  ALTERNATE LICENSE FOR CERTAIN APPLICANTS.
(a)  The board shall establish an alternate license to practice
(1)  requires an applicant to satisfy each applicable
eligibility requirement for a license under this chapter except as
provided by Subdivision (2); and
(2)  does not require an applicant to complete courses
or training on or to satisfy any other requirement, including
(A)  performing or inducing an abortion; or
(B)  performing a medical procedure prohibited
(b)  The board shall adopt application procedures and
eligibility requirements for an applicant to apply for and the
board to issue an alternate license under this section.
(c)  The board shall adopt rules to implement this section.
SECTION 3.  Section 155.051, Occupations Code, is amended by
amending Subsection (a) and adding Subsection (b-1) to read as
(a)  Except as provided by Subsections [Subsection] (b) and
(b-1), an applicant for a license to practice medicine in this state
must pass each part of an examination described by Section
155.0511(2), (3), (4), (6), or (7) within seven years.
(b-1)  An applicant for an alternate license established
under Section 155.012 must pass each part of an examination
described by Section 155.0511(10) within seven years.
SECTION 4.  Section 155.0511, Occupations Code, is amended
Sec. 155.0511.  EXAMINATIONS ADMINISTERED OR ACCEPTED BY
BOARD.  The board may administer or accept the following
examinations for licensing as determined by rule:
(1)  a state board licensing examination;
(2)  the Medical Council of Canada Examination (LMCC)
(3)  the National Board of Osteopathic Medical
Examiners (NBOME) examination or its successor;
(4)  the National Board of Medical Examiners (NBME)
(5)  the Federation Licensing Examination (FLEX) with a
weighted average in one sitting before June 1985;
(6)  the Federation Licensing Examination (FLEX) after
(7)  the United States Medical Licensing Examination
(8)  a combination of the examinations described by
Subdivisions (3) and (6) as determined by board rule; [or]
(9)  a combination of the examinations described by
Subdivisions (4), (6), and (7) as determined by board rule; or
(10)  any other examination substantially similar in
training requirements and rigor to the examinations an applicant is
otherwise required to pass for issuance of a license under this
chapter but that excludes testing on subjects described by Section
SECTION 5.  As soon as practicable after the effective date
(1)  the executive commissioner of the Health and Human
Services Commission shall adopt the rules necessary to implement
Subchapter D, Chapter 222, Health and Safety Code, as added by this
(2)  the Texas Medical Board shall adopt rules to
implement the alternate license to practice medicine in this state
as required by Section 155.012, Occupations Code, as added by this
SECTION 6.  This Act takes effect September 1, 2025.