California 2025-2026 Regular Session

California Assembly Bill AB2398

Introduced
2/20/26  
Refer
3/9/26  
Report Pass
4/13/26  
Refer
4/14/26  
Report Pass
4/21/26  

Caption

Graduate medical education capacity: report.

Impact

This bill proposes significant changes to state law regarding medical licensing and the structure of graduate medical education. By implementing the Physician Graduate License Act, the state will allow individuals who have graduated from medical schools but have not completed residency programs to practice medicine in a supervised environment. This measure is intended to alleviate some of the burdens related to physician shortages, particularly in underserved areas, while maintaining safety and quality in medical care. Additionally, the bill's stipulation for a detailed report by 2028 ensures ongoing evaluation and improvement of residency capacity and distribution.

Summary

AB2398, known as the Physician Graduate License Act, seeks to address the growing shortage of physicians in California by facilitating pathways for recent medical graduates and international medical graduates to practice medicine under supervision. The bill mandates the Department of Health Care Access and Information (HCAI) to form a workgroup that will evaluate the capacity for graduate medical education in California, particularly focusing on residency positions, which are crucial for training qualified physicians. The workgroup will include various stakeholders such as medical boards, medical schools, and health organizations, fostering a collaborative approach to solving the issue.

Sentiment

The sentiment surrounding AB2398 appears to be cautiously optimistic. Supporters argue that the bill is a necessary step toward alleviating the physician shortage in California and enhancing access to healthcare, especially in rural and underserved communities. However, there are concerns about the adequacy of supervision and the quality of training provided to those practicing under a graduate license. Overall, the discussion reflects a balance between expanding healthcare access and ensuring patient safety and professional standards.

Contention

Notable points of contention include the potential impact on traditional residency pathways and the quality of care provided by less experienced graduates. Critics may worry that allowing graduates without residency experience to practice could undermine patient safety, while proponents might counter that this is a critical strategy to utilize untapped medical talent in addressing immediate healthcare needs. The bill's regulatory framework will play a crucial role in determining how effectively these concerns are managed.

Companion Bills

No companion bills found.

Previously Filed As

CA HB1263

Graduate Medical Education Grant Program

CA HB2148

Foreign medical graduates; nurses; licensure

CA SB1395

Requirements; international medical graduates

CA SB1623

Appropriations; graduate medical education program

CA SB1169

Appropriations; graduate medical education program

CA SB01054

An Act Facilitating State Licensure Of International Medical Graduates.

CA HB1384

To Amend The Law Concerning The Graduate Medical Education Residency Expansion Board; And To Declare An Emergency.

CA AB1852

Kern Medical Education Authority.

CA AB821

Pupil instruction: high school graduation requirements: career technical education.

CA AB1502

Veterinary medicine: California Veterinary Medical Board.

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