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AB-2398 • 2026

Graduate medical education capacity: report.

Graduate medical education capacity: report.

Education Healthcare
Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Alvarez
Last action
Official status
Assembly - Appropriations
Effective date
Not listed

Plain English Breakdown

The bill text states provisions repeal in 2030, but does not specify if this applies only to new licenses or existing ones.

Report on Medical Training and New License for Graduates

This law creates a new license type called the Physician Graduate License for medical school graduates who have not finished residency training, while also requiring a state report on how to increase available residency spots.

What This Bill Does

  • Requires the Department of Health Care Access and Information to form a workgroup with stakeholders to discuss graduate medical education capacity in California.
  • Mandates that the department submit a report by July 1, 2028, including recommendations on increasing residency positions, improving geographic distribution, and reducing barriers for international graduates.
  • Establishes the Physician Graduate License Act to allow medical school graduates without completed residencies to obtain a specific license if they meet requirements.
  • Requires holders of this new license to practice under an agreement with a sponsoring physician who maintains an active practice in California.
  • Sets the new license validity at 3 years, allowing for renewal every 3 years subject to certain conditions.

Who It Names or Affects

  • Medical school graduates who have not completed a residency program.
  • The Department of Health Care Access and Information.
  • The Medical Board of California.
  • Sponsoring physicians and surgeons in active practice within the state.

Terms To Know

Residency positions
Training spots where new doctors gain supervised experience after medical school before becoming fully licensed to work alone.
Physician graduate license
A specific type of state permit for a doctor who finished medical school but has not yet completed residency training.
Full-scope physician
The legal status given to the new licensee, meaning they are treated as having full authority to practice medicine under supervision rules.

Limits and Unknowns

  • The bill does not specify exactly how many residency positions will be created or where.
  • The law states that license renewals can happen for an unspecified number of periods, leaving the total duration unclear.
  • All provisions in this bill automatically end and are repealed on January 1, 2030.

Bill History

  1. California Legislative Information

    Assembly - Appropriations

Official Summary Text

Graduate medical education capacity: report.