OLYMPIA — Gov. Bob Ferguson on Monday signed Senate Bill 5185 into law, creating a pilot program to help internationally trained doctors become fully licensed to practice in Washington. 

The bill, sponsored by Sen. Rebecca Saldaña (D-Seattle) and with a House companion sponsored by Rep. Julia Reed (D-Seattle), addresses healthcare workforce shortages — particularly in primary care — by making it easier for qualified international medical graduates already living and working in Washington to continue practicing medicine. 

“Washington is taking an important step to expand access to quality, affordable healthcare,” Saldaña said. “This bill recognizes the training and experience of international medical graduates and creates a strong, reliable pathway for them to serve communities that need care the most.” 

Under the new law, the Washington Medical Commission will establish a Clinical Experience Graduate Pilot Program, allowing eligible international medical graduates to move from supervised practice to full licensure. Applicants must hold a Clinical Experience License, complete at least two years of supervised clinical work, demonstrate strong performance, and receive approval from a supervising physician. Those who complete the program — which includes a total of four years of supervised practice and required licensing exams — will be eligible for a full, unrestricted license to practice primary care in Washington. 

The program is designed to expand access to care, particularly in underserved and rural communities, while maintaining high standards for patient safety. Participants may work in hospitals, community health centers, government facilities, and approved clinics. 

“This is about expanding access to care while maintaining high standards,” Saldaña added. “It’s a practical solution to help more Washingtonians get the care they need.”