Important Classification Note

Connecticut and North Dakota do not fit neatly into the four buckets above. FSMB lists them as states that previously proposed pathway legislation, but not as states with an enacted pathway, a current active pending bill, or a 'no action' status.

Selected Recent Developments
  • Washington: Enacted SB 5185 (Mar 2026), eff. June 2026.
  • Texas: Accepting applications for provisional license (Feb 2026).
  • North Carolina: Accepting applications for employee license (Feb 2026).
  • New York: A.7319A/S.7840A remains proposed.

Source basis: Federation of State Medical Boards state-by-state overview (updated April 2026).