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Bill Summary · SB 1365

Legislative bill overview

SB 1365 authorizes Hawaii to join the Interstate Medical Licensure Compact (IMLC), a multi-state agreement that streamlines medical license reciprocity among participating states. Under this compact, physicians licensed in one member state can more easily obtain licenses in other member states without repeating extensive application processes. The bill became law on June 3, 2025.

Why is this important

This compact addresses physician shortages in underserved areas by enabling faster interstate mobility of medical professionals. Hawaii, as an island state with healthcare workforce challenges, gains access to a broader pool of qualified physicians while reducing administrative licensing burdens. The compact currently includes 32+ states and continues to expand, creating a more integrated national medical workforce.

Potential points of contention

  • Regulatory standards variation: Member states maintain their own medical board oversight, but different disciplinary histories or standards across states could raise quality assurance concerns
  • Local workforce impact: Some may worry that easier physician migration could reduce incentives to recruit and retain local medical professionals or develop homegrown talent
  • Administrative costs: Hawaii healthcare facilities and licensing boards bear implementation and administrative costs, though these are typically modest

Compiled from official sources — confirm details with the bill’s official record.

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