(a) An Interim Provisional License holder shall be eligible for a Permanent Limited License after completing at least three (3) years of practice under the Interim Provisional License, if the licensee: (1) Has successfully completed the assessment and evaluation requirements of § 12256 [See 2026 Note below]; (2) Has received an attestation from the participating healthcare facility that the licensee has demonstrated competence to practice independently m all the current areas of the general competency domains; (3) Has achieved a passing score on Step 3 of the USMLE within three (3) attempts; (4) Has maintained the Interim Provisional License in good standing with no disciplinary actions; (5) Has complied with all terms and conditions of the Interim Provisional License; and
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(6) Has submitted a complete application and paid the applicable fee. (b) A Permanent Limited License issued pursuant to this Section shall authorize the holder to practice medicine with full clinical autonomy, without direct supervision, but only at government of Guam-funded healthcare facilities approved by the Board. (c) A Permanent Limited License holder shall not be eligible for: (1) Conversion to a full and unrestricted license to practice medicine; (2) Practice at private hospitals, private clinics, or private healthcare facilities; (3) Participation in the Interstate Medical Licensure Compact; or (4) Any other license category that would permit practice outside of government of Guam-funded healthcare facilities. (d) The Board may, in its discretion, require additional supervised practice or remediation if the Board determines that the applicant has not demonstrated competence in one or more of the current general competency domains. (e) A Permanent Limited License shall be subject to renewal in accordance with the same schedule and requirements applicable to full and unrestricted licenses, provided that the restriction to government of Guam-funded healthcare facilities shall remain in effect permanently and shall not be removed or modified. SOURCE: Added by P.L. 38-107:7 (Apr. 7, 2026). 2026 NOTE: As enacted by P.L. 38-107:7 (Apr. 7, 2026), subsection (a)(1) referred to § 12256. However, this reference is apparently an error, because § 12256 does not exist.