175.019 Medical Licensing Exam Passage Attempts and Timeframe Limits


Medical Licensing Exam Passage Attempts and Timeframe Limits: The Texas Medical Association supports the United States Medical Licensing Exam (USMLE) and Comprehensive Osteopathic Medical Licensing Exam (COMLEX) using the most current and common medical testing measures used to qualify for a Texas medical license. TMA supports the integrity of the testing process and believes the state’s medical licensing criteria should be preserved through the establishment of limits in state law to include a maximum of three attempts per step or step component and a maximum of seven years for the completion of the full testing series for MD and DO candidates.

In recognition of special circumstances that can adversely impact a physician's test-taking abilities, TMA supports the following exceptions to testing limits for the purposes of qualifying for a Texas medical license:


  1. physicians who have been licensed without restriction and have been in good standing in another state for at least five years;
  2. physicians who have current board certification by a member board of the American Board of Medical Specialties or an osteopathic board approved by the American Osteopathic Association; and
  3. physicians who have passed the full USMLE or COMLEX-USA testing series within a maximum period of seven years.


MD/DO/PhD candidates should be afforded at least two years of additional time for completing a testing series bearing in mind TMA’s vision of improving the health of all Texans. TMA does not endorse a lower medical licensing standard for medically underserved areas (CME Rep. 3-A-14).

Last Updated On

September 05, 2019