Licensure of foreign medical grads would help ease doctor shortage

The following testimony was submitted by the Grassroot Institute of Hawaii for consideration by the Senate Committee on Health and Human Services on March 17, 2025.
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March 17, 2025, 1 p.m.
Hawaii State Capitol
Conference Room 225 and Videoconference

To: Senate Committee on Health and Human Services  
       Sen. Joy A. San Buenaventura, Chair
       Sen. Henry J.C. Aquino, Vice-Chair

From: Grassroot Institute of Hawaii
            Ted Kefalas, Director of Strategic Campaigns

RE: COMMENTS IN SUPPORT OF HB1379 HD2 — RELATING TO HEALTH

Aloha Chair, Vice-Chair and other members of the Committee,

The Grassroot Institute of Hawaii supports the intent of HB1379 HD2, which would ease the pathway to licensure for foreign medical graduates.

Hawaii is suffering from medical staffing shortages that affect both the quality and availability of care. Currently, Hawaii’s physician shortage stands at 768, up from 757 in 2023. The greatest shortage is in primary care, where Hawaii needs approximately 152 additional physicians.[1] The Hawaii Physician Workforce Assessment estimates that the state needs to net 100 new physicians per year in order to meet demand by 2032.[2] This bill could help address that shortage by creating a path to licensure for graduates of foreign medical schools.

We defer to the Hawaii Medical Board to determine the best way to balance public safety against effective reforms that will attract new doctors. However, the state should strive to avoid unnecessarily restricting the pool of potential new doctors through overly burdensome requirements.

We urge the Committee to pass HB1379.

Ted Kefalas
Director of Strategic Campaigns
Grassroot Institute of Hawaii
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[1] “Annual Report on Findings from the Hawai‘i Physician Workforce Assessment Project,” University of Hawai‘i, December 2024, p. 8.
[2] Ibid.

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