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The proposal adds an additional testing option to help applicants demonstrate English language proficiency. Public hearing and comment procedures are provided, along with an impact analysis covering affected parties, economic and qualitative effects, implementation and enforcement costs, and state revenue impacts.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/regulatory-analysis-resident-special-and-temporary-physician-licensure-licensure-of-acupuncturists/199460/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/regulatory-analysis-resident-special-and-temporary-physician-licensure-licensure-of-acupuncturists/199460.png","ImageObject",300,407,{"name":92,"@type":93},"Sarah ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-04",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What change do the proposed amendments make regarding English language proficiency?","Question",{"text":113,"@type":114},"The amendments allow an additional testing option so applicants can provide proof of English language proficiency.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Who may be affected by the proposed rulemaking?",{"text":118,"@type":114},"Applicants who are foreign-educated, foreign-trained, or both, and related professionals involved in licensing review and inquiries.",{"name":120,"@type":111,"acceptedAnswer":121},"Are there anticipated implementation or enforcement costs to the state?",{"text":122,"@type":114},"No anticipated costs are identified beyond existing licensure review activities, and licensing fees support the regulated professional licensing boards’ operations.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},199460,1788506043,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":39,"preview_page_count":4},962085320529,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","IAB INSPECTIONS AND APPEALS DEPARTMENT[481] 1  \nRegulatory Analysis  \nNotice of Intended Action to be published: 481—653.4(147,148),  \n481—653.6(147,148,148J), and 656.3(1)“c”(2)  \n“Resident, Special and Temporary Physician Licensure; Licensure of Acupuncturists”  \nIowa Code section(s) or chapter(s) authorizing rulemaking: 147, 148, 148E and 272C  \nState or federal law(s) implemented by the rulemaking: Iowa Code chapters 147, 148 and 148E  \nPublic Hearing  \nA public hearing at which persons may present their views orally or in writing will be held as follows:  \nDecember 30, 2025 8 a.m.  \n6200 Park Avenue  \nDes Moines, Iowa  \nVirtual participation information will be available on the public calendar on the Department of Inspections, Appeals, and Licensing’s website prior to the hearing.  \nPublic Comment  \nAny interested person may submit written comments concerning this Regulatory Analysis, which must be received by the Department no later than 4:30 p.m. on the date of the public hearing. Comments should be directed to:  \nEmily DeRonde  \n6200 Park Avenue Des Moines, Iowa 50321  \nEmail: [emily.deronde@dia.iowa.gov](emily.deronde@dia.iowa.gov)  \nPurpose and Summary  \nChapters 653 and 656 set the minimum requirements for special licensure and foreign-trained provisional licensure. These rules were reviewed and revised during the 2024 Red Tape Review process. The proposed amendments allow for an additional testing option for applicants to provide proof of English language proficiency.  \nAnalysis of Impact  \n1. Persons affected by the proposed rulemaking:  \n• Classes of persons that will bear the costs ofthe proposed rulemaking:  \nThere is no direct cost to the general public, but there is a cost to the applicant to comply with the minimum requirements to enter into the profession. The applicant would also have costs related to educational requirements and examination requirements. The Board of Medicine has not identified an exact cost of education for this field because it varies depending on the school attended.  \nBoard staff review applications for initial and renewal licenses, answer inquiries on licensing, and field phone calls. Staff salaries to support the work of the Board are covered by the Licensing and Regulation Fund established in 2023 Iowa Acts, Senate File 557. Licensing fees go to the fund to cover the operations of the regulated professional licensing boards.  \n• Classes of persons that will benefit from the proposed rulemaking:  \nApplicants will benefit from the proposed changes because they provide more testing options to meet the requirements of English language proficiency.  \n2 INSPECTIONS AND APPEALS DEPARTMENT[481] IAB  \n2. Impact of the proposed rulemaking, economic or otherwise, including the nature and amount of all the different kinds of costs that would be incurred:  \n• Quantitative description of impact:  \nThe proposed amendments provide for an additional option for English language proficiency testing, which is a requirement for applicants who are foreign-educated, foreign-trained, or both. By providing more options, the applicant will have more flexibility in testing options.  \n• Qualitative description of impact:  \nThe OET Medicine test meets the same requirements of the other English language proficiency tests already approved by the Board.  \n3. Costs to the State:  \n• Implementation and enforcement costs borne by the agency or any other agency:  \nThere are no anticipated costs to implement or enforce the proposed amendments other than those costs already associated with licensure review. Staff salaries to support the work of the Board are covered by the fund. Licensing fees go to the fund to cover the operations of the regulated professional licensing boards.  \n• Anticipated effect on State revenues:  \nThere are no anticipated effects on State revenues. Costs associated with implementing this rulemaking are paid by the individual licensee, not the State. Staff salaries to support the work of the Boa","cbCaisbOfEzpBP0b","https://ap.wps.com/l/cbCaisbOfEzpBP0b","pdf",126739,"English","# Public Hearing\n## Public Comment\n# Purpose and Summary\n# Analysis of Impact\n## Persons Affected\n## Impact Description\n## Costs to the State\n## Comparison With Inaction\n## Less Costly or Less Intrusive Methods\n## Alternative Methods Considered\n# Small Business Impact","[{\"question\":\"What change do the proposed amendments make regarding English language proficiency?\",\"answer\":\"The amendments allow an additional testing option so applicants can provide proof of English language proficiency.\"},{\"question\":\"Who may be affected by the proposed rulemaking?\",\"answer\":\"Applicants who are foreign-educated, foreign-trained, or both, and related professionals involved in licensing review and inquiries.\"},{\"question\":\"Are there anticipated implementation or enforcement costs to the state?\",\"answer\":\"No anticipated costs are identified beyond existing licensure review activities, and licensing fees support the regulated professional licensing boards’ operations.\"}]","Regulatory Analysis - Resident, Special and Temporary Physician Licensure - Licensure of Acupuncturists | PDF"]