Legislation aimed at addressing Guam’s physician shortage and improving access to care has been signed into law, according to the office of Telo T. Taitague.
The measure, though controversial, now Public Law 38-107, updates Guam’s physician licensure framework and creates new pathways to recruit qualified doctors to the island. The signing was attended by government leaders and members of the Guam Board of Medical Examiners.
The law establishes two pathways for physician licensing: a traditional route for foreign medical graduates who meet U.S. standards, and a restricted pathway for internationally trained physicians. The latter allows licensed doctors from other countries to practice only within government healthcare facilities under oversight and does not lead to full licensure.
Gov. Lou Leon Guerrero called the law a step toward improving healthcare access while maintaining professional standards. Lt. Gov. Josh Tenorio highlighted collaboration with medical professionals and regulatory boards to ensure safeguards remain in place.
Dr. Nathaniel Berg said the board will focus on careful implementation to protect public health.
Taitague said the law is intended to reduce long wait times for care and limit the need for off-island treatment. “This policy is about our families who wait months to see a specialist,” she said.
To support rollout of the new law, Taitague and Sen. Shelly Calvo have introduced Bill 302-38, which would require implementing rules to be finalized within 60 days. The proposal will be referred to Sen. Sabrina Salas Matanane for a public hearing.
Lawmakers say the follow-up measure is intended to ensure the new policy is implemented without delay while allowing for public input.