State Board	USMLE Attempt Limit	Time Limit	Postgraduate Training Requirements		SPEX Required?
			US/Canadian Graduates	Foreign Graduates

ALABAMA No attempt limit on steps I and II, Three attempts on step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD One Year Three Years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years ALASKA One attempt on all Steps. Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Three years NO ARIZONA No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years YES; unless board certified, life time certified, or re-certified by a specialty or sub-specialty in the last 10 years ARKANSAS Six attempts per Steps Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Three years Three years NO CALIFORNIA 4 attempts at Step III Must complete USMLE Steps I, II, and III within ten (10) years of passing the first step One year Two years NO COLORADO No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years NO CONNECTICUT No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Two years NO DELAWARE No attempt limit No limit One year Three years NO DISTRICT OF COLUMBIA No attempt limit on steps I and II. Additional year of PGT required after three failures on step III. Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Three years NO FLORIDA No attempt limit No limit One year Two years NO GEORGIA No attempt limit on steps I and II. Three attempts per step III. (exception) Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years NO HAWAII No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Two years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years IDAHO Two attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years NO ILLINOIS Five attempts total Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Two years, One year if completed before 1988 NO INDIANA Five attempts per Step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Two years NO IOWA Six attempts at Steps I and II. Three ttempts at Step III. Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD One year Two years NO KANSAS Unlimited attempts for steps I & II. Three attempts at Step III. (exception) Must complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first step One year Two years NO KENTUCKY No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Two years NO LOUISIANA Unlimited attempts for Step I. Four attempts at Steps II and III. No Limit One year Three years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years MAINE Unlimited attempts for steps I & II. Three attempts at Step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years (exception) Three years (exception) NO MARYLAND Three attempts per step. (exception) Must complete USMLE Steps 1, 2, and 3 within ten (10) years of passing the first step One year Two years NO MASSACHUSETTS Unlimited attempts for steps I & II. Six attempts at Step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Two years NO MICHIGAN No attempt limit No Limit for steps I & II; Must complete step III within five (5) years of first attempt at step III Two years Two years NO MINNESOTA Three attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Two years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years MISSOURI Three attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years, One Year if Board Certified NO MISSISSIPPI Unlimited attempts for steps I & II. Three attempts at Step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years MONTANA Unlimited attempts for steps I & II. Three attempts at Step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Three years NO NEBRASKA Four attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years NO NEVADA No more than 6 failed attempts Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Three years Three years YES; unless board certified by a specialty or sub-specialty in the last 10 years NEW HAMPSHIRE Three attempts per step (exception) Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Two years NO NEW JERSEY Unlimited attempts for steps I & II. Five ttempts at Step III. (exception) Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step (Waiver can be requested) One year Three years, One year if Graduated before 7/85 NO NEW MEXICO Six attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Two years NO NEW YORK No attempt limit No Limit One year Three years NO NORTH CAROLINA Six Attempts per Step (exception) Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years, PR award accepted NORTH DAKOTA No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years NO OHIO No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD One year Two years NO OKLAHOMA Three attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Two years NO OREGON Three attempts per step (exception) Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years PENNSYLVANIA No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years, One year if completed before 7/87 Three years, One year if completed before 7/87 NO PUERTO RICO No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year One year NO RHODE ISLAND Five attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step Two years Three years NO SOUTH CAROLINA Four attempts per step Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years SOUTH DAKOTA Three attempts per step. Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step (exception) Two years Two years, One year if completed before 7/87 NO TENNESSEE No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years NO TEXAS Three attempts per step. Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD One year Three years YES; unless board certified or re-certified by a specialty or sub-specialty in the last 10 years UTAH Three attempts per step. Must complete USMLE Steps 1, 2, and 3 within seven (7) years of passing the first step; 10 years for MD/PhD Two years Two years NO VERMONT Unlimited attempts for steps I & II. Three attempts at Step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years NO VIRGINIA Unlimited attempts for steps I & II. Three attempts at Step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step (exception) One year Two years NO WASHINGTON Unlimited attempts for steps I & II. Three attempts at Step III Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step; 10 years for MD/PhD Two years, One if completed before 7/87 Two years,One if completed before 7/87 NO WEST VIRGINIA No attempt limit Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Three years, One year if Board Certified NO WISCONSIN Three attempts per step. Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year One year NO WYOMING No limit on step I and II, Two attempts on step III (exception) Must complete USMLE Steps I, II, and III within seven (7) years of passing the first step One year Two years NO