Reading the bill, there seem to be some requirements to consider. Looks like the relevant section starts on bottom of page 8.
http://www.senate.mo.gov/14info/pdf-bill/tat/SB716.pdf
334.036. 1. For purposes of this section, the following terms shall
2 mean:
3 (1) "Assistant physician", any medical school graduate who:
4 (a) Is a resident and citizen of the United States or is a legal
5 resident alien;
6 (b) Has successfully completed Step 1 and Step 2 of the United
7 States Medical Licensing Examination or the equivalent of such steps
8 of any other board-approved medical licensing examination within the
9 two-year period immediately preceding application for licensure as an
10 assistant physician, but in no event more than three years after
11 graduation from a medical college or osteopathic medical college;
12 (c) Has not completed an approved postgraduate residency and
13 has successfully completed Step 2 of the United States Medical
14 Licensing Examination or the equivalent of such step of any other
15 board-approved medical licensing examination within the immediately
16 preceding two-year period unless when such two-year anniversary
17 occurred he or she was serving as a resident physician in an accredited
18 residency in the United States and continued to do so within thirty
19 days prior to application for licensure as an assistant physician; and
20 (d) Has proficiency in the English language;
IMGs may have a problem with (a) and (b). (d) may require TOEFL.