ABSTRACT This study examined the relationships between recommended mathematics coursework for secondary mathematics teacher preparation, internal program measures, prior academic performance, and the Praxis-II testing requirement for initial teacher certification used in several states. Using structural equation modeling and path analysis, the research aimed to understand these relationships and their policy implications. Conducted over six years and holding the program measures and design constant for five cohorts, the study found strong support for specialized content knowledge courses, particularly for secondary mathematics teacher candidates who were not well-prepared in high school. Additionally, the findings suggest that the Praxis-II exam might not be necessary for all teacher candidates in mathematics, especially those who were well-prepared in high school and engaged in advanced mathematics coursework for teachers while meeting rigorous program requirements for teacher licensing. The study argues for reconsidering programmatic design in light of these findings while providing program faculty suggestions for program improvements. State Departments of Education and policy makers may consider the research methodology, validity of internal measures, and testing requirements for Praxis-II for future discussions.