By Hirschi                                            H.B. No. 2288
          Substitute the following for H.B. No. 2288:
          By Berlanga                                       C.S.H.B. No. 2288
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to educational programs for medical students and
    1-3  physicians regarding pain management and treatment.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Chapter 6, Title 71, Revised Statutes, is amended
    1-6  by adding Article 4495d to read as follows:
    1-7        Art. 4495d.  CONTINUING MEDICAL EDUCATION IN PAIN TREATMENT.
    1-8  A physician licensed under the Medical Practice Act Article 4495b,
    1-9  (Vernon's Texas Civil Statutes) who submits an application for
   1-10  renewal of a license that designates a direct patient care practice
   1-11  and whose practice includes treating patients for pain is
   1-12  encouraged to include continuing medical education in pain
   1-13  treatment among the hours of continuing medical education completed
   1-14  to comply with Section 3.025(a)(2), Medical Practice Act.
   1-15        SECTION 2.  Chapter 102, Section 102.009, Health and Safety
   1-16  Code, is amended by adding a new subsection (c).  The new
   1-17  subsection (c) reads as follows:
   1-18        (c)  The Texas Cancer Council and/or its contracted projects
   1-19  shall maintain for physicians a listing of available continuing
   1-20  medical education courses in pain treatment offered by accredited
   1-21  Texas medical and osteopathic schools, hospitals, health care
   1-22  facilities, or professional societies or associations for
   1-23  physicians.
   1-24        SECTION 3.  Chapter 61, Education Code, is amended by adding
    2-1  Section 61.785 to read as follows:
    2-2        Sec. 61.785.  PAIN TREATMENT MEDICAL EDUCATION COURSE WORK.
    2-3  (a)  Each medical school shall determine the extent to which pain
    2-4  treatment medical education course work meeting the instructional
    2-5  elements described in (b) below, is offered to all students
    2-6  enrolled in medical schools.
    2-7        (b)  Pain treatment medical education course work should
    2-8  include instruction in:
    2-9              (1)  pain assessment in adults, children, and special
   2-10  populations, including elderly and impaired individuals;
   2-11              (2)  pain anatomy, physiology and pathophysiology, and
   2-12  pharmacology of opioid and nonopioid analgesic drugs, including
   2-13  pharmacokinetics and pharmacodynamics;
   2-14              (3)  the advantages and disadvantages of various
   2-15  methods of drug administration, side effects, treatment outcome,
   2-16  and the outcome of behavioral and other psychological therapy for
   2-17  pain;
   2-18              (4)  the psychological, social, economic, and emotional
   2-19  impact of malignant and nonmalignant acute and chronic pain on
   2-20  patients;
   2-21              (5)  indications for and outcomes of anesthetic and
   2-22  neurosurgical pain-relieving techniques, including nerve blocks and
   2-23  neuroaugmentative and neuroablative techniques; and
   2-24              (6)  the outcome of treatment of pain emanating from a
   2-25  damaged nervous system and neuropathic pain.
   2-26        SECTION 4.  (a) This Act takes effect September 1, 1995.
   2-27        (b)  The Texas State Board of Medical Examiners may adopt
    3-1  rules under this Act not later than December 1, 1995.
    3-2        (c)  Each medical school shall report the analysis of pain
    3-3  treatment medical education course work to the Texas Higher
    3-4  Education Coordinating Board  not later than March 1, 1996.
    3-5        SECTION 5.  The importance of this legislation and the
    3-6  crowded condition of the calendars in both houses create an
    3-7  emergency and an imperative public necessity to be read on three
    3-8  several days in each house be suspended, and this rule is hereby
    3-9  suspended.