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.