S.B. No. 1454
                                        AN ACT
    1-1  relating to educational programs for medical students and
    1-2  physicians regarding pain management and treatment.
    1-3        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-4        SECTION 1.  Chapter 6, Title 71, Revised Statutes, is amended
    1-5  by adding Article 4495d to read as follows:
    1-6        Art.  4495d.  CONTINUING MEDICAL EDUCATION IN PAIN TREATMENT.
    1-7  A physician licensed under the Medical Practice Act (Article 4495b,
    1-8  Vernon's Texas Civil Statutes) who submits an application for
    1-9  renewal of a license that designates a direct patient care practice
   1-10  and whose practice includes treating patients for pain is
   1-11  encouraged to include continuing medical education in pain
   1-12  treatment among the hours of continuing medical education completed
   1-13  to comply with Section 3.025(a)(2), Medical Practice Act (Article
   1-14  4495b, Vernon's Texas Civil Statutes).
   1-15        SECTION 2.  Section 102.009, Health and Safety Code, is
   1-16  amended by adding Subsection (c) to read as follows:
   1-17        (c)  The Texas Cancer Council and/or its contracted projects
   1-18  shall maintain for physicians a listing of available continuing
   1-19  medical education courses in pain treatment offered by accredited
   1-20  Texas medical and osteopathic schools, hospitals, health care
   1-21  facilities, or professional societies or associations for
   1-22  physicians.
   1-23        SECTION 3.  Subchapter O, Chapter 61, Education Code, is
   1-24  amended by adding Section 61.785 to read as follows:
    2-1        Sec. 61.785.  PAIN TREATMENT MEDICAL EDUCATION COURSE WORK.
    2-2  (a)  Each medical school shall determine the extent to which pain
    2-3  treatment medical education course work is meeting the
    2-4  instructional elements described in Subsection (b) and is offered
    2-5  to all students enrolled in medical schools.
    2-6        (b)  Pain treatment medical education course work should
    2-7  include instruction in:
    2-8              (1)  pain assessment in adults, children, and special
    2-9  populations, including elderly and impaired individuals;
   2-10              (2)  pain anatomy, physiology and pathophysiology, and
   2-11  pharmacology of opioid and nonopioid analgesic drugs, including
   2-12  pharmacokinetics and pharmacodynamics;
   2-13              (3)  the advantages and disadvantages of various
   2-14  methods of drug administration, side effects, treatment outcome,
   2-15  and the outcome of behavioral and other psychological therapy for
   2-16  pain;
   2-17              (4)  the psychological, social, economic, and emotional
   2-18  impact of malignant and nonmalignant acute and chronic pain on
   2-19  patients;
   2-20              (5)  indications for and outcomes of anesthetic and
   2-21  neurosurgical pain-relieving techniques, including nerve blocks and
   2-22  neuroaugmentative and neuroablative techniques; and
   2-23              (6)  the outcome of treatment of pain emanating from a
   2-24  damaged nervous system and neuropathic pain.
   2-25        SECTION 4.  (a)  This Act takes effect September 1, 1995.
   2-26        (b)  The Texas State Board of Medical Examiners may adopt
   2-27  rules under this Act not later than December 1, 1995.
    3-1        (c)  Each medical school shall report the analysis of pain
    3-2  treatment medical education course work to the Texas Higher
    3-3  Education Coordinating Board not later than March 1, 1996.
    3-4        SECTION 5.  The importance of this legislation and the
    3-5  crowded condition of the calendars in both houses create an
    3-6  emergency and an imperative public necessity that the
    3-7  constitutional rule requiring bills to be read on three several
    3-8  days in each house be suspended, and this rule is hereby suspended.