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.