By Rosson S.B. No. 1454 74R7473 JMM-F 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. PAIN TREATMENT CONTINUING EDUCATION. (a) A 1-8 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 direct patient care must 1-11 complete pain treatment course work approved by the Texas State 1-12 Board of Medical Examiners as continuing medical education under 1-13 Section 3.025(a)(2), Medical Practice Act (Article 4495b, Vernon's 1-14 Texas Civil Statutes). The physician shall complete the number of 1-15 hours of course work required by the board over a period designated 1-16 by the board, not to exceed a three-year period. 1-17 (b) Pain treatment continuing education course work may be 1-18 provided by an accredited medical school, a hospital or health care 1-19 facility, or a professional society or association for physicians. 1-20 The course work must include instruction in: 1-21 (1) pain assessment; 1-22 (2) pharmacology; and 1-23 (3) treatment modality options and outcomes. 1-24 SECTION 2. Subchapter F, Chapter 51, Education Code, is 2-1 amended by adding Section 51.307 to read as follows: 2-2 Sec. 51.307. PAIN TREATMENT MEDICAL EDUCATION COURSE WORK. 2-3 (a) The Texas Higher Education Coordinating Board shall require 2-4 the development of, and shall approve, pain treatment medical 2-5 education course work to be offered to all students enrolled in 2-6 medical schools under the jurisdiction of the coordinating board. 2-7 (b) Pain treatment medical education course work approved by 2-8 the coordinating board shall be offered at all medical schools in 2-9 the state under the jurisdiction of the coordinating board. 2-10 (c) Pain treatment medical education course work approved 2-11 under this section shall include instruction in: 2-12 (1) pain assessment in adults, children, and special 2-13 populations, including elderly and impaired individuals; 2-14 (2) pain anatomy, physiology and pathophysiology, and 2-15 pharmacology of opioid and nonopioid analgesic drugs, including 2-16 pharmacokinetics and pharmacodynamics; 2-17 (3) the advantages and disadvantages of various 2-18 methods of drug administration, side effects, treatment outcome, 2-19 and the outcome of behavioral and other psychological therapy for 2-20 pain; 2-21 (4) the psychological, social, economic, and emotional 2-22 impact of malignant and nonmalignant acute and chronic pain on 2-23 patients; 2-24 (5) indications for and outcomes of anesthetic and 2-25 neurosurgical pain-relieving techniques, including nerve blocks and 2-26 neuroaugmentative and neuroablative techniques; and 2-27 (6) the outcome of treatment of pain emanating from a 3-1 damaged nervous system and neuropathic pain. 3-2 SECTION 3. (a) This Act takes effect September 1, 1995. 3-3 (b) The Texas State Board of Medical Examiners shall adopt 3-4 rules under this Act not later than December 1, 1995. 3-5 (c) The Texas Higher Education Coordinating Board shall 3-6 require the development of and approve a pain treatment medical 3-7 education course work program under this Act not later than March 3-8 1, 1996, and medical schools under the jurisdiction of the 3-9 coordinating board shall begin offering the course work as soon as 3-10 possible after December 1, 1995, but not later than September 1, 3-11 1996. 3-12 (d) A licensed physician subject to the requirements of this 3-13 Act must complete the initial course work required by Article 3-14 4495d, Revised Statutes, as added by this Act, not later than the 3-15 second anniversary of the effective date of this Act. 3-16 SECTION 4. The importance of this legislation and the 3-17 crowded condition of the calendars in both houses create an 3-18 emergency and an imperative public necessity that the 3-19 constitutional rule requiring bills to be read on three several 3-20 days in each house be suspended, and this rule is hereby suspended.