1-1 By: Rosson S.B. No. 1454
1-2 (In the Senate - Filed March 13, 1995; March 21, 1995, read
1-3 first time and referred to Committee on Health and Human Services;
1-4 April 27, 1995, reported adversely, with favorable Committee
1-5 Substitute by the following vote: Yeas 7, Nays 0; April 27, 1995,
1-6 sent to printer.)
1-7 COMMITTEE SUBSTITUTE FOR S.B. No. 1454 By: Moncrief
1-8 A BILL TO BE ENTITLED
1-9 AN ACT
1-10 relating to educational programs for medical students and
1-11 physicians regarding pain management and treatment.
1-12 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-13 SECTION 1. Chapter 6, Title 71, Revised Statutes, is amended
1-14 by adding Article 4495d to read as follows:
1-15 Art. 4495d. CONTINUING MEDICAL EDUCATION IN PAIN TREATMENT.
1-16 A physician licensed under the Medical Practice Act (Article 4495b,
1-17 Vernon's Texas Civil Statutes) who submits an application for
1-18 renewal of a license that designates a direct patient care practice
1-19 and whose practice includes treating patients for pain is
1-20 encouraged to include continuing medical education in pain
1-21 treatment among the hours of continuing medical education completed
1-22 to comply with Section 3.025(a)(2), Medical Practice Act (Article
1-23 4495b, Vernon's Texas Civil Statutes).
1-24 SECTION 2. Section 102.009, Health and Safety Code, is
1-25 amended by adding Subsection (c) to read as follows:
1-26 (c) The Texas Cancer Council and/or its contracted projects
1-27 shall maintain for physicians a listing of available continuing
1-28 medical education courses in pain treatment offered by accredited
1-29 Texas medical and osteopathic schools, hospitals, health care
1-30 facilities, or professional societies or associations for
1-31 physicians.
1-32 SECTION 3. Subchapter O, Chapter 61, Education Code, is
1-33 amended by adding Section 61.785 to read as follows:
1-34 Sec. 61.785. PAIN TREATMENT MEDICAL EDUCATION COURSE WORK.
1-35 (a) Each medical school shall determine the extent to which pain
1-36 treatment medical education course work is meeting the
1-37 instructional elements described in Subsection (b) and is offered
1-38 to all students enrolled in medical schools.
1-39 (b) Pain treatment medical education course work should
1-40 include instruction in:
1-41 (1) pain assessment in adults, children, and special
1-42 populations, including elderly and impaired individuals;
1-43 (2) pain anatomy, physiology and pathophysiology, and
1-44 pharmacology of opioid and nonopioid analgesic drugs, including
1-45 pharmacokinetics and pharmacodynamics;
1-46 (3) the advantages and disadvantages of various
1-47 methods of drug administration, side effects, treatment outcome,
1-48 and the outcome of behavioral and other psychological therapy for
1-49 pain;
1-50 (4) the psychological, social, economic, and emotional
1-51 impact of malignant and nonmalignant acute and chronic pain on
1-52 patients;
1-53 (5) indications for and outcomes of anesthetic and
1-54 neurosurgical pain-relieving techniques, including nerve blocks and
1-55 neuroaugmentative and neuroablative techniques; and
1-56 (6) the outcome of treatment of pain emanating from a
1-57 damaged nervous system and neuropathic pain.
1-58 SECTION 4. (a) This Act takes effect September 1, 1995.
1-59 (b) The Texas State Board of Medical Examiners may adopt
1-60 rules under this Act not later than December 1, 1995.
1-61 (c) Each medical school shall report the analysis of pain
1-62 treatment medical education course work to the Texas Higher
1-63 Education Coordinating Board not later than March 1, 1996.
1-64 SECTION 5. The importance of this legislation and the
1-65 crowded condition of the calendars in both houses create an
1-66 emergency and an imperative public necessity that the
1-67 constitutional rule requiring bills to be read on three several
1-68 days in each house be suspended, and this rule is hereby suspended.
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