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. 2-1 * * * * *