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A BILL TO BE ENTITLED
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AN ACT
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relating to the supervision by allopathic or osteopathic physicians |
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of certain persons performing certain procedures. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. This Act may be cited as the Texas Interventional |
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Pain Management and Treatment Act. |
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SECTION 2. Section 172.1(2), Administrative Code, is |
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amended by adding Subsections (3) and (4) to read as follows: |
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(3) "Fluoroscope" is a radiologic instrument equipped with |
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a fluorescent screen on which opaque internal structures can be |
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viewed as moving shadow images formed by the differential |
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transmission of X-rays throughout the body; and |
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(4) "Interventional pain management" means the practice of |
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medicine devoted to the diagnosis and treatment of chronic pain, |
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through the use of techniques such as: |
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(A) Ablation of targeted nerves, |
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(B) Percutaneous precision needle placement within |
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the spinal column with placement of drugs such as local |
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anesthetics, steroids, analgesics in targeted areas of the spinal |
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column, |
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(C) Surgical techniques, such as laser or endoscopic |
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discectomy, intrathecal infusion pumps and spinal cord |
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stimulators, peripheral nerve stimulation; or |
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(D) Minimally invasive surgical spine interventions. |
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(3)(5) Post-surgical, post-procedure, persistent |
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non-chronic pain--pain that occurs due to trauma caused by the |
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surgery or procedure; or an underlying condition, disease, or |
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injury causing persistent non-chronic pain. These types of pain |
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last 90 days or less, but more than 30 days, from the date of initial |
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prescriptions for opioids during a period of treatment. |
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SECTION 3. Section 169.26(b), Administrative Code, is |
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amended by adding Subsections (1), (2) and (3) to read as follows: |
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(1) It shall be unlawful to practice or offer to practice |
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interventional pain management in the state of Texas unless such a |
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person is licensed to practice medicine by the Texas Medical Board. |
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(2) Nothing in this section shall be construed to forbid the |
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administration of non-fluoroscopically guided lumbar interlaminar |
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epidural injections, peripheral nerve blocks and peripheral joint |
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injections by a certified Advanced Practice Provider when requested |
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to do so by a physician and under the supervision of an allopathic |
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or osteopathic physician licensed in Texas and under conditions in |
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which timely on-site consultation by an allopathic or osteopathic |
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physician is available. |
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(3) A certified Advanced Practice Provider shall not |
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operate an interventional pain management clinic, specializing in |
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diagnosing and treating chronic pain-related disorders. Only a |
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qualified pain management physician, as recognized by the Texas |
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Medical Board, can operate an interventional pain management |
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clinic. A certified Advanced Practice Providers may only perform |
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procedures listed in item 2c under the direct supervision of a |
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licensed physician who is Board Certified or Board Eligible in Pain |
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Management as recognized by the Texas Medical Board. |
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SECTION 4. This Act takes effect September 1, 2025. |