86R8966 JSC-D By: Pacheco H.B. No. 1338 A BILL TO BE ENTITLED AN ACT relating to prescribing low-THC cannabis to certain patients for compassionate use. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 169.001(2), Occupations Code, is amended to read as follows: (2) "Epilepsy" has the meaning assigned by Section 40.001, Health and Safety Code ["Intractable epilepsy" means a seizure disorder in which the patient's seizures have been treated by two or more appropriately chosen and maximally titrated antiepileptic drugs that have failed to control the seizures]. SECTION 2. Section 169.002(b), Occupations Code, is amended to read as follows: (b) A physician is qualified to prescribe low-THC cannabis to a patient with [intractable] epilepsy if the physician: (1) is licensed under this subtitle; (2) dedicates a significant portion of clinical practice to the evaluation and treatment of epilepsy; and (3) is certified: (A) by the American Board of Psychiatry and Neurology in: (i) epilepsy; or (ii) neurology or neurology with special qualification in child neurology and is otherwise qualified for the examination for certification in epilepsy; or (B) in neurophysiology by: (i) the American Board of Psychiatry and Neurology; or (ii) the American Board of Clinical Neurophysiology. SECTION 3. Section 169.003, Occupations Code, is amended to read as follows: Sec. 169.003. PRESCRIPTION OF LOW-THC CANNABIS. A physician described by Section 169.002 may prescribe low-THC cannabis to alleviate a patient's seizures if: (1) the patient is a permanent resident of the state; (2) the physician complies with the registration requirements of Section 169.004; and (3) the physician certifies to the department that: (A) the patient is diagnosed with [intractable] epilepsy; (B) the physician determines the risk of the medical use of low-THC cannabis by the patient is reasonable in light of the potential benefit for the patient; and (C) a second physician qualified to prescribe low-THC cannabis under Section 169.002 has concurred with the determination under Paragraph (B), and the second physician's concurrence is recorded in the patient's medical record. SECTION 4. This Act takes effect September 1, 2019.