Texas 2019 - 86th Regular

Texas House Bill HB2454 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	H.B. No. 2454
	1	+	By: Price, et al. (Senate Sponsor - Hughes, Miles) H.B. No. 2454
	2	+	(In the Senate - Received from the House May 2, 2019;
	3	+	May 3, 2019, read first time and referred to Committee on Health &
	4	+	Human Services; May 20, 2019, reported favorably by the following
	5	+	vote: Yeas 9, Nays 0; May 20, 2019, sent to printer.)
	6	+	Click here to see the committee vote
2	7
3	8
	9	+	A BILL TO BE ENTITLED
4	10		AN ACT
5	11		relating to continuing education requirements for certain health
6	12		professionals regarding pain management and the prescribing of
7	13		opioids.
8	14		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
9	15		SECTION 1. Section 156.055, Occupations Code, is amended to
10	16		read as follows:
11	17		Sec. 156.055. CONTINUING EDUCATION IN PAIN MANAGEMENT AND
12	18		PRESCRIPTION OF OPIOIDS [TREATMENT]. (a) A physician licensed
13	19		under this subtitle who submits an application for renewal of a
14	20		license that designates a direct patient care practice must
15	21		complete, in accordance with this section, not less than two hours
16	22		of continuing medical education regarding safe and effective pain
17	23		management related to the prescription of opioids and other
18	24		controlled substances, including education regarding:
19	25		(1) reasonable standards of care;
20	26		(2) the identification of drug-seeking behavior in
21	27		patients; and
22	28		(3) effectively communicating with patients regarding
23	29		the prescription of an opioid or other controlled substance.
24	30		(b) A physician must complete the hours required by
25	31		Subsection (a) in each of the first two renewal periods following
26	32		the issuance of the physician's initial registration permit under
27	33		this chapter, with two of those hours to be completed not later than
28	34		the first anniversary of the date of issuance.
29	35		(c) After the period described by Subsection (b), a
30	36		physician must complete not less than two hours of continuing
31	37		medical education described by Subsection (a) every eight years.
32	38		(d) The hours required by this section may be completed in
33	39		any continuing medical education activity approved by the board,
34	40		including medical ethics or professional responsibility education,
35	41		and may be counted toward [and whose practice includes treating
36	42		patients for pain is encouraged to include continuing medical
37	43		education in pain treatment among] the hours of continuing medical
38	44		education completed to comply with Section 156.051(a)(2).
39	45		(e) The hours required by this section may not be used to
40	46		satisfy any education required by board rule for certified pain
41	47		clinic personnel.
42	48		(f) The board shall adopt rules to implement this section.
43	49		(g) Notwithstanding Subsections (b) and (c), a physician
44	50		who on January 1, 2021, holds a license to practice medicine under
45	51		this subtitle shall complete not less than two hours of continuing
46	52		medical education described by Subsection (a) in each of the two
47	53		renewal periods occurring after that date. This subsection expires
48	54		January 1, 2026.
49	55		SECTION 2. Section 157.0513(a), Occupations Code, is
50	56		amended to read as follows:
51	57		(a) The board, the Texas Board of Nursing, and the Texas
52	58		Physician Assistant Board shall jointly develop a process:
53	59		(1) to exchange information regarding the names,
54	60		locations, and license numbers of each physician, advanced practice
55	61		registered nurse, and physician assistant who has entered into a
56	62		prescriptive authority agreement;
57	63		(2) by which each board shall immediately notify the
58	64		other boards when a license holder of the board becomes the subject
59	65		of an investigation involving the delegation and supervision of
60	66		prescriptive authority, as well as the final disposition of any
61	67		such investigation; [and]
62	68		(3) by which each board shall maintain and share a list
63	69		of the board's license holders who have been subject to a final
64	70		adverse disciplinary action for an act involving the delegation and
65	71		supervision of prescriptive authority; and
66	72		(4) to ensure that each advanced practice registered
67	73		nurse or physician assistant who has entered into a prescriptive
68	74		authority agreement authorizing the prescribing of opioids is
69	75		required to complete not less than two hours of continuing
70	76		education annually regarding safe and effective pain management
71	77		related to the prescription of opioids and other controlled
72	78		substances, including education regarding:
73	79		(A) reasonable standards of care;
74	80		(B) the identification of drug-seeking behavior
75	81		in patients; and
76	82		(C) effectively communicating with patients
77	83		regarding the prescription of an opioid or other controlled
78	84		substance.
79	85		SECTION 3. Section 257.005, Occupations Code, is amended by
80	86		adding Subsection (b-1) to read as follows:
81	87		(b-1) The board shall require a licensed dentist whose
82	88		practice includes direct patient care to complete not less than two
83	89		hours of board-approved continuing education annually regarding
84	90		safe and effective pain management related to the prescription of
85	91		opioids and other controlled substances, including education
86	92		regarding:
87	93		(1) reasonable standards of care;
88	94		(2) the identification of drug-seeking behavior in
89	95		patients; and
90	96		(3) effectively communicating with patients regarding
91	97		the prescription of an opioid or other controlled substance.
92	98		SECTION 4. The change in law made by this Act applies only
93	99		to an application for renewal of a registration permit or license
94	100		submitted on or after January 1, 2021. A renewal application
95	101		submitted before January 1, 2021, is governed by the law in effect
96	102		immediately before the effective date of this Act, and the former
97	103		law is continued in effect for that purpose.
98	104		SECTION 5. This Act takes effect September 1, 2019.
99		-	______________________________ ______________________________
100		-	President of the Senate Speaker of the House
101		-	I certify that H.B. No. 2454 was passed by the House on May 2,
102		-	2019, by the following vote: Yeas 136, Nays 4, 1 present, not
103		-	voting.
104		-	______________________________
105		-	Chief Clerk of the House
106		-	I certify that H.B. No. 2454 was passed by the Senate on May
107		-	22, 2019, by the following vote: Yeas 30, Nays 1.
108		-	______________________________
109		-	Secretary of the Senate
110		-	APPROVED: _____________________
111		-	Date
112		-	_____________________
113		-	Governor
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