| 1 | 1 | | 89R4878 CJD-F |
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| 2 | 2 | | By: Bucy H.B. No. 1791 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | |
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| 6 | 6 | | |
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| 7 | 7 | | A BILL TO BE ENTITLED |
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| 8 | 8 | | AN ACT |
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| 9 | 9 | | relating to the duties of a prescriber issuing an opioid |
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| 10 | 10 | | prescription to treat acute pain. |
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| 11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 12 | 12 | | SECTION 1. The heading to Section 481.07636, Health and |
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| 13 | 13 | | Safety Code, is amended to read as follows: |
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| 14 | 14 | | Sec. 481.07636. PRESCRIBING OPIOID FOR ACUTE PAIN; |
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| 15 | 15 | | PRESCRIPTION LIMITS. |
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| 16 | 16 | | SECTION 2. Section 481.07636, Health and Safety Code, is |
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| 17 | 17 | | amended by adding Subsection (b-1) and amending Subsection (c) to |
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| 18 | 18 | | read as follows: |
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| 19 | 19 | | (b-1) A prescriber who prescribes an opioid to a person for |
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| 20 | 20 | | the treatment of acute pain shall also prescribe to the person an |
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| 21 | 21 | | opioid antagonist. |
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| 22 | 22 | | (c) Subsections [Subsection] (b) and (b-1) do [does] not |
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| 23 | 23 | | apply to a prescription for an opioid approved by the United States |
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| 24 | 24 | | Food and Drug Administration for the treatment of substance |
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| 25 | 25 | | addiction that is issued by a practitioner for the treatment of |
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| 26 | 26 | | substance addiction. |
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| 27 | 27 | | SECTION 3. Subchapter C, Chapter 481, Health and Safety |
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| 28 | 28 | | Code, is amended by adding Section 481.07637 to read as follows: |
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| 29 | 29 | | Sec. 481.07637. ALTERNATIVE TREATMENTS FOR ACUTE PAIN. (a) |
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| 30 | 30 | | In this section, "acute pain" has the meaning assigned by Section |
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| 31 | 31 | | 481.07636. |
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| 32 | 32 | | (b) When issuing an opioid prescription for acute pain, a |
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| 33 | 33 | | prescriber shall also consider referring or prescribing any of the |
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| 34 | 34 | | following pain management services to a patient, based on the |
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| 35 | 35 | | prescriber's clinical judgment and the availability of the |
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| 36 | 36 | | treatment: |
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| 37 | 37 | | (1) chiropractic treatment; |
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| 38 | 38 | | (2) physical therapies; |
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| 39 | 39 | | (3) occupational therapies; |
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| 40 | 40 | | (4) physical medicine and rehabilitation; or |
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| 41 | 41 | | (5) osteopathic manipulation. |
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| 42 | 42 | | (c) This section does not require that all of the treatments |
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| 43 | 43 | | under Subsection (b) be exhausted before the patient may receive a |
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| 44 | 44 | | prescription for an opioid. |
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| 45 | 45 | | SECTION 4. Section 481.003(a), Health and Safety Code, is |
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| 46 | 46 | | amended to read as follows: |
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| 47 | 47 | | (a) The director may adopt rules to administer and enforce |
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| 48 | 48 | | this chapter, other than Sections 481.074, 481.075, 481.0755, |
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| 49 | 49 | | 481.0756, 481.076, 481.0761, 481.0762, 481.0763, 481.07635, |
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| 50 | 50 | | 481.07636, 481.07637, 481.0764, 481.0765, 481.0766, 481.0767, |
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| 51 | 51 | | 481.0768, and 481.0769. The board may adopt rules to administer |
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| 52 | 52 | | Sections 481.074, 481.075, 481.0755, 481.0756, 481.076, 481.0761, |
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| 53 | 53 | | 481.0762, 481.0763, 481.07635, 481.07636, 481.07637, 481.0764, |
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| 54 | 54 | | 481.0765, 481.0766, 481.0767, 481.0768, and 481.0769. |
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| 55 | 55 | | SECTION 5. Section 554.051(a-1), Occupations Code, is |
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| 56 | 56 | | amended to read as follows: |
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| 57 | 57 | | (a-1) The board may adopt rules to administer Sections |
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| 58 | 58 | | 481.074, 481.075, 481.0755, 481.0756, 481.076, 481.0761, 481.0762, |
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| 59 | 59 | | 481.0763, 481.07635, 481.07636, 481.07637, 481.0764, 481.0765, |
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| 60 | 60 | | 481.0766, 481.0767, 481.0768, and 481.0769, Health and Safety Code. |
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| 61 | 61 | | SECTION 6. Section 565.003, Occupations Code, as amended by |
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| 62 | 62 | | Chapters 1105 (H.B. 2174) and 1166 (H.B. 3284), Acts of the 86th |
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| 63 | 63 | | Legislature, Regular Session, 2019, is reenacted to read as |
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| 64 | 64 | | follows: |
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| 65 | 65 | | Sec. 565.003. ADDITIONAL GROUNDS FOR DISCIPLINE REGARDING |
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| 66 | 66 | | APPLICANT FOR OR HOLDER OF NONRESIDENT PHARMACY LICENSE. Unless |
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| 67 | 67 | | compliance would violate the pharmacy or drug statutes or rules in |
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| 68 | 68 | | the state in which the pharmacy is located, the board may discipline |
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| 69 | 69 | | an applicant for or the holder of a nonresident pharmacy license if |
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| 70 | 70 | | the board finds that the applicant or license holder has failed to |
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| 71 | 71 | | comply with: |
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| 72 | 72 | | (1) Subchapter C, Chapter 481, Health and Safety Code; |
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| 73 | 73 | | (2) Texas substitution requirements regarding: |
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| 74 | 74 | | (A) the practitioner's directions concerning |
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| 75 | 75 | | generic substitution; |
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| 76 | 76 | | (B) the patient's right to refuse generic |
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| 77 | 77 | | substitution; or |
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| 78 | 78 | | (C) notification to the patient of the patient's |
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| 79 | 79 | | right to refuse substitution; |
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| 80 | 80 | | (3) any board rule relating to providing drug |
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| 81 | 81 | | information to the patient or the patient's agent in written form or |
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| 82 | 82 | | by telephone; or |
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| 83 | 83 | | (4) any board rule adopted under Section 554.051(a) |
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| 84 | 84 | | and determined by the board to be applicable under Section |
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| 85 | 85 | | 554.051(b). |
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| 86 | 86 | | SECTION 7. This Act takes effect September 1, 2025. |
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