Bill Text: TX HB4583 | 2023-2024 | 88th Legislature | Introduced

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Bill Title: Relating to the prescribing of opioids for acute pain.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2023-03-22 - Referred to Public Health [HB4583 Detail]

Download: Texas-2023-HB4583-Introduced.html

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By: Bucy H.B. No. 4583

A BILL TO BE ENTITLED
AN ACT
relating to the prescribing of opioids for acute pain.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 481.07636, Health and Safety Code, is
amended to read as follows:
Sec. 481.07636. OPIOID PRESCRIPTION LIMITS. (a) In this
section, "acute pain" means the normal, predicted, physiological
response to a stimulus such as trauma, disease, and operative
procedures. Acute pain is time limited. The term does not include:
(1) chronic pain;
(2) pain being treated as part of cancer care;
(3) pain being treated as part of hospice or other
end-of-life care; or
(4) pain being treated as part of palliative care.
(b) For the treatment of acute pain, a practitioner may not:
(1) issue a prescription for an opioid in an amount
that exceeds a 10-day supply; or
(2) provide for a refill of an opioid.
(c) Subsection (b) does not apply to a prescription for an
opioid approved by the United States Food and Drug Administration
for the treatment of substance addiction that is issued by a
practitioner for the treatment of substance addiction.
(d) A dispenser is not subject to criminal, civil, or
administrative penalties for dispensing or refusing to dispense a
controlled substance under a prescription that exceeds the limits
provided by Subsection (b).
(e) A practitioner shall refer or prescribe any of the
following non-pharmacological pain management services to a
patient, based on the prescriber's clinical judgment and the
availability of the treatment, when issuing an opioid prescription
for acute pain:
(1) chiropractic treatment;
(2) physical therapies;
(3) occupational therapies;
(4) physical medicine and rehabilitation; or
(5) osteopathic manipulation.
(f) Nothing in this Section shall require that all
treatments set forth in Subsection 481.07636 (e) be exhausted prior
to the patient receiving a prescription for an opioid.