Law:Title 3. Health Professions. Subtitle B. Physicians from Chapter 167. Regulation Of Pain Management Clinics (Texas)

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Subtitle B. Physicians

Contents

Chapter 167. Regulation Of Pain Management Clinics

Chapter 167, consisting of Secs. 167.001 to 167.202, was added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1.

For another Chapter 167, consisting of Secs. 167.001 to 167.011, added by Acts 2009, 81st Leg., R.S., Ch. 1345, Sec. 2(a), see Sec. 167.001 et seq., post.


Subchapter A. General Provisions

Section 167.001.  Definition.

In this chapter, "pain management clinic" means a publicly or privately owned facility for which a majority of patients are issued on a monthly basis a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Section 167.002.  Exemptions.

This chapter does not apply to:

(1)  a medical or dental school or an outpatient clinic associated with a medical or dental school;

(2)  a hospital, including any outpatient facility or clinic of a hospital;

(3)  a hospice established under 40 T.A.C. Section 97.403 or defined by 42 C.F.R. Section 418.3;

(4)  a facility maintained or operated by this state;

(5)  a clinic maintained or operated by the United States;

(6)  a health organization certified by the board under Section 162.001;

(7)  a clinic owned or operated by a physician who treats patients within the physician's area of specialty and who uses other forms of treatment, including surgery, with the issuance of a prescription for a majority of the patients; or

(8)  a clinic owned or operated by an advanced practice nurse licensed in this state who treats patients in the nurse's area of specialty and uses other forms of treatment with the issuance of a prescription for a majority of the patients.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Subchapter B. Powers And Duties Of Board

Section 167.051.  Adoption Of Rules.

The board shall adopt rules necessary to implement this chapter, including rules to address, for a pain management clinic:

(1)  the operation of the clinic;

(2)  personnel requirements for the clinic, including requirements for a physician who practices at a clinic;

(3)  standards to ensure quality of patient care;

(4)  certificate application and renewal procedures and requirements;

(5)  inspections and complaint investigations; and

(6)  patient billing procedures.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Section 167.052.  Inspections.

The board may inspect a pain management clinic, including the documents of a physician practicing at the clinic, as necessary to ensure compliance with this chapter.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Section 167.053.  Complaints.

The board shall investigate a complaint alleging a violation of this chapter or a rule adopted under this chapter by a pain management clinic certified under this chapter or a physician who owns or operates a clinic in the same manner as other complaints under this subtitle.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Subchapter C. Certification Of Clinic

Section 167.101 takes effect September 1, 2010.

Section 167.101.  Certificate Required.

(a) A pain management clinic may not operate in this state unless the clinic is certified under this chapter.

(b)  A certificate issued under this chapter is not transferable or assignable.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Section 167.102.  Certificate Application And Issuance.

(a) A physician who owns or operates a pain management clinic shall apply for a certificate for the clinic under this chapter.  A pain management clinic must be owned and operated by a medical director who is a physician who practices in this state under an unrestricted license.

(b)  An applicant for a certificate under this chapter must submit an application to the board on a form prescribed by the board.

(c)  The board shall issue a certificate if the board finds that the pain management clinic meets the requirements of this chapter and the standards adopted by the board under this chapter.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Subchapter D. Certificate Renewal

Section 167.151.  Expiration Of Certificate.

(a) A certificate issued under this chapter expires on the second anniversary of the date it is issued.

(b)  The board shall grant a 180-day grace period from the expiration date of a certificate to renew the certificate.

(c)  The owner or operator of a pain management clinic for which a certificate has expired may not continue to operate the clinic until the clinic's certificate is renewed.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Section 167.152.  Requirements For Renewal.

(a) The owner or operator of a pain management clinic may apply to renew a certificate issued to the clinic under this chapter by:

(1)  submitting a renewal application to the board on the form prescribed by the board before the expiration of the grace period under Section 167.151; and

(2)  complying with any other requirements adopted by board rule.

(b)  If a certificate is not renewed before the expiration of the grace period under Section 167.151, the pain management clinic must reapply for an original certificate to operate the clinic.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Subchapter E. Regulation Of Clinics; Enforcement

Section 167.201.  Regulation Of Person Affiliated With Clinic.

(a) The owner or operator of a pain management clinic, an employee of the clinic, or a person with whom a clinic contracts for services may not:

(1)  have been denied, by any jurisdiction, a license under which the person may prescribe, dispense, administer, supply, or sell a controlled substance;

(2)  have held a license issued by any jurisdiction, under which the person may prescribe, dispense, administer, supply, or sell a controlled substance, that has been restricted; or

(3)  have been subject to disciplinary action by any licensing entity for conduct that was a result of inappropriately prescribing, dispensing, administering, supplying, or selling a controlled substance.

(b)  A pain management clinic may not be owned wholly or partly by a person who has been convicted of, pled nolo contendere to, or received deferred adjudication for:

(1)  an offense that constitutes a felony; or

(2)  an offense that constitutes a misdemeanor, the facts of which relate to the distribution of illegal prescription drugs or a controlled substance as defined by Section 551.003(11).

(c)  The owner or operator of a pain management clinic shall:

(1)  be on-site at the clinic at least 33 percent of the clinic's total number of operating hours; and

(2)  review at least 33 percent of the total number of patient files of the clinic, including the patient files of a clinic employee or contractor to whom authority for patient care has been delegated by the clinic.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.



Section 167.202.  Disciplinary Action.

(a) A violation of this chapter or a rule adopted under this chapter is grounds for disciplinary action against a pain management clinic certified under this chapter or an owner or operator of a clinic certified under this chapter.

(b)  A violation of this chapter may be enforced in the same manner as any other violation of this subtitle.

Added by Acts 2009, 81st Leg., R.S., Ch. 775, Sec. 1, eff. September 1, 2009.


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