By: Raymond H.B. No. 5504       A BILL TO BE ENTITLED   AN ACT   relating to the supervision by allopathic or osteopathic physicians   of certain persons performing certain procedures.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  This Act may be cited as the Texas Interventional   Pain Management and Treatment Act.          SECTION 2.  Section 172.1(2), Administrative Code, is   amended by adding Subsections (3) and (4) to read as follows:          (3)  "Fluoroscope" is a radiologic instrument equipped with   a fluorescent screen on which opaque internal structures can be   viewed as moving shadow images formed by the differential   transmission of X-rays throughout the body; and          (4)  "Interventional pain management" means the practice of   medicine devoted to the diagnosis and treatment of chronic pain,   through the use of techniques such as:                (A)  Ablation of targeted nerves,                (B)  Percutaneous precision needle placement within   the spinal column with placement of drugs such as local   anesthetics, steroids, analgesics in targeted areas of the spinal   column,                (C)  Surgical techniques, such as laser or endoscopic   discectomy, intrathecal infusion pumps and spinal cord   stimulators, peripheral nerve stimulation; or                (D)  Minimally invasive surgical spine interventions.          (3)(5) Post-surgical, post-procedure, persistent   non-chronic pain--pain that occurs due to trauma caused by the   surgery or procedure; or an underlying condition, disease, or   injury causing persistent non-chronic pain. These types of pain   last 90 days or less, but more than 30 days, from the date of initial   prescriptions for opioids during a period of treatment.          SECTION 3.  Section 169.26(b), Administrative Code, is   amended by adding Subsections (1), (2) and (3) to read as follows:          (1)  It shall be unlawful to practice or offer to practice   interventional pain management in the state of Texas unless such a   person is licensed to practice medicine by the Texas Medical Board.          (2)  Nothing in this section shall be construed to forbid the   administration of non-fluoroscopically guided lumbar interlaminar   epidural injections, peripheral nerve blocks and peripheral joint   injections by a certified Advanced Practice Provider when requested   to do so by a physician and under the supervision of an allopathic   or osteopathic physician licensed in Texas and under conditions in   which timely on-site consultation by an allopathic or osteopathic   physician is available.          (3)  A certified Advanced Practice Provider shall not   operate an interventional pain management clinic, specializing in   diagnosing and treating chronic pain-related disorders. Only a   qualified pain management physician, as recognized by the Texas   Medical Board, can operate an interventional pain management   clinic. A certified Advanced Practice Providers may only perform   procedures listed in item 2c under the direct supervision of a   licensed physician who is Board Certified or Board Eligible in Pain   Management as recognized by the Texas Medical Board.          SECTION 4.  This Act takes effect September 1, 2025.