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Updates in Pain Medicine for Opioid Prescribing, UDT - 4/29/2025 3:38:06 PM
Res 316 2020 Concurrent Prescribing of Opioid Antagonists with Opioid Prescriptions.et - 7/8/2020 3:35:06 PM
Opioid Labeling Changes Leave Room for Physician Judgment - 9/11/2025 7:05:24 PM

The Food and Drug Administration (FDA) is requiring a raft of safety labeling changes to opioid pain medications to support informed decision-making by physicians. As well as “to help health care professionals and patients make treatme...
Opioid Crisis: Illegally Manufactured Fentanyl Facts and Resources - 4/6/2023 6:39:29 PM

Although prescription opioid prescribing in Texas has decreased every year for the last 10 years, overdose deaths due to illegally manufactured fentanyl (IMF) continues to increase dramatically every year. Easing stringent regulations on pain manage...
New Laws Improve Opioid Prescription Process in Texas - 8/6/2019 7:23:58 PM

The 2019 Texas Legislature enacted three new laws that will change the way physicians prescribe opioids. House Bill 3284 by Rep. J.D. Sheffield, DO (R-Gatesville), delays the mandate for physicians check the state’s prescription monitoring program, ...
Congress Eliminates Barrier to Opioid Use Disorder Drug Buprenorphine - 7/23/2026 2:18:33 PM

The U.S. government recently ended a major restriction on prescribing buprenorphine, one of the most effective medications for treating opioid use disorder. Passage of the Consolidated Appropriations Act of 2023 swept away the need for ...
Taking the Pain out of Prescribing Opioids: CDC Revises Guidelines - 4/14/2023 6:39:59 PM

The Centers for Disease Control and Prevention (CDC) recently issued guidelines to help physicians prescribe opioids safely, and one of the reasons, the agency freely admits, is to clear up confusion caused by its last set of guidelines, which were i...
Abbott Signals Support for Opioid Crisis Interventions: Federal Efforts Also Are Underway - 11/18/2024 6:40:04 PM

Texas Gov. Greg Abbott in February listed the fentanyl crisis as one of seven “emergency” items this session, clearing a path toward passage of Texas Medical Association-backed legislation that aims to curb opioid-related deaths. Illicit...
Combating Opioid-Related Deaths Requires New Approach, TMA Tells Lawmakers - 9/19/2022 8:09:18 PM

In order to address a surge in deaths tied to synthetic opioids, Texas must take a comprehensive approach that includes revamping state regulations related to pain management clinics and prescription monitoring, and expanding mental health treatment,...
Schedule II Stimulant Medications Are Subject to the Same Prescribing Limitation as Opioids - 6/11/2025 8:02:42 PM

While many physicians are aware of the U.S. Drug Enforcement Administration (DEA) rules for prescribing a 90-day supply of an opioid medication, fewer may know the requirements extend to all Schedule II controlled substances, which includes stimulant...
Data-Driven Interventions: TMA Zeroes in on Quality Opioid Care(1) - 7/21/2026 5:27:26 PM

Data that reflect a patient’s true risk of substance use disorder or overdose. Technology that alerts physicians of an overdose history. Immediate and affordable access to overdose-reversing medication. Resources that support early intervention. T...
Data-Driven Interventions: TMA Zeroes in on Quality Opioid Care - 4/1/2024 5:35:34 PM

Data that reflect a patient’s true risk of substance use disorder or overdose. Technology that alerts physicians of an overdose history. Immediate and affordable access to overdose-reversing medication. Resources that support early intervention. ...
Prescribing and Medication Management telemedicine - 9/17/2024 8:45:43 PM

Prescribing and Medication Management Purpose To ensure telemedicine patients are prescribed the appropriate medication(s) in a timely manner and effectively managed while on prescribed medication(s). Policy The telemedicine service provider...
Avoid Prescribing Pitfalls - 9/28/2026 5:32:59 PM

Signing a prescription means you have a patient-physician relationship and all that goes with it. In a TMA risk management program, Michele Shackelford, JD, of Shackelford Consulting counseled her audience to do the following to avoid being taken in ...
Opiods Background and Prescribing Variance - 3/21/2018 10:29:43 PM
Opioids Background and Prescribing Variance 5-9-18 - 5/9/2018 5:43:45 PM
ATE e-Prescribing of Controlled Substances - 3/25/2021 6:36:25 PM
Opioid_Presentation_April_18 - 4/18/2018 3:27:36 PM
Opioid_Derease_report - 5/1/2018 3:00:06 PM
Sample Opioid Treatment Agreement - 2/20/2019 6:59:31 PM
Opioid_Tapering_Announcement - 10/17/2019 2:34:20 PM
3.7.23 Opioid One-Pager - 3/6/2023 6:01:59 PM
Opioid-like Exposures from Kratom Derivative on the Rise - 10/6/2025 5:35:52 PM

With exposures precipitously higher than in preceding years, the Texas Department of State Health Services (DSHS) is urging people not to use products containing an opioid-like chemical found in the kratom plant and providing clinical guidance, ...
DEA Permanently Lists Opioid Brorphine as a Schedule I Controlled Substance - 3/24/2023 2:33:17 PM

The Drug Enforcement Administration (DEA) recently listed the synthetic opioid brorphine as a Schedule I controlled substance, putting it in the same league as other potentially dangerous drugs that have no accepted medical use, like heroin and LSD.&...
03.18.25 TMA Federal Comments to DEA Telemedicine Prescribing - 3/31/2025 7:59:51 PM
Texas Medical Board Posts More Details on E-Prescribing Waivers - 1/13/2026 10:33:13 PM

As the Texas Medical Association recently reported, prescriptions for all controlled substances must be filed electronically beginning Jan. 1. However, prescribers who demonstrate financial or technical hardships, or other exceptional circumstances,...
Texas Secures More Than $1 Billion as Part of Opioid Settlement - 4/5/2022 2:30:44 AM

Texas is receiving more than $1 billion in a settlement agreement with three major pharmaceutical distributors over the national opioid epidemic, which will be used for prevention, education, and medication-assisted treatment. Attorney General Ken P...
TMB Sets Rules on Acute-Pain Scrip Limit, Opioid CME - 7/31/2020 6:09:52 PM

Texas’ pain management requirements underwent several important changes by law in the past year. Now, the Texas Medical Board (TMB) has issued rules clarifying what prescribers must do to comply with those laws. During July, TMB finalized its defini...
UPDATE: Feds Declare Xylazine an Emerging National Threat in Opioid Crisis - 8/14/2026 4:13:38 PM

Physicians’ ability to diagnose and treat opioid-related overdoses may be complicated by the discovery of the animal tranquilizer xylazine mixed in illicit fentanyl-laced drugs, the Texas Department of State Health Services (DSHS) warned in a recent ...
Prescription Pitfalls: Vendor Drug Program Restricts Physicians to Prescribing Certain Medications - 11/5/2023 5:04:54 PM

Sugar Land internist Cynthia Peacock, MD, treats Medicaid children and young adults who often rely on a steady regimen of medications to treat chronic illnesses or disabilities. But lately, she’s been forced to alter long-standing treatment plans to...
Cigna Announces Change to Opioid Coverage Policy - 7/31/2017 2:44:27 AM
Comment Letter TMB Opioid Antagonist Rules 3.9.2018 - 3/15/2018 9:04:28 PM
Safe Disposal of Unused Medications: Opioid Disposal Flyer - 3/21/2018 10:31:38 PM
2023 88th Legi Opioid Crisis One Pager - 12/22/2022 10:03:36 PM
Res 418 2021 Electronic Prescribing of Controlled Substances Unfunded Mandate and Pharma.jr - 3/19/2021 8:25:13 PM
9-25-20 Fed LTR Please Postpone Electronic Prescribing for One Year - 9/23/2021 11:26:35 PM
Overdoses Still Climb Despite Big Drop in Prescription Opioids - 10/8/2021 5:20:52 PM

The number of opioid prescriptions has dropped 44% since 2011, yet there are still more drug-related overdose deaths than ever – a clear sign policymakers should work to remove barriers to care for patients, according to the American Medical Associat...
Buprenorphine Prescriptions Easier Under HHS Rule Change - 5/3/2021 6:52:28 PM

Buprenorphine is widely seen as one of the most effective medications for treating opioid use disorder. But physicians trying to prescribe it have faced a big obstacle: The U.S. government required they first take a special eight-hour training course...
Joint Comment Letter on TMB Opioid Workgroup Meeting 022820 - 3/6/2020 2:38:05 PM
Sponsored Content: Make an Impact on Your Patients and Practice - 4/14/2025 5:52:45 PM

It is a busy afternoon, and a patient comes to your office to discuss ongoing pain from a previous injury. You check the Texas Prescription Monitoring Program (PMP) and find concerning data indicating potential prescription opioid misuse and a seriou...
FDA Approves Naloxone Nasal Spray for Over-the-Counter Sale - 4/3/2023 8:05:17 PM

The Food and Drug Administration (FDA) has approved over-the-counter sales of the opioid-reversing medication Narcan nasal spray – a move Texas physicians have long championed. The FDA’s goal is to make Narcan, or naloxone, more widely av...
TMA Comments on: DEA’s Interim Final Rule on E-prescribing of Controlled Substances (EPCS) 06.22.2020 - 7/13/2020 7:11:16 PM
04.21.2025 House Bill 3219 Removing Clinical Involvement in Prescribing Poses Risks to Patient Safety, TMA Testifies - 4/22/2025 7:19:48 PM
Res 316 2021 Possible Upcoming Shortage of Fentanyl and Other Opioid Injections ET - 3/25/2021 2:06:02 AM
88th TX Leg 9-13-22 CMSchadeMD Combatting_Opioid_Related_Deaths_Requires_New_Approach_TMA_Tells_Lawmakers - 9/19/2022 6:27:56 PM
Mandated CME Requirements Shift Under TMB Rules Revamp - 5/12/2025 6:19:19 PM

A recent reorganization of Texas Medical Board (TMB) rules has removed certain universal CME obligations. The removal of universal CME requirements could result in a lighter load for physicians but may make it more challenging to determine what ...
CDC Grant Funds Drug Overdose Data Collection in Texas - 10/30/2023 5:10:11 PM

A nearly $4 million grant from the Centers for Disease Control and Prevention (CDC) could give Texas physicians new tools to handle national opioid and mental health crises, which have made it difficult to identify patients at risk for substance use ...
Effects of Opioids and Nonsteroidal Anti-Inflammatory Drugs on Chronic Low Back Pain and Related Measures: Results from the PRECISION Pain Research Registry - 7/30/2024 7:01:02 PM

The Journal — October 2018 Tex Med. 2018;114(10):e1. By John C. Licciardone, DO, MS, MBA1 (corresponding author), Robert J. Gatchel, PhD, ABPP2, and Subhash Aryal, PhD3 1. Department of Family Medicine, University of N...
Getting Credit: How Mandated CME is Changing for Texas Physicians - 2/27/2026 6:50:36 PM

Three new state laws that specifically mandate CME, coupled with the Texas Medical Board’s (TMB’s) recent revamping of certain requirements, necessitate physicians reacquainting themselves with their CME obligations prior to renewing their li...
New TMA Policy: Reduce Fentanyl Overdoses with Improved Naloxone Access - 6/24/2024 2:45:32 AM

Over a 27-hour period this spring, the city of Austin saw nine people die across 79 separate overdose incidents, reflecting the severity of the statewide fentanyl crisis. Policy approved by the Texas Medical Association’s House of Delegates in May an...