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Texas requires prescribers to issue an opioid antagonist alongside acute pain opioid prescriptions

Original title: Relating to the duties of a prescriber issuing an opioid prescription to treat acute pain.

Last action · March 14, 2025: Referred to Public HealthSponsor: John Bucy

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Official description

Relating to the duties of a prescriber issuing an opioid prescription to treat acute pain.

Why it matters

Patients receiving prescriptions face new requirements to obtain an overdose-reversal drug alongside their medication, and prescribers must evaluate non-opioid treatment referrals.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

prescribers

Prescribers must issue an opioid antagonist alongside acute pain opioid prescriptions and consider alternative pain management referrals.

Directly affected

patients receiving acute pain opioid prescriptions

Directly affected

nonresident pharmacies

Nonresident pharmacies face additional grounds for license discipline if they fail to comply with Subchapter C, Chapter 481, Health and Safety Code.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does a doctor have to prescribe an opioid antagonist for every opioid prescription?
No, the requirement specifically applies when an opioid is prescribed to a person for the treatment of . FDA-approved treatments for substance addiction are exempt.
Must a patient try physical therapy or chiropractic care before receiving an opioid prescription?
No, the statute explicitly states it does not require that all alternative treatments be exhausted before a patient may receive a prescription for an opioid.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

3 actions
  1. Mar 14, 2025HouseCommittee
    Referred to Public Health
  2. Mar 14, 2025HouseIntroduced
    Read first time
  3. Jan 8, 2025HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

cross reference100% confidence

Reenactment of Occupations Code Section 565.003

The bill explicitly reenacts Section 565.003 of the Occupations Code as previously amended by two separate 2019 acts (HB 2174 and HB 3284).

Connected Entities

United States Food and Drug Administration
OrganizationUnited States Food and Drug Administration“Approved opioids for substance addiction treatment are exempt.”Map →

Sources

Open source document

capitol.texas.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy30
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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