Opioid and Pain Management CME
According to the Texas Medical Board, at least 2 AMA PRA Category 1 Credit™ must be in pain management and the prescription of opioids.
In 2023, a federal law went into effect for all DEA-licensed providers. Providers need to complete 8 hours of education related to opioid or other substance use disorders. Read the Training Letter issued by the DEA Diversion Control Division.
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Texas CME Rule Changes (2025–2026)
Under Texas law (Occupations Code 156.055), physicians providing direct patient care—defined as real-time or in-person interactions for evaluation, diagnosis, treatment, or test review—must complete 2 hours of formal CME in pain management and opioid prescribing within one year of initial license issuance and again by their second renewal. Thereafter, they must complete the same 2 hours every eight years (every four renewals). The CME must cover best practices, alternative and multimodal pain treatments, safe opioid prescribing, drug-seeking behavior detection, patient communication, and monitoring of controlled substances. These hours can count toward medical ethics/professional responsibility requirements or the 10-hour pain management CME for physicians practicing in pain clinics.
Timeline Requirements:
Opioid and Pain Management CME : Required only if first renewal occurs after Jan 1, 2021
Human trafficking CME: Required only if first renewal occurs after Sept 1, 2023
Source: Texas Medical Board
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