From the:

Texas Pain Society
P. O. Box 300475, Austin, Texas 78703-0008
Tel: (888) 451-1340 Fax: (512) 451-4076

November 29, 2004

The Honorable Burt Solomons
Texas Sunset Advisory Commission
P.O. Box 2910
Austin, Texas 78768-2901

Sent via fax and hardcopy

Dear Chairman Solomons:

I am writing on behalf of the Texas Pain Society (TPS), our almost 250 physician members, and the thousands of our physician colleagues and patients affected by our work regarding the Sunset Commission staff’s recommendations on the Texas State Board of Medical Examiners (TSBME). TPS agrees with the staff’s recommendations and commends them on their fine work. This letter serves to highlight the extensive recommendations we submitted to the Commission during the hearings held on November 16 and 17, 2004.

After much study and review, TPS believes that the TSBME should quickly organize stakeholders to promulgate mutually agreeable formal rules regarding the following three areas:

TPS is copying this letter and our specific comments to the Commission’s recommendations to the TSBME. We ask that they immediately contact our office to set up a time to review and implement such recommendations by December 7, 2004.

Upon failure of the TSBME to work with practitioner stakeholders to achieve mutually agreeable rules to these ends, TPS strongly suggests they be addressed through legislative action. We acknowledge the Board and its staff’s hard work on these difficult issues and greatly wish to work with the Board to develop satisfactory solutions without the need for legislative intervention.


Ralph Rashbaum, MD

Attachment: Specific Comments on Sunset Commission Hearing Material

Cc: Donald Patrick, MD, JD, Texas State Board of Medical Examiners Rocky Wilcox, JD, Texas Medical Association