TX HB1791

Requires prescribers who issue an opioid prescription for acute pain treatment to also prescribe an opioid antagonist (such as naloxone) to the patient

Mandates that prescribers consider referring patients to alternative pain management services when prescribing opioids for acute pain, including chiropractic treatment, physical therapy, occupational therapy, physical medicine and rehabilitation, or osteopathic manipulation

Clarifies that alternative treatments do not need to be exhausted before a patient can receive an opioid prescription

Exempts opioid prescriptions issued for substance addiction treatment from the new requirements

Takes effect September 1, 2025