Can I still train since my APRN license is up to date? The treatment of acute pain with drugs provided through telemedicine services is permitted, unless otherwise prohibited by federal and state law. APRNs should be aware that acute pain is time-limited and relates to the normal, expected physiological response to a stimulus such as trauma, illness and surgical procedures. The APRN must be authorized to prescribe the controlled substance through a valid prescription authority agreement with a physician delegate and a recent DEA registration. APRNs must not prescribe controlled substances for chronic pain through telemedicine services unless federal or national law expressly authorizes this practice. Chronic pain is a condition in which pain persists beyond the usual course of an acute illness process or the healing of an injury and may be associated with a chronic pathological process that causes continuous or intermittent pain over a period of months or years. No no. National certification bodies do not have the authority to practice in any jurisdiction, including Texas. You must have a Texas APRN license to practice as an APRN in Texas. The main opponents of the extension of the full practice to PRs remain the groups of doctors. In the aforementioned Texas Tribune article from 2017 said Don. R. Read, MD — the president of the Texas Medical Association — that the TMA still believes that the “team care” approach (i.e., paying doctors for cooperative agreements) “serves patients best.” .