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Requirements

Required topic

Pain management and opioid prescribing: which states require it

22 states list this topic in their physician license renewal requirements.

Plan my renewal

Built from each state’s requirement data; the oldest fact here was last verified . Requirements change — confirm with your Board. This is general information, not legal advice.

States

Sources

Show the 199 sources behind this list
  1. Alaska Statutes 08.64.312 — Continuing education requirements
  2. 12 AAC 40.200 to 40.240 — Continuing medical education (State Medical Board regulations)
  3. Alaska State Medical Board — Medical License Renewal Application, form 08-0077 (rev. July 31, 2025)
  4. Alaska State Medical Board — Minutes, May 15, 2026 meeting (proposed CME regulation changes)
  5. Arkansas State Medical Board — home page and CME resources
  6. Arkansas State Medical Board — Frequently asked questions (CME hours for MD/DO renewal)
  7. 17 CAR § 140-1101 — Continuing medical education (Code of Arkansas Rules)
  8. 17 CAR § 140-202 — Malpractice defined, including prescriber education (Code of Arkansas Rules)
  9. Arkansas State Medical Board Rule 46 (fees: one-year and two-year renewal) with Act 803 of 2021 (Ark. Code § 17-95-414, multiyear license) — Arkansas Legislature filing
  10. Ark. Code § 20-7-704 — Prescriber education (FindLaw copy of the statute)
  11. Medical Board of California: Continuing Medical Education
  12. Medical Board of California: Physician's and Surgeon's license renewal
  13. Medical Board of California: Current status renewal (initial license renewal, 26-month first term)
  14. Business and Professions Code, Division 2, Chapter 5, Article 10 (sections 2190 to 2196.9): Continuing Medical Education
  15. Business and Professions Code section 2423: license expiration
  16. 16 CCR 1336: Continuing Education Required (Cornell LII)
  17. 16 CCR 1337: Approved Continuing Education Programs (Cornell LII)
  18. 16 CCR 1338: Audit and Sanctions for Noncompliance (Cornell LII)
  19. 16 CCR 1339: Waiver of Requirement (Cornell LII)
  20. Osteopathic Medical Board of California: Continuing Medical Education (effective October 1, 2025)
  21. Osteopathic Medical Board of California: Licensees
  22. Osteopathic Medical Board of California: Policy alert, new laws effective January 1, 2025
  23. Business and Professions Code, Division 2, Chapter 5, Article 21 (sections 2450 to 2459.7): osteopathic physicians, including 2454.5 and 2456.1
  24. Business and Professions Code section 2454.5: osteopathic CME
  25. 16 CCR 1635: Required Continuing Medical Education (Cornell LII)
  26. 16 CCR 1639: Approved Continuing Medical Education (Cornell LII)
  27. 16 CCR 1641: Sanctions for Noncompliance (Cornell LII)
  28. Georgia Composite Medical Board — home page
  29. Ga. Comp. R. & Regs. Chapter 360-15 — Continuing Education (Rules 360-15-.01 and .02, Georgia Secretary of State)
  30. Georgia Composite Medical Board — Notice of intent to amend Rule 360-15-.01, with full rule text (professional boundaries amendment)
  31. Georgia Composite Medical Board — Board partners with CE Broker for continuing education tracking (August 10, 2023)
  32. IDFPR — Physicians (renewal, 2026 variance notice)
  33. IDFPR — Illinois Continuing Education (CE) Requirements (legislative mandates)
  34. 68 Ill. Adm. Code 1285.110 — Continuing Medical Education (amended effective 12/13/2024), via Cornell LII
  35. 68 Ill. Adm. Code 1285.120 — Renewals, via Cornell LII
  36. IDFPR — 2026 physician renewal extension variance (July 2026)
  37. IDFPR — 2026 Physicians Batch Renewal Form (CE certification; first renewal)
  38. IDFPR — FAQs about Safe Opioid Prescribing Practices CE
  39. Secondary: WashU Medicine CME — Meeting IL licensing education requirements (2026 changes)
  40. Iowa Board of Medicine (Department of Inspections, Appeals, and Licensing) — Continuing education for physicians
  41. 481 IAC chapter 654 — Continuing education and training requirements (formerly 653 IAC ch. 11; ARC 9114C, effective May 21, 2025; IAC 9/30/26)
  42. 481 IAC chapter 652 — Permanent and administrative medicine physician licensure (expiration and renewal, 652.10–652.14)
  43. Iowa Code § 272C.2 — Continuing education requirements
  44. Iowa Code § 232.69 — Mandatory reporters of child abuse; training
  45. Iowa Code § 235B.16 — Dependent adult abuse; training of mandatory reporters
  46. 2026 Iowa Acts ch. 1129 (H.F. 2676) — nutrition and metabolic health CE (Iowa Code § 148.3(5))
  47. Kansas State Board of Healing Arts — Licensing renewal dates (archived copy of July 2, 2026; ksbha.ks.gov blocks automated access)
  48. Kansas State Board of Healing Arts — Licensing FAQs: Doctor of Medicine and Surgery (archived copy of April 15, 2026)
  49. Kansas State Board of Healing Arts — Licensing FAQs: Doctor of Osteopathic Medicine and Surgery (archived copy of June 15, 2026)
  50. Kansas State Board of Healing Arts — Healing Arts statutes and regulations handbook, November 2024 (K.S.A. 65-2809; K.A.R. 100-15-1 to 100-15-7)
  51. Kansas Register, April 22, 2021 (Vol. 40, No. 16) — K.A.R. 100-15-4 and 100-15-5 as amended, effective May 7, 2021
  52. Kansas Register, April 27, 2023 (Vol. 42, No. 17) — K.A.R. 100-15-1 expiration dates, effective May 12, 2023
  53. K.S.A. 65-2809 — Renewal of licenses; continuing education (Kansas Office of Revisor of Statutes)
  54. Maine Board of Licensure in Medicine — License FAQ (CME requirements, audits, proration)
  55. Board of Licensure in Medicine rule 02-373 Chapter 1, Rule Regarding Physicians (§8 renewal, §11 CME; amended February 3, 2026)
  56. Maine Board of Licensure in Medicine — CME Information (revised January 2, 2018)
  57. 32 M.R.S. §3280-A — Renewal of MD license (birth-month expiration; CME within 24 months)
  58. 32 M.R.S. §3300-F — Opioid prescribing; continuing education (MD)
  59. Joint rule Chapter 21, Use of Controlled Substances for Treatment of Pain (02-373, 02-383 and others; §5 continuing education; amended 2024)
  60. Maine Board of Osteopathic Licensure — Rules and statutes
  61. Board of Osteopathic Licensure rule 02-383 Chapter 14, Continuing Medical Education (effective 1998, amended 1999)
  62. Board of Osteopathic Licensure rule 02-383 Chapter 19, Schedule for License Renewals (effective April 14, 2003)
  63. 32 M.R.S. §2581 — Renewal of osteopathic license; 100 hours of CME
  64. 32 M.R.S. §2600-C — Opioid prescribing; continuing education (DO)
  65. 243 CMR 2.06, License Renewals (Cornell LII copy; last amended eff. January 7, 2020)
  66. 243 CMR 2.01, Definitions — risk management study (Cornell LII copy)
  67. Board of Registration in Medicine Policy 2017-05, A CME Pilot Program (amended December 19, 2019; copy hosted by the Massachusetts Medical Society)
  68. M.G.L. c. 112, s. 2 — birthday renewal, EHR proficiency, Alzheimer's training
  69. M.G.L. c. 112, s. 264 — domestic and sexual violence training
  70. M.G.L. c. 119, s. 51A(k) — child abuse and neglect training
  71. FSMB — Continuing Medical Education Board-by-Board Overview (updated August 2026)
  72. Massachusetts Medical Society — CME requirements for physician license renewal in Massachusetts
  73. M.G.L. c. 94C §18 — Issuance of registration; prescriber education
  74. Massachusetts DPH — Criteria and application for DPH-approved domestic and sexual violence training (Chapter 260)
  75. LARA — Michigan Board of Medicine
  76. LARA — MD Licensing Guide and FAQs (renewal checklist and CE FAQs)
  77. Mich Admin Code R 338.2401–R 338.2443, Medicine General Rules (R 338.2413, R 338.2441, R 338.2443; amended eff. March 19, 2026)
  78. Mich Admin Code R 338.7001–R 338.7005, Public Health Code General Rules (R 338.7002 triennial renewal; R 338.7004 implicit bias)
  79. Mich Admin Code R 338.3101 et seq., Controlled Substances (R 338.3135 opioid and controlled substance awareness training)
  80. LARA — CE Broker
  81. LARA — Michigan Board of Osteopathic Medicine and Surgery
  82. LARA — Osteopathic Physician Licensing Guide and FAQs (renewal checklist)
  83. Mich Admin Code R 338.111–R 338.143, Osteopathic Medicine and Surgery General Rules (R 338.120, R 338.141, R 338.143; amended eff. May 8, 2025)
  84. Nebraska DHHS Licensure Unit — Medicine and Surgery (physicians and osteopathic physicians): renewal and continuing education
  85. Nebraska DHHS — Controlled Substances Continuing Competency Requirement (3 hours on opioids, 0.5 on the PDMP)
  86. 172 NAC 88 — Licensure of Medicine and Surgery and Osteopathic Medicine and Surgery (effective June 16, 2020), sections 007–008 (Nebraska Rules and Regulations)
  87. Neb. Rev. Stat. 38-145 — Continuing competency requirements; opiate prescribing CE (subsection 6)
  88. Neb. Rev. Stat. 38-146 — Continuing competency compliance, waiver and audits
  89. Neb. Rev. Stat. 38-142 — Credential expiration and biennial renewal
  90. N.H. Admin. Rules Med 100–600 (Board of Medicine) — Med 401 renewal, Med 402 continuing medical education
  91. RSA 329:16-g — Continuing medical education requirement (amended 2024, 364:10, eff. October 22, 2024)
  92. RSA 318-B:41 — Rulemaking; opioid continuing education for DEA registrants (amended 2025, 105:2, eff. June 17, 2025)
  93. RSA 310:8 — License term and renewal (licenses valid 2 years from issuance)
  94. N.H. Admin. Rules Plc 300 (Office of Professional Licensure and Certification) — Plc 308 renewal and continuing competence (Plc 308.01 eff. August 19, 2025)
  95. N.H. Office of Legislative Services — Board of Medicine rule filing history (#14644 readoption of Med 400–600)
  96. N.J.A.C. 13:35-6.15 — Continuing medical education (current text, amended effective 5/5/2025; via Cornell LII)
  97. N.J.A.C. 13:35-6.25 — Cultural competency training (via Cornell LII)
  98. N.J.A.C. 13:35-3.14 — Biennial license renewal (via Cornell LII)
  99. P.L.2001, c.307, section 10 (N.J.S.A. 45:9-7.1) — 100 credits as a condition of biennial registration
  100. P.L.2011, c.145, section 14 (N.J.S.A. 45:9-7.7) — two credits on end-of-life care
  101. P.L.2017, c.28, section 19 (N.J.S.A. 45:9-7.8) — one credit on prescription opioid drugs
  102. P.L.2021, c.79, section 2 (N.J.S.A. 45:9-7.9) — explicit and implicit bias credit for perinatal care
  103. P.L.2005, c.53 (N.J.S.A. 45:9-7.2 to 7.4) — cultural competency training
  104. New Jersey Board of Medical Examiners — Question #30, Reinstatement of license (licenses expire June 30 of odd-numbered years)
  105. 16.10.4 NMAC — Continuing Medical Education (amended February 8, 2022; State Records Center and Archives)
  106. 16.10.14 NMAC — Management of pain with controlled substances (16.10.14.11, continuing education)
  107. 16.10.7 NMAC — License expiration, renewal and reinstatement
  108. 16.10.2 NMAC — Licensure requirements (16.10.2.9, initial license expiration)
  109. New Mexico Medical Board — Licensing and Renewal (MD and DO applications, rule list)
  110. New Mexico Medical Board — Physician Active License Information 2026 (MD and DO licensees)
  111. SB 279 (2021) — merger of the Board of Osteopathic Medicine into the New Mexico Medical Board
  112. NYSED Office of the Professions: Physicians
  113. NYSED: Mandated training for physicians
  114. NYSED: Mandated training related to child abuse (physicians)
  115. NYSED: Mandated training related to infection control (physicians)
  116. NYSED: Infection control and barrier precautions FAQ
  117. NYSED: NYSDOH mandatory prescriber education
  118. NYSED: Online registration renewal
  119. Education Law Article 130, Subarticle 1 (sections 6502 and 6507)
  120. Education Law Article 131 (section 6524, biennial registration)
  121. NYSDOH: Mandatory prescriber education
  122. NYSDOH: Mandatory prescriber education guidance (PDF)
  123. NYSDOH: Mandatory prescriber education / NEAT FAQs, updated October 2026 (PDF)
  124. NYSDOH: Health care provider infection control training
  125. Public Health Law section 239 (NYSDOH)
  126. 21 NCAC 32R .0101 — CME required (amended effective 7/1/2024; via Cornell LII)
  127. 21 NCAC 32R .0102 — Approved categories of CME (via Cornell LII)
  128. 21 NCAC 32R .0103 — Exceptions (via Cornell LII)
  129. 21 NCAC 32R .0104 — Reporting (via Cornell LII)
  130. NC Medical Board — Professional FAQs: CME
  131. NC Medical Board — Professional FAQs: Renewals
  132. NC Medical Board — Controlled substances CME requirement
  133. N.C. Gen. Stat. 90-13.2 — Registration every year with Board
  134. N.C. Gen. Stat. 90-14 — Disciplinary authority (CME, subdivision (a)(15))
  135. Oklahoma State Board of Medical Licensure and Supervision — CME information
  136. Oklahoma State Board of Medical Licensure and Supervision — Effective rules, OAC Title 435, effective September 1, 2026 (435:10-7-10 annual reregistration; 435:10-15-1 continuing medical education)
  137. Oklahoma State Board of Medical Licensure and Supervision — Continuing Medical Education for Oklahoma Licensed Physicians (March 10, 2023)
  138. 59 O.S. 495a.1 — Demonstration of licensee's continuing qualification to practice medicine and surgery (OSCN)
  139. 59 O.S. 495d — Failure to apply for reregistration (OSCN)
  140. 63 O.S. 3162 — Medical Treatment Laws brochure and online presentation (OSCN)
  141. Oklahoma State Board of Medical Licensure and Supervision — CE Broker introduction (official CE/CME tracking system)
  142. Oklahoma State Board of Osteopathic Examiners — CE Broker and CME (last modified January 22, 2026)
  143. Oklahoma State Board of Osteopathic Examiners — Renewal requirements
  144. OAC 510:10-3 — Licensure requirements, including 510:10-3-8 Annual registration (amended effective July 27, 2026)
  145. Oklahoma State Board of Osteopathic Examiners — The Osteo Observer, Issue 12 (2026–2027 renewal dates; proper prescribing CME)
  146. 59 O.S. 641 — Osteopaths: annual renewal of license, educational program (OSCN; as amended by SB 1984, effective November 1, 2026)
  147. 63 O.S. 427.10 — Physicians recommending medical marijuana: registry and education (OSCN)
  148. Oregon Medical Board — Continuing Education
  149. OAR 847-008-0070 — Continuing Medical Competency (Education)
  150. Permanent Administrative Order OMB 5-2026 — text of OAR 847-008-0070 (filed January 12, 2026)
  151. OAR 847-008-0075 — Mandatory Pain Management Education
  152. OAR 847-008-0077 — Mandatory Cultural Competency Education
  153. OAR 847-008-0005 — Registration Periods
  154. Oregon Medical Board Report, Fall 2025 (renewal and CE requirements)
  155. Oregon Medical Board — Licensee Renewal Fees (effective July 2, 2026)
  156. Oregon Medical Board — License Statuses (Active – One Year)
  157. State Board of Medicine — CME requirements for (MD) Physician and Surgeon License (PDF)
  158. State Board of Medicine — Renewal Information
  159. 49 Pa. Code §16.19 — Continuing medical education (amended effective April 25, 2026)
  160. 49 Pa. Code §16.15 — Biennial registration
  161. 49 Pa. Code §16.108 — Child abuse recognition and reporting, mandatory training
  162. Act 124 of 2016 — adds section 9.1 to the ABC-MAP Act (opioid education)
  163. Pennsylvania Department of State — Child Abuse Recognition and Reporting Continuing Education Providers (Act 31)
  164. Pennsylvania DHS — Mandated reporter training (no new curricula accepted since January 1, 2025)
  165. State Board of Osteopathic Medicine — CME requirements for Osteopathic Physician and Surgeon License (PDF)
  166. State Board of Osteopathic Medicine — Renewal Information
  167. State Board of Osteopathic Medicine — 2026 Renewal Guide (PDF, rev. 7/2026)
  168. 49 Pa. Code §25.271 — Requirements for renewal (amended effective April 25, 2026)
  169. 49 Pa. Code §25.417 — Child abuse recognition and reporting, mandatory training
  170. 216-RICR-40-05-1 — Licensure and Discipline of Physicians (sections 1.5.5 and 1.5.6; amended effective August 26, 2026)
  171. R.I. Gen. Laws § 5-37-2.1 — Recertification; continuing medical education
  172. R.I. Gen. Laws § 5-37-10 — Biannual registration of physicians
  173. R.I. Gen. Laws § 23-1.7-5 — Medical professional training (Alzheimer's disease)
  174. 216-RICR-20-20-4 — Pain Management, Opioid Use and the Registration of Distributors of Controlled Substances (section 4.4(P))
  175. 2026 H 8545 — bill to change the Alzheimer's training requirement (status not confirmed)
  176. 2026 H 8545 as amended — every other renewal cycle; possible exemptions for pediatrics, radiology and pathology
  177. Texas Medical Board — Continuing Education Requirements for Physicians
  178. Texas Medical Board — Physician CME Hours Requirement Chart (PDF)
  179. Texas Medical Board — Physician Renewal (expiration dates, grace period)
  180. Texas Medical Board — Continuing Education Tracking (CE Broker, required from September 1, 2026)
  181. 22 TAC §161.35 — CME Requirements for License Renewal (text effective January 9, 2025, via Cornell LII)
  182. Texas Register, July 10, 2026 (51 TexReg 4460) — proposed amendments to §161.35 (forensic evidence; nutrition and metabolic health)
  183. Texas Register, August 28, 2026 — §161.35 amendments adopted without changes, effective September 3, 2026
  184. 22 TAC §161.30 — Registration of license (via Cornell LII)
  185. 22 TAC §161.31 — Exemptions from registration fee and CME (via Cornell LII)
  186. Texas Occupations Code Chapter 156 — Registration of physicians and CME (§§156.051–156.061)
  187. SB 31 (89th Legislature), Section 19 — Life of the Mother Act course
  188. HB 47 (89th Legislature), enrolled — forensic evidence collection CME (Occupations Code §156.057)
  189. Texas Nutrition Advisory Committee — 2026 annual report and Dietary Guidelines for Texans (PDF)
  190. Washington Medical Commission — Continuing Medical Education (CME) Requirements
  191. Washington Medical Commission — Physician (MD) CME Frequent Questions, DOH 657-127
  192. Washington Medical Commission — Renewals
  193. WAC 246-919 — Allopathic physicians (sections 421, 430, 435, 445, 460, 470, 875, 990)
  194. WAC 246-12 — Credentialed health care providers (Part 2 renewal, Part 7 continuing education, Part 15 health equity)
  195. Washington State Department of Health — Health Equity Continuing Education
  196. WSR 26-01-126 — Department of Health rules agenda, January 2026 (Medical Commission chapter review)
  197. Washington State Department of Health — Osteopathic Physician and Surgeon: Continuing Education
  198. WAC 246-853 — Osteopathic physicians and surgeons (sections 065, 070, 075, 080, 090, 685, 990)
  199. WSR 26-09-112 — Proposed amendment to WAC 246-853-080 (maintenance of certification pathway)

Each state’s page lists its own sources and the date its facts were last verified.