3.0.0 2960 2023-01-11T13:24:18Z 2023-01-11T13:24:18Z House H HR 2013-08-01 113 From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. PALLONE:H.R. 2960.Congress has the power to enact this legislation pursuantto the following:Article 1, section 8[Page H5347]]]> hsju00 Judiciary Committee House Standing hsju08 Crime and Federal Government Surveillance Subcommittee Referred to 2013-09-13T19:10:04Z Referred to 2013-08-01T14:07:50Z hsif00 Energy and Commerce Committee House Standing hsif14 Health Subcommittee Referred to 2013-08-02T19:09:41Z Referred to 2013-08-01T14:07:40Z hswm00 Ways and Means Committee House Standing Referred to 2013-08-01T14:07:45Z 2013-09-13 hsju08 Crime and Federal Government Surveillance Subcommittee 1 House committee actions Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations. Committee 2013-08-02 hsif14 Health Subcommittee 1 House committee actions Referred to the Subcommittee on Health. Committee 2013-08-01 Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hsju00 Judiciary Committee 2013-08-01 Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hswm00 Ways and Means Committee 2013-08-01 Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. IntroReferral H11100 2 House floor actions hsif00 Energy and Commerce Committee 2013-08-01 Introduced in House IntroReferral Intro-H 9 Library of Congress 2013-08-01 Introduced in House IntroReferral 1000 9 Library of Congress P000034 Rep. Pallone, Frank, Jr. [D-NJ-6] FRANK PALLONE D NJ 6 N Health Business records Crime prevention Drug trafficking and controlled substances Fraud offenses and financial crimes Government information and archives Health care costs and insurance Health information and medical records Insurance industry and regulation Licensing and registrations Medicare Prescription drugs Health 00 2013-08-01 Introduced in House 2013-11-07T15:19:52Z Medicare Prescription Drug Integrity Act of 2013 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act (SSA) to require a prescription drug plan (PDP) sponsor to have in place procedures designed to prevent fraud and abuse in PDPs.

Authorizes the Secretary of Health and Human Services (HHS), with respect to establishing special enrollment periods for full-benefit dual eligible individuals, to set coverage limits for individuals who have obtained coverage for a covered Medicare part D drug at a frequency or amount not medically necessary.

Amends SSA title IX to allow the Secretary to exclude from participation in any federal health care program any individual or entity that has engaged in the inappropriate prescribing or dispensing of a covered Medicare part D drug.

Amends SSA title XVIII part D to allow a PDP or a MedicareAdvantage-PD (MA-PD) plan to exclude from qualified prescription drug coverage, and deny payment for, any covered part D drug: (1) prescribed or dispensed inappropriately to an individual under a PDP or a MA-PD plan that could not have been prescribed or dispensed to the individual on the date of such prescribing or dispensing; or (2) any drug at a frequency or amount that represents a practice or pattern of abusive prescribing or dispensing, or presents a risk to enrollee health or safety.

Amends the Controlled Substances Act to direct the Attorney General to: (1) compile a list of the unique health identifiers of prescribers and dispensers that are members of a group practice registered and authorized to prescribe or dispense controlled substances in schedules II and III, and (2) make the list available to all PDP sponsors.

Amends SSA title XVIII with respect to the use of recovery audit contractors under the Medicare Integrity Program to identify underpayments and overpayments and recoup the latter. Authorizes the Secretary to retain an additional portion of up to 25% of the amounts recovered for purposes of carrying out this Act.

]]> Medicare Prescription Drug Integrity Act of 2013 Display Title Medicare Prescription Drug Integrity Act of 2013 Official Title as Introduced To amend title XVIII of the Social Security Act to require sponsors of Medicare prescription drug plans to implement procedures to prevent fraud and abuse, and for other purposes. Introduced in House IH Short Titles as Introduced Medicare Prescription Drug Integrity Act of 2013 Introduced in House 2013-08-01T04:00:00Z https://www.govinfo.gov/content/pkg/BILLS-113hr2960ih/xml/BILLS-113hr2960ih.xml 2013-09-13 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations. text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. Congressional Research Service, Library of Congress This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.