[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5798 Introduced in House (IH)]

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115th CONGRESS
  2d Session
                                H. R. 5798

To amend title XVIII of the Social Security Act to require a review of 
current opioid prescriptions for chronic pain and screening for opioid 
    use disorder to be included in the Welcome to Medicare initial 
                    preventive physical examination.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 15, 2018

Mr. Bucshon (for himself, Mrs. Dingell, and Mr. Paulsen) introduced the 
   following bill; which was referred to the Committee on Energy and 
  Commerce, and in addition to the Committee on Ways and Means, 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

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to require a review of 
current opioid prescriptions for chronic pain and screening for opioid 
    use disorder to be included in the Welcome to Medicare initial 
                    preventive physical examination.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Opioid Screening and Chronic Pain 
Management Alternatives for Seniors Act''.

SEC. 2. REQUIRING A REVIEW OF CURRENT OPIOID PRESCRIPTIONS FOR CHRONIC 
              PAIN AND SCREENING FOR OPIOID USE DISORDER TO BE INCLUDED 
              IN THE WELCOME TO MEDICARE INITIAL PREVENTIVE PHYSICAL 
              EXAMINATION.

    (a) In General.--Section 1861(ww) of the Social Security Act (42 
U.S.C. 1395x(ww)) is amended--
            (1) in paragraph (1), by inserting ``and a review of 
        current opioid prescriptions and screening for opioid use 
        disorder (as defined in paragraph (4)),'' before ``but does not 
        include''; and
            (2) by adding at the end the following new paragraph:
    ``(4)(A) For purposes of paragraph (1), the term `a review of 
current opioid prescriptions and screening for opioid use disorder' 
means, with respect to an individual--
            ``(i) a review by a physician or qualified non-physician 
        practitioner of all current prescriptions of the individual; 
        and
            ``(ii) in the case of an individual determined by the 
        review of a physician or qualified non-physician practitioner 
        under subparagraph (A) to have a current prescription for 
        opioids for chronic pain that has been prescribed for a minimum 
        period of time (as specified by the Secretary)--
                    ``(I) a review by the physician or practitioner of 
                the potential risk factors to the individual for opioid 
                use disorder;
                    ``(II) an evaluation by the physician or 
                practitioner of pain of the individual;
                    ``(III) the provision of information regarding non-
                opioid treatment options for the treatment and 
                management of any chronic pain of the individual; and
                    ``(IV) if determined necessary by the physician or 
                practitioner based on the results of the review and 
                evaluation conducted as described in this paragraph, an 
                appropriate referral by the physician or practitioner 
                for additional treatment.
    ``(B) For purposes of this paragraph, the term `qualified non-
physician practitioner' means a physician assistant, nurse 
practitioner, or certified clinical nurse specialist.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply with respect to initial preventive physical examinations 
furnished on or after January 1, 2020.
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