Medicare
US Congress 115th Congress
Medicare Opioid Safety Education Act of 2018 [HB-5685]
Medicare Opioid Safety Education Act of 2018 (Sec. 2) This bill requires the Centers for Medicare & Medicaid Services to provide Medicare beneficiaries with educational resources regarding opioid use and pain management, as well as descriptions of covered alternative (non-opioid) pain-management treatments.
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Protecting Seniors From Opioid Abuse Act [HB-5684]
Protecting Seniors From Opioid Abuse Act This bill establishes individuals who are identified as at-risk beneficiaries for prescription drug abuse as qualifying participants in medication therapy management programs under the Medicare prescription drug benefit.
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Medicare CHOICE Act of 2018 Medicare Clear Health Options in Care for Enrollees Act of 2018 [HB-5686]
Medicare CHOICE Act of 2018 Medicare Clear Health Options in Care for Enrollees Act of 2018 This bill requires Medicare and Medicare Advantage prescription drug plan (PDP) sponsors to annually disclose information to enrollees about: (1) the adverse effects of prolonged opioid use; and (2) the plan's coverage of nonpharmacological therapies, devices, and non-opioid medications. PDP sponsors may limit disclosure to a subset of enrollees (such as those who were prescribed an opioid in the previous two-year period).
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VA MISSION Act of 2018 VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 [HB-5674]
VA MISSION Act of 2018 VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 This bill consolidates Department of Veterans Affairs (VA) community care programs, revises other VA health care programs and facilities provisions, and makes appropriations for veterans care. The bill establishes the Veterans Community Care Program to furnish hospital care, medical services, and extended care services through certain non-VA providers to veterans who are enrolled in the VA health care system or otherwise entitled to VA
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To amend title XVIII of the Social Security Act to require prescription drug plan sponsors under the Medicare program to establish drug management programs for at-risk beneficiaries. [HB-5675]
To amend title XVIII of the Social Security Act to require prescription drug plan sponsors under the Medicare program to establish drug management programs for at-risk beneficiaries. This bill requires Medicare prescription drug plan (PDP) sponsors, for plan years beginning on or after January 1, 2021, to establish drug management programs for at-risk beneficiaries. Current law authorizes, but does not require, PDP sponsors to establish such programs.
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SENIOR Communities Protection Act of 2018 Stop Excessive Narcotics in our Retirement Communities Protection Act of 2018 [HB-5676]
SENIOR Communities Protection Act of 2018 Stop Excessive Narcotics in our Retirement Communities Protection Act of 2018 (Sec. 2) This bill authorizes the suspension of payments to a pharmacy under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans pending the investigation of a credible allegation of fraud by the pharmacy. A fraud hotline tip, without other evidence, may not be considered a credible allegation of fraud.
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Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act [HB-5605]
Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act (Sec. 2) This bill requires the Centers for Medicare & Medicaid Services (CMS) to carry out a demonstration program to: (1) increase access to opioid-use disorder treatment services for Medicare beneficiaries, (2) improve physical and mental health outcomes for such beneficiaries, and (3) reduce Medicare expenditures. Opioid-use disorder care teams of practitioners may apply for participation in the demonstration project. The CMS must establish a performance-based incentive
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Opioid Addiction Action Plan Act [HB-5590]
Opioid Addiction Action Plan Act (Sec. 2) This bill requires the Centers for Medicare & Medicaid Services (CMS) to develop an action plan to provide recommendations on changes to the Medicare and Medicaid programs to enhance: (1) the treatment and prevention of opioid addiction, and (2) the coverage and payment of medication-assisted treatment for opioid addiction. The CMS must convene a stakeholder meeting to solicit public comment on the action plan. The CMS must also publish a report that includes an evaluation of price trends for opioid overdose-reversal
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Access to Telehealth Services for Substance Use Disorders Act [HB-5603]
Access to Telehealth Services for Substance Use Disorders Act This bill authorizes the Centers for Medicare & Medicaid Services to waive certain requirements with respect to payment for telehealth services provided to a Medicare beneficiary who is receiving treatment for a substance-use disorder or a co-occurring mental-health disorder.
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Seniors Mental Health Access Improvement Act of 2017 [S.1879]
Seniors Mental Health Access Improvement Act of 2017 This bill amends title XVIII (Medicare) of the Social Security Act to: (1) cover marriage and family therapist services and mental health counselor services under Medicare, (2) exclude such services from the skilled nursing facility prospective payment system, and (3) authorize marriage and family therapists and mental health counselors to develop discharge plans for post-hospital services.
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Abuse Deterrent Access Act of 2018 [HB-5582]
Abuse Deterrent Access Act of 2018
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Access to Marketplace Insurance Act [HB-3976]
Access to Marketplace Insurance Act
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Opioid Emergency Response Act [HB-5531]
Opioid Emergency Response Act
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Protecting HOME Access Act of 2017 Protecting Home Oxygen & Medical Equipment Access Act of 2017 [HB-4229]
Protecting HOME Access Act of 2017 Protecting Home Oxygen & Medical Equipment Access Act of 2017 This bill: (1) requires the Centers for Medicare & Medicaid Services (CMS) to delay by one year the full implementation of new Medicare payment rates for durable medical equipment, and (2) revises a Medicare budget-neutrality requirement related to oxygen. Under current law, the CMS may establish separate payment classes under Medicare for items of oxygen and related equipment only if doing so does not result in increased program expenditures. The bill
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Medicare Beneficiary Opioid Addiction Treatment Act [HB-4097]
Medicare Beneficiary Opioid Addiction Treatment Act
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Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 [HB-4841]
Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 This bill requires Medicare's electronic-prescription program to provide for the secure electronic transmittal of a prior authorization request from a Medicare enrollee's prescribing health-care professional with respect to a drug covered under the Medicare prescription drug benefit.
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Medicare Care Coordination Improvement Act of 2017 [HB-4206]
Medicare Care Coordination Improvement Act of 2017
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Respond NOW Act Respond to the Needs in the Opioid War Act [HB-4938]
Respond NOW Act Respond to the Needs in the Opioid War Act
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Dialysis PATIENTS Demonstration Act of 2017 Dialysis Patient Access To Integrated-care, Empowerment, Nephrologists, Treatment, and Services Demonstration Act of 2017 [HB-4143]
Dialysis PATIENTS Demonstration Act of 2017 Dialysis Patient Access To Integrated-care, Empowerment, Nephrologists, Treatment, and Services Demonstration Act of 2017 This bill establishes a demonstration program for the provision of integrated care to Medicare beneficiaries with end-stage renal disease (ESRD). Under the voluntary program, eligible participating providers may form organizations to offer ESRD integrated care models and serve as medical homes for program-eligible beneficiaries. Such a model: (1) shall cover medical and hospital services,
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Expanding Access to Evidence-Based Opioid Treatment for Seniors Act of 2018 [HB-5083]
Expanding Access to Evidence-Based Opioid Treatment for Seniors Act of 2018 This bill extends Medicare coverage to opioid-use disorder treatment services and programs.