Prescription Drugs
US Congress 115th Congress
Addiction Prevention and Responsible Opioid Practices Act [HB-5865]
Addiction Prevention and Responsible Opioid Practices Act
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CONNECTIONS Act Creating Opportunities that Necessitate New and Enhanced Connections That Improve Opioid Navigation Strategies Act of 2018 [HB-5812]
CONNECTIONS Act Creating Opportunities that Necessitate New and Enhanced Connections That Improve Opioid Navigation Strategies Act of 2018
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Medicaid PARTNERSHIP Act Medicaid Providers Are Required To Note Experiences in Record Systems to Help In-need Patients Act [HB-5801]
Medicaid PARTNERSHIP Act Medicaid Providers Are Required To Note Experiences in Record Systems to Help In-need Patients Act (Sec. 2) This bill requires each state to: (1) establish a prescription drug monitoring program (PDMP), and (2) require health care providers to check the PDMP for a Medicaid enrollee's prescription drug history before prescribing controlled substances to the enrollee. In addition to meeting other specified requirements, each PDMP must allow health care providers to access the number and type of controlled substances prescribed
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Medicaid Pharmaceutical Home Act of 2018 [HB-5808]
Medicaid Pharmaceutical Home Act of 2018 This bill requires state Medicaid programs to establish drug-management programs for at-risk beneficiaries (those identified as at risk of abusing or misusing controlled substances).
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Long-Term Opioid Efficacy Act of 2018 [HB-5811]
Long-Term Opioid Efficacy Act of 2018
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REACH OUT Act of 2018 Responsible Education Achieves Care and Healthy Outcomes for Users' Treatment Act of 2018 [HB-5796]
REACH OUT Act of 2018 Responsible Education Achieves Care and Healthy Outcomes for Users' Treatment Act of 2018 (Sec. 2) This bill requires the Centers for Medicare & Medicaid Services to award grants, contracts, or cooperative agreements to qualifying organizations in order to support efforts to curb outlier prescribers of opioids under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans. (Sec. 3) Additionally, the bill temporarily eliminates the enhanced federal matching rate for Medicaid expenditures regarding
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Opioid Screening and Chronic Pain Management Alternatives for Seniors Act [HB-5798]
Opioid Screening and Chronic Pain Management Alternatives for Seniors Act This bill requires the initial examination for new Medicare enrollees to include a review of current opioid prescriptions and an opioid use disorder screening.
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Overdose Prevention and Patient Safety Act [HB-5795]
Overdose Prevention and Patient Safety Act
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SUD CARE Act Substance Use Disorder Coordination, Access, Recovery Enhancement Act of 2018 [HB-5807]
SUD CARE Act Substance Use Disorder Coordination, Access, Recovery Enhancement Act of 2018
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Medicaid DRUG Improvement Act Medicaid Drug Review, Utilization, Good Governance Improvement Act [HB-5799]
Medicaid DRUG Improvement Act Medicaid Drug Review, Utilization, Good Governance Improvement Act This bill requires state Medicaid programs to establish drug-review and utilization requirements for enrollees, particularly with respect to opioid prescriptions. Drug use review programs must also identify prescribing or billing practices by providers that indicate abuse or excessive utilization.
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DEA Opioid Enforcement Restoration Act of 2017 [HB-4095]
DEA Opioid Enforcement Restoration Act of 2017 This bill repeals the Ensuring Patient Access and Effective Drug Enforcement Act of 2016. Provisions of the Controlled Substances Act amended by the Act are restored.
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PROPER Act of 2018 Providing Reliable Options for Patients and Educational Resources Act of 2018 [HB-5775]
PROPER Act of 2018 Providing Reliable Options for Patients and Educational Resources Act of 2018 (Sec. 2) This bill requires Medicare and Medicare Advantage (MA) prescription drug plan (PDP) sponsors to annually disclose information to enrollees about: (1) the risks 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). (Sec. 3) The bill also
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COACH Act of 2018 Combating Opioid Abuse for Care in Hospitals Act of 2018 [HB-5774]
COACH Act of 2018 Combating Opioid Abuse for Care in Hospitals Act of 2018 (Sec. 2) This bill requires the Centers for Medicare & Medicaid Services (CMS) to publish guidance for hospitals on pain management and opioid-use disorder prevention strategies for Medicare beneficiaries. (Sec. 3) The CMS must also convene a technical expert panel to recommend opioid and opioid-use disorder quality measures for possible use in hospital payment and reporting models under Medicare. (Sec. 4) The Department of Health and Human Services must: (1) convene a technical
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PASS Act of 2018 Preventing Addiction for Susceptible Seniors Act of 2018 [HB-5773]
PASS Act of 2018 Preventing Addiction for Susceptible Seniors Act of 2018 (Sec. 2) This bill alters several requirements under the Medicare prescription drug benefit. Specifically, the bill requires electronic prescription programs to enable the secure transmittal of prior authorization requests for covered drugs. (Sec. 3) The bill also requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow: (1) data sharing among the CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans;
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Opioid Crisis Accountability Act of 2018 [HB-5782]
Opioid Crisis Accountability Act of 2018
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Strengthening Partnerships to Prevent Opioid Abuse Act [HB-5715]
Strengthening Partnerships to Prevent Opioid Abuse Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow: (1) data sharing among the CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans; and (2) referrals by such plans of substantiated fraud, waste, or abuse in order to initiate or assist investigations by contracted entities under the Medicare Integrity Program. The CMS must disseminate and report certain collected information to such plans, including information
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PRO Act Perioperative Reduction of Opioids Act [HB-5718]
PRO Act Perioperative Reduction of Opioids Act This bill requires the Department of Health and Human Services (HHS) to convene a technical expert panel to recommend ways to reduce opioid use in surgical settings and best practices for pain management, specifically during the perioperative (pre-operative through post-operative) period. HHS must also report on diagnosis-related group codes that have the highest volume of surgeries and the availability of associated data regarding post-operative opioid use, including prescription patterns and rates
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Expanding Oversight of Opioid Prescribing and Payment Act of 2018 [HB-5723]
Expanding Oversight of Opioid Prescribing and Payment Act of 2018 (Sec. 2) This bill requires the Medicare Payment Advisory Commission to report to Congress on: (1) how Medicare pays for opioid and non-opioid pain management treatments in inpatient and outpatient hospital settings; (2) current incentives for prescribing opioid and non-opioid treatments under Medicare inpatient and outpatient prospective payment systems, along with recommendations to address any identified adverse incentives; and (3) how opioid use is currently tracked and monitored
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COMPASS Act Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act [HB-5716]
COMPASS Act Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to identify outlier prescribers of opioids under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans. Specifically, the CMS must: (1) establish an opioid-prescription threshold for determining whether a prescriber is an outlier compared to other prescribers, based on specialty and geographic area; (2) use National Provider Identifiers (unique provider identification
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EDU Act of 2018 Education for Disposal of Unused Opioids Act of 2018 [HB-5714]
EDU Act of 2018 Education for Disposal of Unused Opioids Act of 2018 This bill requires Medicare medication therapy management programs and Medicare Advantage in-home health risk assessments to include information about the safe disposal of prescription drugs.