To amend title XVIII of the Social Security Act to require Medicare prescription drug plans to establish drug management programs for at-risk beneficiaries, require electronic prior authorization for covered part D drugs, and to provide for other program integrity measures under parts C and D of the Medicare program.
Preventing Addiction for Susceptible Seniors Act of 2018 or the PASS 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; 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.
(Sec. 4) The bill also 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.
(Sec. 5) The CMS must also: (1) identify outlier prescribers of opioids under Medicare prescription drug benefit plans and MA plans, based on specialty and geographic area; and (2) annually notify such prescribers of their status and provide them with resources on proper prescribing methods.
Read twice and referred to the Committee on Finance.
Became Public Law No: 115-271.
Placed on the Union Calendar, Calendar No. 581.
Placed on the Union Calendar, Calendar No. 577.
Placed on the Union Calendar, Calendar No. 576.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-737, Part I.
Placed on the Union Calendar, Calendar No. 574.
Read twice and referred to the Committee on Finance.
Introduced in House
Introduced in House
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.
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.
Committee Consideration and Mark-up Session Held.
Ordered to be Reported (Amended) by Voice Vote.
Referred to the Subcommittee on Health.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-761, Part I.
Reported (Amended) by the Committee on Ways and Means. H. Rept. 115-761, Part I.
Mr. Roskam moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H5258-5261)
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DEBATE - The House proceeded with forty minutes of debate on H.R. 5773.
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H5258-5259)
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5258-5259)
Motion to reconsider laid on the table Agreed to without objection.
The title of the measure was amended. Agreed to without objection.
Received in the Senate and Read twice and referred to the Committee on Finance.