To amend title XVIII of the Social Security Act to provide for the review and adjustment of payments under the Medicare outpatient prospective payment system to avoid financial incentives to use opioids instead of non-opioid alternative treatments, and for other purposes.
Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018
This bill establishes several requirements for the Centers for Medicare & Medicaid Services (CMS), and alters requirements under Medicare and Medicare Advantage (MA), related to pain management and opioid use.
Among other requirements, the CMS must review payments under Medicare for opioid and non-opioid pain management procedures, specifically with respect to ambulatory outpatient surgical procedures and hospital outpatient department services. The CMS must ensure that there are no payment incentives for using opioids instead of non-opioid alternatives and must make revisions accordingly.
The bill also requires payment under Medicare to federally qualified health centers and rural health clinics that have health care practitioners who are newly certified to provide medication-assisted treatment (e.g., buprenorphine).
The bill also authorizes the suspension of payments to a pharmacy under the Medicare prescription drug benefit and MA prescription drug plans pending the investigation of a credible allegation of fraud by the pharmacy.
Read twice and referred to the Committee on Finance.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Motion to reconsider laid on the table Agreed to without objection.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Became Public Law No: 115-271.
Read twice and referred to the Committee on Finance.
Received in the Senate and 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.
Mrs. Walorski moved to suspend the rules and pass the bill.
Considered under suspension of the rules. (consideration: CR H5249-5254)
DEBATE - The House proceeded with forty minutes of debate on H.R. 6110.
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.(text: CR H5250-5252)
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H5250-5252)
Motion to reconsider laid on the table Agreed to without objection.
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Received in the Senate and Read twice and referred to the Committee on Finance.
Referred to the Subcommittee on Health.