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Union Calendar No. 573 

115TH CONGRESS 

2D SESSION H. R. 5798 

[Report No. 115–739, Part I] 

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 

JUNE 12, 2018 

Additional sponsors: Mrs. BLACKBURN and Mr. WALDEN

JUNE 12, 2018 

Reported from the Committee on Energy and Commerce 

JUNE 12, 2018 

The Committee on Ways and Means discharged; committed to the Committee 

of the Whole House on the State of the Union and ordered to be printed 


pbinns on DSK79D2C42PROD with BILLS
2 

•HR 5798 RH

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. 


pbinns on DSK79D2C42PROD with BILLS
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•HR 5798 RH

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Opioid Screening and 

5 Chronic Pain Management Alternatives for Seniors Act’’. 

6 SEC. 2. REQUIRING A REVIEW OF CURRENT OPIOID PRE7 SCRIPTIONS FOR CHRONIC PAIN AND 

8 SCREENING FOR OPIOID USE DISORDER TO 

9 BE INCLUDED IN THE WELCOME TO MEDI10 CARE INITIAL PREVENTIVE PHYSICAL EXAM11 INATION. 

12 (a) IN GENERAL.—Section 1861(ww) of the Social 

13 Security Act (42 U.S.C. 1395x(ww)) is amended— 

14 (1) in paragraph (1), by inserting ‘‘and a re15 view of current opioid prescriptions and screening 

16 for opioid use disorder (as defined in paragraph 

17 (4)),’’ before ‘‘but does not include’’; and 

18 (2) by adding at the end the following new 

19 paragraph: 

20 ‘‘(4)(A) For purposes of paragraph (1), the term ‘a 

21 review of current opioid prescriptions and screening for 

22 opioid use disorder’ means, with respect to an individual— 

23 ‘‘(i) a review by a physician or qualified non24 physician practitioner of all current prescriptions of 

25 the individual; and 


pbinns on DSK79D2C42PROD with BILLS
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•HR 5798 RH

1 ‘‘(ii) in the case of an individual determined by 

2 the review of a physician or qualified non-physician 

3 practitioner under subparagraph (A) to have a cur4 rent prescription for opioids for chronic pain that 

5 has been prescribed for a minimum period of time 

6 (as specified by the Secretary)— 

7 ‘‘(I) a review by the physician or practi8 tioner of the potential risk factors to the indi9 vidual for opioid use disorder; 

10 ‘‘(II) an evaluation by the physician or 

11 practitioner of pain of the individual; 

12 ‘‘(III) the provision of information regard13 ing non-opioid treatment options for the treat14 ment and management of any chronic pain of 

15 the individual; and 

16 ‘‘(IV) if determined necessary by the physi17 cian or practitioner based on the results of the 

18 review and evaluation conducted as described in 

19 this paragraph, an appropriate referral by the 

20 physician or practitioner for additional treat21 ment. 

22 ‘‘(B) For purposes of this paragraph, the term ‘quali23 fied non-physician practitioner’ means a physician assist24 ant, nurse practitioner, or certified clinical nurse spe25 cialist.’’. 


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•HR 5798 RH

1 (b) EFFECTIVE DATE.—The amendments made by 

2 subsection (a) shall apply with respect to initial preventive 

3 physical examinations furnished on or after January 1, 

4 2020. 


pbinns on DSK79D2C42PROD with BILLS
Union Calendar No. 573 

115TH CONGRESS 

2D SESSION H. R. 5798 

[Report No. 115–739, Part I] 

A BILL 

To amend title XVIII of the Social Security Act to 

initial preventive physical examination. order to be included in the Welcome to Medicare for chronic pain and screening for opioid use disrequire a review of current opioid prescriptions 

JUNE 12, 2018 

Reported from the Committee on Energy and Commerce 

JUNE 12, 2018 

The Committee on Ways and Means discharged; comState of the Union and ordered to be printed mitted to the Committee of the Whole House on the 


pbinns on DSK79D2C42PROD with BILLS