IB 

Union Calendar No. 575 

115TH CONGRESS 

2D SESSION H. R. 5686 

[Report No. 115–741, Part I] 

To amend title XVIII of the Social Security Act to require prescription 

drug plans under Medicare part D to include information on the adverse 

effects of opioid overutilization and of coverage of nonpharmacological 

therapies and nonopioid medications or devices used to treat pain. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 7, 2018 

Mr. PAULSEN (for himself, Mr. KIND, Mr. COLLINS of New York, and Mr. 

LAMB) 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, Mr. FITZPATRICK, 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
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•HR 5686 RH

A BILL 

To amend title XVIII of the Social Security Act to require 

prescription drug plans under Medicare part D to include 

information on the adverse effects of opioid overutilization and of coverage of nonpharmacological therapies 

and nonopioid medications or devices used to treat pain. 


pbinns on DSK79D2C42PROD with BILLS
3 

•HR 5686 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 ‘‘Medicare Clear Health 

5 Options in Care for Enrollees Act of 2018’’ or the ‘‘Medi6 care CHOICE Act of 2018’’. 

7 SEC. 2. REQUIRING MEDICARE PART D PRESCRIPTION 

8 DRUG PLANS TO INCLUDE INFORMATION ON 

9 ADVERSE EFFECTS RELATING TO OPIOIDS 

10 AND COVERAGE OF NONPHARMACOLOGICAL 

11 THERAPIES AND NONOPIOID MEDICATIONS 

12 OR DEVICES USED TO TREAT PAIN. 

13 Section 1860D–4(a)(1) of the Social Security Act (42 

14 U.S.C. 1395w–104(a)(1)) is amended— 

15 (1) in subparagraph (A), by inserting ‘‘, subject 

16 to subparagraph (C),’’ before ‘‘including’’; 

17 (2) in subparagraph (B), by adding at the end 

18 the following new clause: 

19 ‘‘(vi) For plan year 2021 and each 

20 subsequent plan year, subject to subpara21 graph (C), with respect to the treatment of 

22 pain— 

23 ‘‘(I) the adverse effects of pro24 longed opioid use; and 


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•HR 5686 RH

1 ‘‘(II) coverage of nonpharma2 cological therapies, devices, and 

3 nonopioid medications— 

4 ‘‘(aa) in the case of an MA5 PD plan under part C, under 

6 such plan; and 

7 ‘‘(bb) in the case of a pre8 scription drug plan under such 

9 plan and under parts A and B.’’; 

10 and 

11 (3) by adding at the end the following new sub12 paragraph: 

13 ‘‘(C) TARGETED PROVISION OF INFORMA14 TION.—A PDP sponsor of a prescription drug 

15 plan may, in lieu of disclosing the information 

16 described in subparagraph (B)(vi) to each en17 rollee under the plan, disclose such information 

18 through mail or electronic communications to a 

19 subset of enrollees under the plan, such as en20 rollees who have been prescribed an opioid in 

21 the previous two-year period.’’. 


pbinns on DSK79D2C42PROD with BILLS

pbinns on DSK79D2C42PROD with BILLS
Union Calendar No. 575 

115TH CONGRESS 

2D SESSION H. R. 5686 

[Report No. 115–741, Part I] 

A BILL 

To amend title XVIII of the Social Security Act to 

medications or devices used to treat pain. nonpharmacological therapies and nonopioid fects of opioid overutilization and of coverage of part D to include information on the adverse efrequire prescription drug plans under Medicare 

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