II 

115TH CONGRESS 

2D SESSION S. 2900 

To amend title XVIII of the Social Security Act to include screening for 

potential substance use disorders and a review of any current opioid 

prescriptions as part of the initial preventive physical examination and 

the annual wellness visit under the Medicare program. 

IN THE SENATE OF THE UNITED STATES 

MAY 22, 2018 

Mr. BROWN (for himself, Mr. ISAKSON, Mr. NELSON, Mr. THUNE, Mr. CASSIDY, and Mr. BLUMENTHAL) introduced the following bill; which was 

read twice and referred to the Committee on Finance 

A BILL 

To amend title XVIII of the Social Security Act to include 

screening for potential substance use disorders and a 

review of any current opioid prescriptions as part of 

the initial preventive physical examination and the annual wellness visit under the Medicare program. 

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 ‘‘Comprehensive 

5 Screenings for Seniors Act of 2018’’. 


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1 SEC. 2. INCLUSION OF SCREENING FOR POTENTIAL SUB2 STANCE USE DISORDERS AND A REVIEW OF 

3 ANY CURRENT OPIOID PRESCRIPTIONS AS 

4 PART OF THE INITIAL PREVENTIVE PHYS5 ICAL EXAMINATION AND THE ANNUAL 

6 WELLNESS VISIT UNDER MEDICARE. 

7 (a) INITIAL PREVENTIVE PHYSICAL EXAMINA8 TION.—Section 1861(ww) of the Social Security Act (42 

9 U.S.C. 1395x(ww)) is amended— 

10 (1) in paragraph (1)— 

11 (A) by striking ‘‘paragraph (2) and’’ and 

12 inserting ‘‘paragraph (2),’’; and 

13 (B) by inserting ‘‘and the furnishing of a 

14 review of any current opioid prescriptions (as 

15 defined in paragraph (4)),’’ after ‘‘upon the 

16 agreement with the individual,’’; and 

17 (2) in paragraph (2)— 

18 (A) by redesignating subparagraph (N) as 

19 subparagraph (O); and 

20 (B) by inserting after subparagraph (M) 

21 the following new subparagraph: 

22 ‘‘(N) Screening for potential substance use 

23 disorders.’’; and 

24 (3) by adding at the end the following new 

25 paragraph: 


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1 ‘‘(4) For purposes of paragraph (1), the term ‘a re2 view of any current opioid prescriptions’ means, with re3 spect to an individual determined to have a current pre4 scription for opioids— 

5 ‘‘(A) a review of the potential risk factors to the 

6 individual for opioid use disorder; 

7 ‘‘(B) an evaluation of the individual’s severity 

8 of pain and current treatment plan; 

9 ‘‘(C) the provision of information on non-opioid 

10 treatment options; and 

11 ‘‘(D) a referral to a pain management spe12 cialist, as appropriate.’’. 

13 (b) ANNUAL WELLNESS VISIT.—Section 

14 1861(hhh)(2) of the Social Security Act (42 U.S.C. 

15 1395x(hhh)(2)) is amended— 

16 (1) by redesignating subparagraph (G) as sub17 paragraph (I); and 

18 (2) by inserting after subparagraph (F) the fol19 lowing new subparagraphs: 

20 ‘‘(G) Screening for potential substance use 

21 disorders and referral for treatment as appro22 priate. 

23 ‘‘(H) The furnishing of a review of any 

24 current opioid prescriptions (as defined in sub25 section (ww)(4)).’’. 


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

2 this section shall apply to examinations and visits fur3 nished on or after January 1, 2019. 

Æ 


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