‘‘(B) conditions for which no widely-accept-
ed treatment options are yet available; and 
‘‘(6) other issues the Secretary deems appro-
priate. 
‘‘(c) COORDINATION.— 
‘‘(1) LEAD OFFICIAL.—The Secretary shall des-
ignate one official in the Department of Health and 
Human Services to oversee the campaign established 
under this section. 
‘‘(2) AGENCY
COORDINATION.—The Secretary 
shall ensure the involvement in the public awareness 
campaign under this section of the Surgeon General 
of the Public Health Service, the Director of the 
Centers for Disease Control and Prevention, and 
such other representatives of offices and agencies of 
the Department of Health and Human Services as 
the Secretary determines appropriate. 
‘‘(d) UNDERSERVED POPULATIONS.—In designing 
the public awareness campaign under this section, the Sec-
retary shall take into account the need to reach under-
served populations who are disproportionately under-treat-
ed for pain. 
‘‘(e) GRANTS AND CONTRACTS.—The Secretary may 
make awards of grants, cooperative agreements, and con-
tracts to public agencies and private nonprofit organiza-
tions to assist with the development and implementation 
of the public awareness campaign under this section. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—For 
purposes of carrying out this section, there are authorized 
to be appropriated such sums as may be necessary for 
each of fiscal years 2006, 2007, and 2008.’’. 
SEC. 6. PAIN CARE INITIATIVE IN MILITARY HEALTH CARE 
FACILITIES. 
(a) REQUIREMENT.—Chapter 55 of title 10, United 
States Code, is amended by adding at the end the fol-
lowing new section: 
‘‘§ 1111. Pain care 
‘‘The administering Secretaries shall develop and im-
plement a pain care initiative in all health care facilities 
of the uniformed services. Implementation shall occur not 
later than January 1, 2006, in the case of inpatient care, 
and January 1, 2007, in the case of outpatient care. The 
initiative shall be designed to ensure that all members of 
the uniformed services and their dependents receiving 
treatment in health care facilities of the uniformed serv-
ices— 
‘‘(1) are assessed for pain at the time of admis-
sion or initial treatment, and periodically thereafter, 
using a professionally recognized pain assessment 
tool or process; and
‘‘(2) receive appropriate pain care consistent 
with recognized guidelines and practice parameters 
for the assessment and treatment of primary and 
secondary pain, including acute, chronic, and intrac-
table pain.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by adding 
at the end the following new item: 
‘‘1111. Pain care.’’. 
SEC. 7. PAIN CARE STANDARDS IN MEDICARE ADVANTAGE 
PLANS. 
(a) IN GENERAL.—Section 1852(a) of the Social Se-
curity Act (42 U.S.C. 1395w–22(a)) is amended by adding 
at the end the following new paragraph: 
‘‘(7) PAIN CARE STANDARDS.— 
‘‘(A) IN
GENERAL.—Each Medicare Ad-
vantage organization shall provide appropriate 
care for the treatment of patients in pain 
that— 
‘‘(i) is consistent with recognized 
guidelines and practice parameters for the 
assessment and treatment of primary and 
secondary pain, including acute, chronic, 
and intractable pain; 
‘‘(ii) includes evaluation and treat-
ment of illnesses that frequently accom-