Title: Expanding Oversight of Opioid Prescribing and Payment Act of 2018
Policy area: Health

Summary:
Expanding Oversight of Opioid Prescribing and Payment Act of 2018
This bill requires the Medicare Payment Advisory Commission to report to Congress on: (1) how Medicare pays for opioid and non-opioid pain management treatments in inpatient and outpatient hospital settings; (2) current incentives for prescribing opioid and non-opioid treatments under Medicare inpatient and outpatient prospective payment systems, along with recommendations to address any identified adverse incentives; and (3) how opioid use is currently tracked and monitored through Medicare and any areas for improvement.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5723 Introduced in House (IH)]

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115th CONGRESS
  2d Session
                                H. R. 5723

To require the Medicare Payment Advisory Commission to report on opioid 
   payment, adverse incentives, and data under the Medicare program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 9, 2018

Ms. Tenney (for herself, Mr. McKinley, and Ms. DelBene) introduced the 
following bill; which was referred to the Committee on Ways and Means, 
 and in addition to the Committee on Energy and Commerce, 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

_______________________________________________________________________

                                 A BILL


 
To require the Medicare Payment Advisory Commission to report on opioid 
   payment, adverse incentives, and data under the Medicare program.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Expanding Oversight of Opioid 
Prescribing and Payment Act of 2018''.

SEC. 2. MEDICARE PAYMENT ADVISORY COMMISSION REPORT ON OPIOID PAYMENT, 
              ADVERSE INCENTIVES, AND DATA UNDER THE MEDICARE PROGRAM.

    Not later than March 15, 2019, the Medicare Payment Advisory 
Commission shall submit to Congress a report on, with respect to the 
Medicare program under title XVIII of the Social Security Act, the 
following:
            (1) A description of how the Medicare program pays for pain 
        management treatments (both opioid and non-opioid pain 
        management alternatives) in an inpatient and outpatient 
        hospital setting.
            (2) The identification of incentives under the hospital 
        inpatient prospective payment system under section 1886 of the 
        Social Security Act (42 U.S.C. 1395ww) and incentives under the 
        hospital outpatient prospective payment system under section 
        1833(t) of such Act (42 U.S.C. 1395l(t)) for prescribing 
        opioids and incentives under each such system for prescribing 
        non-opioid treatments, and recommendations as the Commission 
        deems appropriate for addressing any of such incentives that 
        are adverse incentives.
            (3) A description of how opioid use is tracked and 
        monitored through Medicare claims data and other mechanisms and 
        the identification of any areas in which further data and 
        methods are needed for improving data and understanding of 
        opioid use.
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