IB Union Calendar No. 573 115th CONGRESS 2d Session H. R. 5798 [Report No. 115–739, Part I] 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 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.

1. Short title This Act may be cited as the Opioid Screening and Chronic Pain Management Alternatives for Seniors Act . 2. Requiring 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 (a) In general Section 1861(ww) of the Social Security Act ( 42 U.S.C. 1395x(ww) ) is amended— (1) in paragraph (1), by inserting and a review of current opioid prescriptions and screening for opioid use disorder (as defined in paragraph (4)), before but does not include ; and (2) by adding at the end the following new paragraph: (4) (A) For purposes of paragraph (1), the term a review of current opioid prescriptions and screening for opioid use disorder means, with respect to an individual— (i) a review by a physician or qualified non-physician practitioner of all current prescriptions of the individual; and (ii) in the case of an individual determined by the review of a physician or qualified non-physician practitioner under subparagraph (A) to have a current prescription for opioids for chronic pain that has been prescribed for a minimum period of time (as specified by the Secretary)— (I) a review by the physician or practitioner of the potential risk factors to the individual for opioid use disorder; (II) an evaluation by the physician or practitioner of pain of the individual; (III) the provision of information regarding non-opioid treatment options for the treatment and management of any chronic pain of the individual; and (IV) if determined necessary by the physician or practitioner based on the results of the review and evaluation conducted as described in this paragraph, an appropriate referral by the physician or practitioner for additional treatment. (B) For purposes of this paragraph, the term qualified non-physician practitioner means a physician assistant, nurse practitioner, or certified clinical nurse specialist. . (b) Effective date The amendments made by subsection (a) shall apply with respect to initial preventive physical examinations furnished on or after January 1, 2020.

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