PROP Act of 2016

Bill: 114-hr-4499
Sponsor: full_name: Rep. Mooney, Alexander X. [R-WV-2]
Introduced: 2016-02-09
Policy area: Health
Subjects: Drug therapy

Health care quality

Hospital care

Medicare
Latest action: action_date: 2016-02-11
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2016-02-09
action_desc: Introduced in House
text: <p><strong>Promoting Responsible Opioid Prescribing Act of 2016 or the PROP Act of 2016</strong></p> <p>This bill amends title XVIII (Medicare) of the Social Security Act to exclude certain pain-related measures for purposes of&nbsp;calculating incentive payments under the value-based purchasing program (VBP). (VBP is a program that links hospital payments to the quality of care provided.)</p> <p>Specifically, VPB measures shall not include measures based on a patient's assessment&nbsp;of: (1) the patient's&nbsp;need for pain medicine during a hospital stay; (2) how often, during the stay, the patient's pain was well controlled; or (3) how often, during the stay, hospital staff did everything they could to help manage the patient's pain.</p>

tv_txt: I 114th CONGRESS 2d Session H. R. 4499 IN THE HOUSE OF REPRESENTATIVES February 9, 2016 Mr. Mooney of West Virginia (for himself, Mr. Rogers of Kentucky , Ms. Kuster , Mrs. Comstock , Mr. Ryan of Ohio , Mr. Guinta , and Mr. Lynch ) introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to remove consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program, and for other purposes.

1. Short title This Act may be cited as the Promoting Responsible Opioid Prescribing Act of 2016 and as the PROP Act of 2016 . 2. Removing consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program Section 1886(o)(2)(B) of the Social Security Act ( 42 U.S.C. 1395ww(o)(2)(B) ) is amended— (1) in clause (i)(II), by inserting , subject to clause (iii), after shall ; and (2) by adding at the end the following new clause: (iii) Exclusion of certain pain-related measures For value-based incentive payments made with respect to discharges occurring during fiscal year 2016 or a subsequent fiscal year, the Secretary shall ensure that measures selected under subparagraph (A) do not include measures based on any assessments by patients, with respect to hospital stays of such patients, of— (I) the need of such patients, during such stay, for medicine for pain; (II) how often, during such stay, the pain of such patients was well controlled; or (III) how often, during such stay, the staff of the hospital in which such stay occurred did everything they could to help the patient with the pain experienced by the patient. .