Medicare Clear Health Options in Care for Enrollees Act of 2018

Bill: 115-hr-5686
Sponsor: full_name: Rep. Paulsen, Erik [R-MN-3]
Introduced: 2018-05-07
Policy area: Health
Subjects: Alternative treatments

Drug trafficking and controlled substances

Health care costs and insurance

Medicare

Prescription drugs
Latest action: action_date: 2018-06-12
text: Placed on the Union Calendar, Calendar No. 575.

Summaries:
action_date: 2018-05-07
action_desc: Introduced in House
text: <p><b>Medicare Clear Health Options in Care for Enrollees Act of 2018 or the Medicare CHOICE Act of 2018</b></p> <p>This bill requires Medicare and Medicare Advantage prescription drug plan (PDP) sponsors to annually disclose information to enrollees about: (1) the adverse effects of prolonged opioid use; and (2) the plan's coverage of nonpharmacological therapies, devices, and non-opioid medications. PDP sponsors may limit disclosure to a subset of enrollees (such as those who were prescribed an opioid in the previous two-year period). </p>

action_date: 2018-06-12
action_desc: Reported to House without amendment, Part I
text: <p><b>Medicare Clear Health Options in Care for Enrollees Act of 2018 or the Medicare CHOICE Act of 2018</b></p> <p>This bill requires Medicare and Medicare Advantage prescription drug plan (PDP) sponsors to annually disclose information to enrollees about: (1) the adverse effects of prolonged opioid use; and (2) the plan's coverage of nonpharmacological therapies, devices, and non-opioid medications. PDP sponsors may limit disclosure to a subset of enrollees (such as those who were prescribed an opioid in the previous two-year period). </p>

tv_txt: I 115th CONGRESS 2d Session H. R. 5686 IN THE HOUSE OF REPRESENTATIVES May 7, 2018 Mr. Paulsen (for himself, Mr. Kind , Mr. Collins of New York , and Mr. Lamb ) 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 A BILL To amend title XVIII of the Social Security Act to require prescription drug plans under Medicare part D to include information on the adverse effects of opioid overutilization and of coverage of nonpharmacological therapies and nonopioid medications or devices used to treat pain.

1. Short title This Act may be cited as the Medicare Clear Health Options in Care for Enrollees Act of 2018 or the Medicare CHOICE Act of 2018 . 2. Requiring Medicare part D prescription drug plans to include information on adverse effects relating to opioids and coverage of nonpharmacological therapies and nonopioid medications or devices used to treat pain Section 1860D–4(a)(1) of the Social Security Act ( 42 U.S.C. 1395w–104(a)(1) ) is amended— (1) in subparagraph (A), by inserting , subject to subparagraph (C), before including ; (2) in subparagraph (B), by adding at the end the following new clause: (vi) For plan year 2021 and each subsequent plan year, subject to subparagraph (C), with respect to the treatment of pain— (I) the adverse effects of prolonged opioid use; and (II) coverage of nonpharmacological therapies, devices, and nonopioid medications— (aa) in the case of an MA-PD plan under part C, under such plan; and (bb) in the case of a prescription drug plan under such plan and under parts A and B. ; and (3) by adding at the end the following new subparagraph: (C) Targeted provision of information A PDP sponsor of a prescription drug plan may, in lieu of disclosing the information described in subparagraph (B)(vi) to each enrollee under the plan, disclose such information through mail or electronic communications to a subset of enrollees under the plan, such as enrollees who have been prescribed an opioid in the previous two-year period. .

tv_txt: IB Union Calendar No. 575 115th CONGRESS 2d Session H. R. 5686 [Report No. 115–741, Part I] IN THE HOUSE OF REPRESENTATIVES May 7, 2018 Mr. Paulsen (for himself, Mr. Kind , Mr. Collins of New York , and Mr. Lamb ) 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 , Mr. Fitzpatrick , 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 prescription drug plans under Medicare part D to include information on the adverse effects of opioid overutilization and of coverage of nonpharmacological therapies and nonopioid medications or devices used to treat pain.

1. Short title This Act may be cited as the Medicare Clear Health Options in Care for Enrollees Act of 2018 or the Medicare CHOICE Act of 2018 . 2. Requiring Medicare part D prescription drug plans to include information on adverse effects relating to opioids and coverage of nonpharmacological therapies and nonopioid medications or devices used to treat pain Section 1860D–4(a)(1) of the Social Security Act ( 42 U.S.C. 1395w–104(a)(1) ) is amended— (1) in subparagraph (A), by inserting , subject to subparagraph (C), before including ; (2) in subparagraph (B), by adding at the end the following new clause: (vi) For plan year 2021 and each subsequent plan year, subject to subparagraph (C), with respect to the treatment of pain— (I) the adverse effects of prolonged opioid use; and (II) coverage of nonpharmacological therapies, devices, and nonopioid medications— (aa) in the case of an MA-PD plan under part C, under such plan; and (bb) in the case of a prescription drug plan under such plan and under parts A and B. ; and (3) by adding at the end the following new subparagraph: (C) Targeted provision of information A PDP sponsor of a prescription drug plan may, in lieu of disclosing the information described in subparagraph (B)(vi) to each enrollee under the plan, disclose such information through mail or electronic communications to a subset of enrollees under the plan, such as enrollees who have been prescribed an opioid in the previous two-year period. .

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