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Bill > HR5605
US HR5605
Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act
summary
Introduced
04/24/2018
04/24/2018
In Committee
05/17/2018
05/17/2018
Crossed Over
06/20/2018
06/20/2018
Passed
Dead
12/31/2018
12/31/2018
Introduced Session
115th Congress
Bill Summary
Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act (Sec. 2) This bill requires the Centers for Medicare & Medicaid Services (CMS) to carry out a demonstration program to: (1) increase access to opioid-use disorder treatment services for Medicare beneficiaries, (2) improve physical and mental health outcomes for such beneficiaries, and (3) reduce Medicare expenditures. Opioid-use disorder care teams of practitioners may apply for participation in the demonstration project. The CMS must establish a performance-based incentive payment for participants. (Sec. 3) The bill also requires prescriptions for controlled substances that are covered under the Medicare prescription drug benefit or Medicare Advantage prescription drug plans to be transmitted via electronic prescription programs. The CMS may waive such requirements under specified circumstances.
AI Summary
This bill:
1. Requires the Centers for Medicare & Medicaid Services (CMS) to implement a 4-year demonstration program to increase access to opioid use disorder treatment services for Medicare beneficiaries, improve their physical and mental health outcomes, and reduce Medicare expenditures, by making payments to participants (e.g., physicians, group practices, hospitals, clinics) that establish opioid use disorder care teams to deliver these services.
2. Requires prescriptions for controlled substances covered under Medicare to be transmitted electronically, with some exceptions, such as for economic hardship or technological limitations, and gives the Secretary authority to enforce and penalize non-compliance.
The bill aims to improve treatment and outcomes for Medicare beneficiaries with opioid use disorders, while also reducing associated healthcare costs and utilization.
Committee Categories
Budget and Finance, Business and Industry, Health and Social Services
Sponsors (3)
Last Action
Received in the Senate and Read twice and referred to the Committee on Finance. (on 06/20/2018)
Official Document
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