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Bill > HR5715


US HR5715

Strengthening Partnerships to Prevent Opioid Abuse Act


summary

Introduced
05/09/2018
In Committee
05/23/2018
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

115th Congress

Bill Summary

Strengthening Partnerships to Prevent Opioid Abuse Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow: (1) data sharing among the CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans; and (2) referrals by such plans of substantiated fraud, waste, or abuse in order to initiate or assist investigations by contracted entities under the Medicare Integrity Program. The CMS must disseminate and report certain collected information to such plans, including information regarding providers that were referred through the portal and trends in identifying suspicious activity. Additionally, for plan years beginning on or after January 1, 2021, MA organizations must submit information to the CMS regarding investigations or other actions taken by MA plans against providers that prescribe high volumes of opioids (as determined by the CMS).

AI Summary

This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow data sharing and referrals of suspected fraud, waste, or abuse between CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans. CMS must also disseminate collected information to these plans, including details on providers referred through the portal and trends in suspicious activity. Additionally, for plan years starting in 2021 or later, MA organizations must submit information to CMS regarding investigations or actions taken against providers that prescribe high volumes of opioids, as determined by CMS.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (10)

Last Action

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-737, Part I. (on 06/12/2018)

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