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Bill > S2920


US S2920

US S2920
Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018


summary

Introduced
05/22/2018
In Committee
05/22/2018
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

115th Congress

Bill Summary

Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act of 2018 This bill requires the Centers for Medicare & Medicaid Services (CMS) to identify outlier prescribers of opioids under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans. Specifically, the CMS must: (1) establish an opioid-prescription threshold for determining whether a prescriber is an outlier compared to other prescribers, based on specialty and geographic area; (2) use National Provider Identifiers (unique provider identification numbers currently included on claims for covered drugs) to identify outlier prescribers; and (3) annually notify identified outlier prescribers of their status and provide them with resources on proper prescribing methods. The CMS may also identify and notify outlier prescribers based on co-prescriptions of covered drugs that have adverse effects when used in combination with opioids. Persistent outlier prescribers are subject to additional requirements.

AI Summary

This bill requires the Centers for Medicare & Medicaid Services (CMS) to identify and notify prescribers who are outliers in terms of opioid prescribing compared to their peers. Specifically, the CMS must establish thresholds for identifying outlier opioid prescribers based on specialty and geographic area, and then annually notify these prescribers and provide them with resources on proper prescribing methods. Persistent outlier prescribers may be subject to additional requirements, such as being connected with educational resources or being required to enroll in the Medicare program. The bill also allows the CMS to expand the notifications to include concurrent prescriptions of drugs that have adverse effects when used with opioids.

Committee Categories

Budget and Finance

Sponsors (3)

Last Action

Read twice and referred to the Committee on Finance. (on 05/22/2018)

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