,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #efii  ,,in ,,the ,,house ,,of  
,,representatives  ,may #h1 #bjah,mr4   
,curbelo of ,florida 7for himself and   
,ms4 ,kuster of ,new ,hampshire7        
introduced the following bill2 which was
 referred to the ,committee on ,ways and
 ,means  ,a ,,bill  ,to direct the      
,secretary of ,health and ,human        
,services to develop guidance on pain   
management and the prevention of opioid 
use disorder for hospitals receiving    
payment under part ,a of the ,medicare  
program4  #a4 ,short title ,this ,act   
may be cited as the ,hospital ,opioid   
,solutions ,toolkit ,act of #bjah or the
 ,,host ,act of #bjah4  #b4 ,developing 
guidance on pain management and opioid  
use disorder prevention for hospitals   
receiving payment under part ,a of the  
,medicare program  7a7 ,in general ,not 
later than ,january #a1 #bjai1 the      
,secretary of ,health and ,human        
,services 7in this section referred to  
as the ,secretary7 shall develop and    

publish on the public website of the    
,centers for ,medicare  ,medicaid       
,services guidance for hospitals        
receiving payment under part ,a of title
 ,,xviii of the ,social ,security ,act  
7#db ,u4,s4,c4 #acie;c et seq47 on pain 
management strategies and opioid use    
disorder prevention strategies with     
respect to individuals entitled to      
benefits under such part4  7b7          
,consultation ,in developing the        
guidance described in subsection 7a71   
the ,secretary shall consult with       
relevant stakeholders1 including--  7#a7
 medical professional organizations2    
7#b7 providers and suppliers of services
 7as such terms are defined in section  
#ahfa of the ,social ,security ,act 7#db
 ,u4,s4,c4 #aciex772  7#c7 patient      
advocacy organizations and organizations
 representing ,medicare beneficiaries2  
and  7#d7 other entities determined     
appropriate by the ,secretary4  7c7     
,contents ,the guidance described in    
subsection 7a7 shall include1 with      

respect to hospitals and individuals    
described in such subsection1 the       
following3  7#a7 ,best practices        
regarding evidence-based screening and  
practitioner education initiatives      
relating to screening and treatment     
protocols for opioid use disorder1      
including--  7,a7 methods to identify   
such individuals at-risk of opioid use  
disorder1 including risk stratification2
  7,b7 ways to prevent1 recognize1 and  
treat opioid overdoses2 and  7,c7       
resources available to such individuals1
 such as opioid treatment programs1 peer
 support groups1 and other recovery     
programs4  7#b7 ,best practices for such
 hospitals to educate practitioners     
furnishing items and services at such   
hospital with respect to pain management
 and substance use disorders1 including 
education on--  7,a7 the adverse effects
 of prolonged opioid use2  7,b7         
alternative1 evidence-based1            
non-pharmacological pain management     
treatments2  7,c7 monitoring programs   

for individuals who have been prescribed
 opioids2 and  7,d7 the prescribing of  
naloxone along with an initial opioid   
prescription4  7#c7 ,best practices for 
such hospitals to make such individuals 
aware of the risks associated with      
opioid use 7which may include use of the
 notification template described in     
paragraph 7#d774  7#d7 ,a notification  
template developed by the ,secretary for
 such individuals who are prescribed an 
opioid that--  7,a7 explains the risks  
and side effects associated with opioid 
use 7including the risks of addiction   
and overdose7 and the importance of     
adhering to the prescribed treatment    
regimen1 avoiding medications that may  
have an adverse interaction with such   
opioid1 and storing such opioid safely  
and securely2  7,b7 highlights          
multimodal and evidence-based non-opioid
 alternatives for pain management2  7,c7
 encourages such individuals to talk to 
their health care providers about such  
alternatives2  7,d7 provides for a      

method 7through signature or otherwise7 
for such an individual1 or person acting
 on such individual's behalf1 to        
acknowledge receipt of such notification
 template2  7,e7 is worded in an easily 
understandable manner and made available
 in multiple languages determined       
appropriate by the ,secretary2 and  7,f7
 includes any other information         
determined appropriate by the           
,secretary4  7#e7 ,best practices for   
such hospital to track opioid           
prescribing trends by practitioners     
furnishing items and services at such   
hospital1 including--  7,a7 ways for    
such hospital to establish target levels
 with respect to opioids prescribed by  
such practitioners2  7,b7 guidance on   
checking the medical records of such    
individuals against information included
 in prescription drug monitoring        
programs2  7,c7 strategies to reduce    
long-term opioid prescriptions2 and     
7,d7 methods to identify such           
practitioners who may be                

over-prescribing opioids4  7#f7 ,other  
information the ,secretary determines   
appropriate1 including any such         
information from the ,opioid ,safety    
,initiative established by the          
,department of ,veterans ,affairs or the
 ,opioid ,overdose ,prevention ,toolkit 
published by the ,substance ,abuse and  
,mental ,health ,services               
,administration4