,,ib  ,union ,calendar ,no4 #egd  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#egaf  ,report ,no4 #aae-gdj1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,may #i1 #bjah ,mr4  
,roskam 7for himself1 ,mr4 ,larson of   
,connecticut1 ,mrs4 ,brooks of ,indiana1
 and ,mr4 ,welch7 introduced the        
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,june #ab1 #bjah;,additional sponsors3  
,mrs4 ,blackburn and ,mr4 ,walden  ,june
 #ab1 #bjah ,reported from the          
,committee on ,energy and ,commerce     
,june #ab1 #bjah,the ,committee on ,ways
 and ,means discharged2 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 the ,secretary of ,health and  
,human ,services to provide             
notifications under the ,medicare       
program to outlier prescribers of       
opioids4  #a4 ,short title ,this ,act   
may be cited as the ,commit to ,opioid  
,medical ,prescriber ,accountability and
 ,safety for ,seniors ,act or the       
,,compass ,act4  #b4 ,medicare          
notifications to outlier prescribers of 
opioids ,section #ahfj;,d-#d7;c77#d7 of 
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#ajd7;c77#d77 is       
amended by adding at the end the        
following new paragraph3  7,d7 ,outlier 
prescriber notification  7i7            
,notification ,beginning not later than 
two years after the date of the         
enactment of this subparagraph1 the     
,secretary shall1 in the case of a      
prescriber identified by the ,secretary 
under clause 7ii7 to be an outlier      
prescriber of opioids1 provide1 subject 
to clause 7iv71 an annual notification  

to such prescriber that such prescriber 
has been so identified and that includes
 resources on proper prescribing methods
 and other information specified in     
accordance with clause 7iii74  7ii7     
,identification of outlier prescribers  
of opioids  7,i7 ,in general ,the       
,secretary shall1 subject to subclause  
7,,iii71 using the valid prescriber     
,national ,provider ,identifiers        
included pursuant to subparagraph 7,a7  
on claims for covered part ,d drugs for 
part ,d eligible individuals enrolled in
 prescription drug plans under this part
 or ,,ma-,,pd plans under part ,c and   
based on the threshold established under
 subclause 7,,ii71 conduct an analysis  
to identify prescribers that are outlier
 opioid prescribers for a period        
specified by the ,secretary4  7,,ii7    
,establishment of threshold ,for        
purposes of subclause 7,i7 and subject  
to subclause 7,,iii71 the ,secretary    
shall1 after consultation with          
stakeholders1 establish a threshold1    

based on prescriber specialty and       
geographic area1 for identifying whether
 a prescriber in a specialty and        
geographic area is an outlier prescriber
 of opioids as compared to other        
prescribers of opioids within such      
specialty and area4  7,,iii7 ,exclusions
 ,the ,secretary may exclude the        
following individuals and prescribers   
from the analysis under this clause3    
7aa7 ,individuals receiving hospice     
services4  7bb7 ,individuals with a     
cancer diagnosis4  7cc7 ,prescribers who
 are the subject of an investigation by 
the ,centers for ,medicare  ,medicaid   
,services or the ,office of ,inspector  
,general of the ,department of ,health  
and ,human ,services4  7iii7 ,contents  
of notification ,the ,secretary shall1  
based on input from stakeholders1       
specify the resources and other         
information to be included in           
notifications provided under clause 7i74
  7iv7 ,modifications and expansions    
7,i7 ,frequency ,beginning #e years     

after the date of the enactment of this 
subparagraph1 the ,secretary may change 
the frequency of the notifications      
described in clause 7i7 based on        
stakeholder input4  7,,ii7 ,expansion to
 other prescriptions ,the ,secretary may
 expand notifications under this        
subparagraph to include identifications 
and notifications with respect to       
concurrent prescriptions of covered     
,part ,d drugs used in combination with 
opioids that are considered to have     
adverse side effects when so used in    
such combination1 as determined by the  
,secretary4  7v7 ,opioids defined ,for  
purposes of this subparagraph1 the term 
opioids has such meaning as specified by
 the ,secretary through program         
instruction or otherwise4  4  ,june #ab1
 #bjah ,reported from the ,committee on 
,energy and ,commerce,june #ab1         
#bjah,the ,committee on ,ways and ,means
 discharged2 committed to the ,committee
 of the ,whole ,house on the ,state of  
the ,union and ordered to be printed