,,ib  ,union ,cal5d> ,no4 #egd  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #egaf
  ,report ,no4 #aae-gdj1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,may #i1  
#bjah ,mr4 ,roskam 7= himself1 ,mr4     
,l>son ( ,connecticut1 ,mrs4 ,brooks (  
,indiana1 & ,mr4 ,wel*7 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committee on ,ways &     
,means1 = a p]iod to be subsequ5tly     
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$    
,june #ab1 #bjah;,additional sponsors3  
,mrs4 ,blackburn & ,mr4 ,wald5  ,june   
#ab1 #bjah ,report$ f ! ,committee on   
,en]gy & ,comm]ce  ,june #ab1 #bjah,!   
,committee on ,ways & ,means dis*>g$2   
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union & ord]$ to be    
pr9t$  ,a ,,bill  ,to am5d title ,,xviii
 ( ! ,social ,security ,act to require !
 ,secret>y ( ,heal? & ,human ,s]vices to
 provide notifications "u ! ,m$ic>e     

program to outli] prescrib]s ( opioids4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,commit to ,opioid ,m$ical ,prescrib] 
,acc\ntability & ,safety = ,s5iors ,act 
or ! ,,compass ,act4  #b4 ,m$ic>e       
notifications to outli] prescrib]s (    
opioids ,section #ahfj;,d-#d7;c77#d7 ( !
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciew-#ajd7;c77#d77 is am5d$ by add+ at
 ! end ! foll[+ new p>agraph3  7,d7     
,outli] prescrib] notification  7i7     
,notification ,beg9n+ n lat] ?an two    
ye>s aft] ! date ( ! enactm5t ( ?is     
subp>agraph1 ! ,secret>y %all1 9 ! case 
( a prescrib] id5tifi$ by ! ,secret>y "u
 clause 7ii7 to be an outli] prescrib] (
 opioids1 provide1 subject to clause    
7iv71 an annual notification to su*     
prescrib] t su* prescrib] has be5 s     
id5tifi$ & t includes res\rces on prop] 
prescrib+ me?ods & o!r in=mation        
specifi$ 9 accordance ) clause 7iii74   
7ii7 ,id5tification ( outli] prescrib]s 
( opioids  7,i7 ,9 g5]al ,! ,secret>y   
%all1 subject to subclause 7,,iii71 us+ 

! valid prescrib] ,national ,provid]    
,id5tifi]s includ$ pursuant to          
subp>agraph 7,a7 on claims = cov]$ "p ,d
 drugs = "p ,d eligible individuals     
enroll$ 9 prescription drug plans "u ?is
 "p or ,,ma-,,pd plans "u "p ,c & bas$  
on ! ?re%old e/abli%$ "u subclause      
7,,ii71 conduct an analysis to id5tify  
prescrib]s t are outli] opioid          
prescrib]s = a p]iod specifi$ by !      
,secret>y4  7,,ii7 ,e/abli%m5t ( ?re%old
 ,= purposes ( subclause 7,i7 & subject 
to subclause 7,,iii71 ! ,secret>y %all1 
aft] consultation ) /akehold]s1 e/abli% 
a ?re%old1 bas$ on prescrib] specialty &
 geographic area1 = id5tify+ :e!r a     
prescrib] 9 a specialty & geographic    
area is an outli] prescrib] ( opioids z 
comp>$ to o!r prescrib]s ( opioids )9   
su* specialty & area4  7,,iii7          
,exclusions ,! ,secret>y may exclude !  
foll[+ individuals & prescrib]s f !     
analysis "u ?is clause3  7aa7           
,individuals receiv+ hospice s]vices4   
7bb7 ,individuals ) a canc] diagnosis4  

7cc7 ,prescrib]s :o are ! subject ( an  
inve/igation by ! ,c5t]s = ,m$ic>e      
,m$icaid ,s]vices or ! ,(fice (         
,inspector ,g5]al ( ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices4  7iii7 ,cont5ts (   
notification ,! ,secret>y %all1 bas$ on 
input f /akehold]s1 specify ! res\rces &
 o!r in=mation to be includ$ 9          
notifications provid$ "u clause 7i74    
7iv7 ,modifications & expansions  7,i7  
,frequ5cy ,beg9n+ #e ye>s aft] ! date ( 
! enactm5t ( ?is subp>agraph1 !         
,secret>y may *ange ! frequ5cy ( !      
notifications describ$ 9 clause 7i7 bas$
 on /akehold] input4  7,,ii7 ,expansion 
to o!r prescriptions ,! ,secret>y may   
exp& notifications "u ?is subp>agraph to
 include id5tifications & notifications 
) respect to concurr5t prescriptions (  
cov]$ ,"p ,d drugs us$ 9 comb9ation )   
opioids t are consid]$ to h adv]se side 
effects :5 s us$ 9 su* comb9ation1 z    
det]m9$ by ! ,secret>y4  7v7 ,opioids   
def9$ ,= purposes ( ?is subp>agraph1 !  
t]m opioids has su* mean+ z specifi$ by 

! ,secret>y ?r\gh program in/ruction or 
o!rwise4  4  ,june #ab1 #bjah ,report$ f
 ! ,committee on ,en]gy & ,commerce,june
 #ab1 #bjah,! ,committee on ,ways &     
,means dis*>g$2 committ$ to ! ,committee
 ( ! ,:ole ,h\se on ! ,/ate ( ! ,union &
 ord]$ to be pr9t$