,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #egah  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #i1 #bjah,mr4    
,smi? ( ,miss\ri 7= himself & ,mr4      
,higg9s ( ,new ,york7 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$  ,a ,,bill  ,to       
provide = a te*nical exp]t panel to     
provide recomm5dations on r$uc+ opioid  
use 9 ! surgical sett+ & on be/         
practices = pa9 managem5t1 & = o!r      
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,p]iop]ative ,r$uction (   
,opioids ,act or ! ,,pro ,act4  #b4     
,te*nical exp]t panel on r$uc+ surgical 
sett+ opioid use2 data collection on    
p]iop]ative opioid use  7a7 ,te*nical   
exp]t panel on r$uc+ surgical sett+     
opioid use  7#a7 ,9 g5]al ,n lat] ?an #f
 mon?s aft] ! date ( ! enactm5t ( ?is   

,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all conv5e a te*nical exp]t   
panel1 includ+ m$ical & surgical        
specialty societies1 to provide         
recomm5dations on r$uc+ opioid use 9 !  
inpati5t & outpati5t surgical sett+s &  
on be/ practices = pa9 managem5t1       
includ+ ) respect to ! foll[+3  7,a7    
,approa*es t limit pati5t exposure to   
opioids dur+ ! p]iop]ative p]iod1       
includ+ pre-surgical & po/-surgical     
injections4  7,b7 ,%>$ decisionmak+ )   
pati5ts & families on pa9 managem5t1    
includ+ recomm5dations = ! developm5t ( 
an evaluation & managem5t code =        
purposes ( paym5t "u ! ,m$ic>e program  
"u title ,,xviii ( ! ,social ,security  
,act t w\ld acc\nt = "t sp5t on %>$     
decisionmak+4  7,c7 ,education on ! safe
 use1 /orage1 & disposal ( opioids4     
7,d7 ,prev5tion ( opioid misuse & abuse 
aft] dis*>ge4  7,e7 ,developm5t ( a     
cl9ical algori?m to treat opiate tol]ant
 pati5ts & r$uce reliance on opiates =  
acute pa9 dur+ ! p]iop]ative p]iod4     

7#b7 ,report ,n lat] ?an #a ye> aft] !  
date ( ! enactm5t ( ?is ,act1 !         
,secret>y %all submit to ,congress &    
make public a report conta9+ !          
recomm5dations develop$ "u p>agraph 7#a7
 & recomm5dations = broad] implem5tation
 ( pa9 managem5t protocols t limit ! use
 ( opioids 9 ! p]iop]ative sett+ & ^u   
dis*>ge f su* sett+4  7b7 ,data         
collection on p]iop]ative opioid use ,n 
lat] ?an #a ye> aft] ! date ( ! enactm5t
 ( ?is ,act1 ! ,secret>y ( ,heal? &     
,human ,s]vices %all submit to ,congress
 a report t conta9s ! foll[+3  7#a7 ,!  
diagnosis-relat$ gr\p codes id5tifi$ by 
! ,secret>y z hav+ ! highe/ volume (    
surg]ies4  7#b7 ,) respect to ea* ( su* 
diagnosis-relat$ gr\p codes s id5tifi$1 
a det]m9ation by ! ,secret>y ( ! data t 
is bo? available & report$ on opioid use
 foll[+ su* surg]ies1 su* z ) respect   
to--  7,a7 surgical volumes1 practices1 
& opioid prescrib+ patt]ns2  7,b7 opioid
 consumption1 includ+--  7i7 p]iop]ative
 days ( !rapy2  7ii7 av]age daily dose  

at hospital1 includ+ high dosage great] 
?an #ij milligram morph9e equival5t2    
7iii7 po/-dis*>ge prescriptions & o!r   
comb9ation drugs t are us$ be=e         
int]v5tion & aft] int]v5tion2  7iv7     
quantity & duration ( opioid            
prescription at dis*>ge2 &  7v7 quantity
 consum$ & numb] ( refills2  7,c7       
regional ane/hesia & analgesia          
practices1 includ+ pre-surgical &       
po/-surgical injections2  7,d7 naloxone 
rev]sal2  7,e7 po/-op]ative respiratory 
failure2  7,f7 in=mation ab\t /orage &  
disposal2 &  7,g7 su* o!r in=mation z ! 
,secret>y may specify4  7#c7            
,recomm5dations = improv+ data          
collection on p]iop]ative opioid use1   
includ+ an analysis to id5tify b>ri]s to
 collect+1 report+1 & analyz+ ! data    
describ$ 9 p>agraph 7#b71 includ+ b>ri]s
 relat$ to te*nological availability4