,,ib  ,union ,calendar ,no4 #eib  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#egbc  ,report ,no4 #aae-gfj1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,may #i1 #bjah ,ms4  
,tenney 7for herself1 ,mr4 ,mc,kinley1  
and ,ms4 ,del,bene7 introduced the      
following bill2 which was referred to   
the ,committee on ,ways and ,means1 and 
in addition to the ,committee on ,energy
 and ,commerce1 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 #ai1 #bjah;,additional sponsors3  
,mr4 ,renacci and ,mr4 ,sanford  ,june  
#ai1 #bjah ,reported from the ,committee
 on ,ways and ,means with an amendment  
,strike out all after the enacting      
clause and insert the part printed in   
italic  ,june #ai1 #bjah;,committee on  
,energy and ,commerce discharged2       
committed to the ,committee of the      
,whole ,house on the ,state of the      

,union and ordered to be printed,for    
text of introduced bill1 see copy of    
bill as introduced on ,may #i1 #bjah  ,a
 ,,bill  ,to require the ,medicare      
,payment ,advisory ,commission to report
 on opioid payment1 adverse incentives1 
and data under the ,medicare program4   
#a4 ,short title ,this ,act may be cited
 as the ,expanding ,oversight of ,opioid
 ,prescribing and ,payment ,act of      
#bjah4  #b4 ,medicare ,payment ,advisory
 ,commission report on opioid payment1  
adverse incentives1 and data under the  
,medicare program ,not later than ,march
 #ae1 #bjai1 the ,medicare ,payment     
,advisory ,commission shall submit to   
,congress a report on1 with respect to  
the ,medicare program under title       
,,xviii of the ,social ,security ,act1  
the following3  7#a7 ,a description of  
how the ,medicare program pays for pain 
management treatments 7both opioid and  
non-opioid pain management alternatives7
 in both inpatient and outpatient       
hospital settings4  7#b7 ,the           

identification of incentives under the  
hospital inpatient prospective payment  
system under section #ahhf of the       
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7 and incentives under the       
hospital outpatient prospective payment 
system under section #ahcc7t7 of such   
,act 7#db ,u4,s4,c4 #aciel7t77 for      
prescribing opioids and incentives under
 each such system for prescribing       
non-opioid treatments1 and              
recommendations as the ,commission deems
 appropriate for addressing any of such 
incentives that are adverse incentives4 
7#c7 ,a description of how opioid use is
 tracked and monitored through ,medicare
 claims data and other mechanisms and   
the identification of any areas in which
 further data and methods are needed for
 improving data and understanding of    
opioid use4  ,june #ai1 #bjah ,reported 
from the ,committee on ,ways and ,means 
with an amendment,june #ai1             
#bjah;,committee on ,energy and         
,commerce discharged2 committed to the  

,committee of the ,whole ,house on the  
,state of the ,union and ordered to be  
printed