,,ib  ,union ,calendar ,no4 #eid  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#egge  ,report ,no4 #aae-gfc1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,may #aa1 #bjah ,mr4 
,paulsen 7for himself1 ,mr4 ,poliquin1  
,mr4 ,kind1 and ,mr4 ,lamb7 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 ,fitzpatrick and ,mr4 ,sam ,johnson
 of ,texas  ,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 #aa1
 #bjah  ,a ,,bill  ,to amend title      
,,xviii of the ,social ,security ,act to
 require ,medicare ,advantage plans and 
part ,d prescription drug plans to      
include information on the risks        
associated with opioids1 coverage of    
certain nonopioid treatments used to    
treat pain1 and on the safe disposal of 
prescription drugs1 and for other       
purposes4  #a4 ,short title ,this ,act  
may be cited as the ,providing ,reliable
 ,options for ,patients and ,educational
 ,resources ,act of #bjah or the        
,,proper ,act of #bjah4  #b4 ,requiring 
,medicare ,advantage plans and part ,d  
prescription drug plans to include      
information on risks associated with    
opioids and coverage of                 
nonpharmacological therapies and        
nonopioid medications or devices used to
 treat pain ,section #ahfj;,d-#d7;a77#a7
 of the ,social ,security ,act 7#db     

,u4,s4,c4 #aciew-#ajd7;a77#a77 is       
amended--  7#a7 in subparagraph 7,a71 by
 inserting 1 subject to subparagraph    
7,c71 before including2  7#b7 in        
subparagraph 7,b71 by adding at the end 
the following new clause3  7vi7 ,for    
plan year #bjba and each subsequent plan
 year1 subject to subparagraph 7,c71    
with respect to the treatment of pain-- 
7,i7 the risks associated with prolonged
 opioid use2 and  7,,ii7 coverage of    
nonpharmacological therapies1 devices1  
and nonopioid medications--  7aa7 in the
 case of an ,,ma-,,pd plan under part   
,c1 under such plan2 and  7bb7 in the   
case of a prescription drug plan1 under 
such plan and under parts ,a and ,b4  2 
and  7#c7 by adding at the end the      
following new subparagraph3  7,c7       
,targeted provision of information ,a   
,,pdp sponsor of a prescription drug    
plan may1 in lieu of disclosing the     
information described in subparagraph   
7,b77vi7 to each enrollee under the     
plan1 disclose such information through 

mail or electronic communications to a  
subset of enrollees under the plan1 such
 as enrollees who have been prescribed  
an opioid in the previous two-year      
period4  4  #c4 ,requiring ,medicare    
,advantage plans and prescription drug  
plans to provide information on the safe
 disposal of prescription drugs  7a7    
,medicare ,advantage ,section #aheb of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #aciew-#bb7 is amended by     
adding at the end the following new     
subsection3  7n7 ,provision of          
information relating to the safe        
disposal of certain prescription drugs  
7#a7 ,in general ,in the case of an     
individual enrolled under an ,,ma or    
,,ma-,,pd plan who is furnished an      
in-home health risk assessment on or    
after ,january #a1 #bjba1 such plan     
shall ensure that such assessment       
includes information on the safe        
disposal of prescription drugs that are 
controlled substances that meets the    
criteria established under paragraph    

7#b74 ,such information shall include   
information on drug takeback programs   
that meet such requirements determined  
appropriate by the ,secretary and       
information on in-home disposal4  7#b7  
,criteria ,the ,secretary shall1 through
 rulemaking1 establish criteria the     
,secretary determines appropriate with  
respect to information provided to an   
individual to ensure that such          
information sufficiently educates such  
individual on the safe disposal of      
prescription drugs that are controlled  
substances4  4  7b7 ,prescription drug  
plans ,section #ahfj;,d-#d7;c77#b77;,b7 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciew-#ajd7;c77#b77;,b77 is  
amended-- 7#a7 by striking may include  
elements that promote2  7#b7 by         
redesignating clauses 7i7 through 7iii7 
as subclauses 7,i7 through 7,,iii7 and  
adjusting the margins accordingly2  7#c7
 by inserting before subclause 7,i71 as 
so redesignated1 the following new      
clause3  7i7 may include elements that  

promote--  2  7#d7 in subclause 7,,iii71
 as so redesignated1 by striking the    
period at the end and inserting 2 and2  
and  7#e7 by adding at the end the      
following new clause3  7ii7 with respect
 to plan years beginning on or after    
,january #a1 #bjba1 shall provide for-- 
7,i7 the provision of information to the
 enrollee on the safe disposal of       
prescription drugs that are controlled  
substances that meets the criteria      
established under section #aheb7n77#b71 
including information on drug takeback  
programs that meet such requirements    
determined appropriate by the ,secretary
 and information on in-home disposal2   
and  7,,ii7 cost-effective means by     
which an enrollee may so safely dispose 
of such drugs4  4  #d4 ,revising        
measures used under the ,hospital       
,consumer ,assessment of ,healthcare    
,providers and ,systems survey relating 
to pain management  7a7 ,restriction on 
the use of pain questions in ,,hcahps   
,section #ahhf7;b77#c77;,b77viii7 of the

 ,social ,security ,act 7#db ,u4,s4,c4  
#acieww7b77#c77;,b77viii77 is amended by
 adding at the end the following new    
subclause3  7,,xii7  7aa7 ,with respect 
to a ,hospital ,consumer ,assessment of 
,healthcare ,providers and ,systems     
survey 7or a successor survey7 conducted
 on or after ,january #a1 #bjai1 such   
survey may not include questions about  
communication by hospital staff with an 
individual about such individual's pain 
unless such questions take into account1
 as applicable1 whether an individual   
experiencing pain was informed about    
risks associated with the use of opioids
 and about non-opioid alternatives for  
the treatment of pain4  7bb7 ,the       
,secretary shall not include on the     
,hospital ,compare ,internet website any
 measures based on the questions        
appearing on the ,hospital ,consumer    
,assessment of ,healthcare ,providers   
and ,systems survey in #bjah about      
communication by hospital staff with an 
individual about such individual's pain4

  4  7b7 ,restriction on use of #bjah   
pain questions in the hospital          
value-based purchasing program ,section 
#ahhf7o77#b77;,b7 of the ,social        
,security ,act 7#db ,u4,s4,c4           
#acieww7o77#b77;,b77 is amended by      
adding at the end the following new     
clause3  7iii7 ,,hcahps pain questions  
,the ,secretary may not include under   
subparagraph 7,a7 a measure that is     
based on the questions appearing on the 
,hospital ,consumer ,assessment of      
,healthcare ,providers and ,systems     
survey in #bjah about communication by  
hospital staff with an individual about 
the individual's pain4  4  ,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