,,ib  ,union ,calendar ,no4 #egc  #aaeth
 ,,congress  #b;d ,session  ,h4 ,r4     
#egih  ,report ,no4 #aae-gci1 ,part ,i  
,,in ,,the ,,house ,,of                 
,,representatives  ,may #ae1 #bjah ,mr4 
,bucshon 7for himself1 ,mrs4 ,dingell1  
and ,mr4 ,paulsen7 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 a review of current opioid     
prescriptions for chronic pain and      
screening for opioid use disorder to be 
included in the ,welcome to ,medicare   
initial preventive physical examination4
  #a4 ,short title ,this ,act may be    
cited as the ,opioid ,screening and     
,chronic ,pain ,management ,alternatives
 for ,seniors ,act4  #b4 ,requiring a   
review of current opioid prescriptions  
for chronic pain and screening for      
opioid use disorder to be included in   
the ,welcome to ,medicare initial       
preventive physical examination  7a7 ,in
 general ,section #ahfa7ww7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7ww77 is amended--  7#a7 in       
paragraph 7#a71 by inserting and a      
review of current opioid prescriptions  
and screening for opioid use disorder   
7as defined in paragraph 7#d771 before  
but does not include2 and  7#b7 by      
adding at the end the following new     
paragraph3  7#d7 7,a7 ,for purposes of  
paragraph 7#a71 the term a review of    

current opioid prescriptions and        
screening for opioid use disorder means1
 with respect to an individual--  7i7 a 
review by a physician or qualified      
non-physician practitioner of all       
current prescriptions of the individual2
 and  7ii7 in the case of an individual 
determined by the review of a physician 
or qualified non-physician practitioner 
under subparagraph 7,a7 to have a       
current prescription for opioids for    
chronic pain that has been prescribed   
for a minimum period of time 7as        
specified by the ,secretary7--  7,i7 a  
review by the physician or practitioner 
of the potential risk factors to the    
individual for opioid use disorder2     
7,,ii7 an evaluation by the physician or
 practitioner of pain of the individual2
  7,,iii7 the provision of information  
regarding non-opioid treatment options  
for the treatment and management of any 
chronic pain of the individual2 and     
7,,iv7 if determined necessary by the   
physician or practitioner based on the  

results of the review and evaluation    
conducted as described in this          
paragraph1 an appropriate referral by   
the physician or practitioner for       
additional treatment4  7,b7 ,for        
purposes of this paragraph1 the term    
qualified non-physician practitioner    
means a physician assistant1 nurse      
practitioner1 or certified clinical     
nurse specialist4  4  7b7 ,effective    
date ,the amendments made by subsection 
7a7 shall apply with respect to initial 
preventive physical examinations        
furnished on or after ,january #a1      
#bjbj4  ,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