,,ib  ,union ,cal5d> ,no4 #egc  #aae?   
,,congress  #b;d ,session  ,h4 ,r4 #egih
  ,report ,no4 #aae-gci1 ,"p ,i  ,,9 ,,!
 ,,h\se ,,( ,,repres5tatives  ,may #ae1 
#bjah ,mr4 ,buc%on 7= himself1 ,mrs4    
,d+ell1 & ,mr4 ,pauls57 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 a
 review ( curr5t opioid prescriptions = 
*ronic pa9 & scre5+ = opioid use disord]
 to be includ$ 9 ! ,welcome to ,m$ic>e  

initial prev5tive physical exam9ation4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,opioid ,scre5+ & ,*ronic ,pa9        
,managem5t ,alt]natives = ,s5iors ,act4 
#b4 ,requir+ a review ( curr5t opioid   
prescriptions = *ronic pa9 & scre5+ =   
opioid use disord] to be includ$ 9 !    
,welcome to ,m$ic>e initial prev5tive   
physical exam9ation  7a7 ,9 g5]al       
,section #ahfa7ww7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4 #aciex7ww77 is     
am5d$--  7#a7 9 p>agraph 7#a71 by ins]t+
 & a review ( curr5t opioid             
prescriptions & scre5+ = opioid use     
disord] 7z def9$ 9 p>agraph 7#d771 be=e 
b does n include2 &  7#b7 by add+ at !  
end ! foll[+ new p>agraph3  7#d7 7,a7 ,=
 purposes ( p>agraph 7#a71 ! t]m a      
review ( curr5t opioid prescriptions &  
scre5+ = opioid use disord] means1 )    
respect to an individual--  7i7 a review
 by a physician or qualifi$             
non-physician practition] ( all curr5t  
prescriptions ( ! individual2 &  7ii7 9 
! case ( an individual det]m9$ by !     

review ( a physician or qualifi$        
non-physician practition] "u subp>agraph
 7,a7 to h a curr5t prescription =      
opioids = *ronic pa9 t has be5 prescrib$
 = a m9imum p]iod ( "t 7z specifi$ by ! 
,secret>y7--  7,i7 a review by !        
physician or practition] ( ! pot5tial   
risk factors to ! individual = opioid   
use disord]2  7,,ii7 an evaluation by ! 
physician or practition] ( pa9 ( !      
individual2  7,,iii7 ! provision (      
in=mation reg>d+ non-opioid treatm5t    
options = ! treatm5t & managem5t ( any  
*ronic pa9 ( ! individual2 &  7,,iv7 if 
det]m9$ necess>y by ! physician or      
practition] bas$ on ! results ( ! review
 & evaluation conduct$ z describ$ 9 ?is 
p>agraph1 an appropriate ref]ral by !   
physician or practition] = additional   
treatm5t4  7,b7 ,= purposes ( ?is       
p>agraph1 ! t]m qualifi$ non-physician  
practition] means a physician assi/ant1 
nurse practition]1 or c]tifi$ cl9ical   
nurse speciali/4  4  7b7 ,effective date
 ,! am5dm5ts made by subsection 7a7 %all

 apply ) respect to initial prev5tive   
physical exam9ations furni%$ on or aft] 
,janu>y #a1 #bjbj4  ,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$