,,ii  #aaeth ,,congress  #b;d ,session  
,s4 #bijj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #bb1      
#bjah,mr4 ,brown 7for himself1 ,mr4     
,isakson1 ,mr4 ,nelson1 ,mr4 ,thune1    
,mr4 ,cassidy1 and ,mr4 ,blumenthal7    
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,finance  ,a ,,bill  ,to  
amend title ,,xviii of the ,social      
,security ,act to include screening for 
potential substance use disorders and a 
review of any current opioid            
prescriptions as part of the initial    
preventive physical examination and the 
annual wellness visit under the         
,medicare program4  #a4 ,short title    
,this ,act may be cited as the          
,comprehensive ,screenings for ,seniors 
,act of #bjah4  #b4 ,inclusion of       
screening for potential substance use   
disorders and a review of any current   
opioid prescriptions as part of the     
initial preventive physical examination 
and the annual wellness visit under     

,medicare  7a7 ,initial preventive      
physical examination ,section #ahfa7ww7 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciex7ww77 is amended-- 7#a7 
in paragraph 7#a7-- 7,a7 by striking    
paragraph 7#b7 and and inserting        
paragraph 7#b712 and  7,b7 by inserting 
and the furnishing of a review of any   
current opioid prescriptions 7as defined
 in paragraph 7#d771 after #8#8upon the 
agreement with the individual102 and    
7#b7 in paragraph 7#b7-- 7,a7 by        
redesignating subparagraph 7,n7 as      
subparagraph 7,o72 and  7,b7 by         
inserting after subparagraph 7,m7 the   
following new subparagraph3  7,n7       
,screening for potential substance use  
disorders4  2 and  7#c7 by adding at the
 end the following new paragraph3  7#d7 
,for purposes of paragraph 7#a71 the    
term a review of any current opioid     
prescriptions means1 with respect to an 
individual determined to have a current 
prescription for opioids-- 7,a7 a review
 of the potential risk factors to the   

individual for opioid use disorder2     
7,b7 an evaluation of the individual's  
severity of pain and current treatment  
plan2  7,c7 the provision of information
 on non-opioid treatment options2 and   
7,d7 a referral to a pain management    
specialist1 as appropriate4  4  7b7     
,annual wellness visit ,section         
#ahfa7;hhh77#b7 of the ,social ,security
 ,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is
 amended-- 7#a7 by redesignating        
subparagraph 7,g7 as subparagraph 7,i72 
and  7#b7 by inserting after            
subparagraph 7,f7 the following new     
subparagraphs3  7,g7 ,screening for     
potential substance use disorders and   
referral for treatment as appropriate4  
7,h7 ,the furnishing of a review of any 
current opioid prescriptions 7as defined
 in subsection 7ww77#d774  4  7c7       
,effective date ,the amendments made by 
this section shall apply to examinations
 and visits furnished on or after       
,january #a1 #bjai4