,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bijj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #bb1 #bjah,mr4    
,br[n 7= himself1 ,mr4 ,isakson1 ,mr4   
,nelson1 ,mr4 ,?une1 ,mr4 ,cassidy1 &   
,mr4 ,blum5?al7 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to include scre5+ = pot5tial      
sub/ance use disord]s & a review ( any  
curr5t opioid prescriptions z "p ( !    
initial prev5tive physical exam9ation & 
! annual wellness visit "u ! ,m$ic>e    
program4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,compreh5sive ,scre5+s =    
,s5iors ,act ( #bjah4  #b4 ,inclusion ( 
scre5+ = pot5tial sub/ance use disord]s 
& a review ( any curr5t opioid          
prescriptions z "p ( ! initial prev5tive
 physical exam9ation & ! annual wellness
 visit "u ,m$ic>e  7a7 ,initial         
prev5tive physical exam9ation ,section  
#ahfa7ww7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciex7ww77 is am5d$--   

7#a7 9 p>agraph 7#a7-- 7,a7 by /rik+    
p>agraph 7#b7 & & ins]t+ p>agraph 7#b712
 &  7,b7 by ins]t+ & ! furni%+ ( a      
review ( any curr5t opioid prescriptions
 7z def9$ 9 p>agraph 7#d771 aft] #8#8^u 
! agreem5t ) ! individual102 &  7#b7 9  
p>agraph 7#b7-- 7,a7 by r$esignat+      
subp>agraph 7,n7 z subp>agraph 7,o72 &  
7,b7 by ins]t+ aft] subp>agraph 7,m7 !  
foll[+ new subp>agraph3  7,n7 ,scre5+ = 
pot5tial sub/ance use disord]s4  2 &    
7#c7 by add+ at ! end ! foll[+ new      
p>agraph3  7#d7 ,= purposes ( p>agraph  
7#a71 ! t]m a review ( any curr5t opioid
 prescriptions means1 ) respect to an   
individual det]m9$ to h a curr5t        
prescription = opioids-- 7,a7 a review (
 ! pot5tial risk factors to ! individual
 = opioid use disord]2  7,b7 an         
evaluation ( ! individual's sev]ity (   
pa9 & curr5t treatm5t plan2  7,c7 !     
provision ( in=mation on non-opioid     
treatm5t options2 &  7,d7 a ref]ral to a
 pa9 managem5t speciali/1 z appropriate4
  4  7b7 ,annual wellness visit ,section

 #ahfa7;hhh77#b7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciex7hhh77#b77 is 
am5d$-- 7#a7 by r$esignat+ subp>agraph  
7,g7 z subp>agraph 7,i72 &  7#b7 by     
ins]t+ aft] subp>agraph 7,f7 ! foll[+   
new subp>agraphs3  7,g7 ,scre5+ =       
pot5tial sub/ance use disord]s & ref]ral
 = treatm5t z appropriate4  7,h7 ,!     
furni%+ ( a review ( any curr5t opioid  
prescriptions 7z def9$ 9 subsection     
7ww77#d774  4  7c7 ,effective date ,!   
am5dm5ts made by ?is section %all apply 
to exam9ations & visits furni%$ on or   
aft] ,janu>y #a1 #bjai4