To amend title XVIII of the Social Security Act to provide for certain program integrity transparency measures under Medicare parts C and D.

United States115th CongressHR-5715House of Representatives
Updated: Jun 12, 2018

Summary

Strengthening Partnerships to Prevent Opioid Abuse Act This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish a secure online portal to allow: (1) data sharing among the CMS, Medicare prescription drug benefit plans, and Medicare Advantage (MA) plans; and (2) referrals by such plans of substantiated fraud, waste, or abuse in order to initiate or assist investigations by contracted entities under the Medicare Integrity Program. The CMS must disseminate and report certain collected information to such plans, including information regarding providers that were referred through the portal and trends in identifying suspicious activity. Additionally, for plan years beginning on or after January 1, 2021, MA organizations must submit information to the CMS regarding investigations or other actions taken by MA plans against providers that prescribe high volumes of opioids (as determined by the CMS).

Bill texts

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Timeline

  1. Ordered to be Reported (Amended) by Voice Vote.

    House of Representatives

  2. Committee Consideration and Mark-up Session Held.

    House of Representatives

  3. Referred to the Subcommittee on Health.

    House of Representatives

  4. Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-737, Part I.

    House of Representatives