I 115th CONGRESS 2d Session H. R. 5723 IN THE HOUSE OF REPRESENTATIVES May 9, 2018 Ms. Tenney (for herself, Mr. McKinley , and Ms. DelBene ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committee on Energy and Commerce , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To require the Medicare Payment Advisory Commission to report on opioid payment, adverse incentives, and data under the Medicare program.

1. Short title This Act may be cited as the Expanding Oversight of Opioid Prescribing and Payment Act of 2018 . 2. Medicare Payment Advisory Commission report on opioid payment, adverse incentives, and data under the Medicare program Not later than March 15, 2019, the Medicare Payment Advisory Commission shall submit to Congress a report on, with respect to the Medicare program under title XVIII of the Social Security Act, the following: (1) A description of how the Medicare program pays for pain management treatments (both opioid and non-opioid pain management alternatives) in an inpatient and outpatient hospital setting. (2) The identification of incentives under the hospital inpatient prospective payment system under section 1886 of the Social Security Act ( 42 U.S.C. 1395ww ) and incentives under the hospital outpatient prospective payment system under section 1833(t) of such Act ( 42 U.S.C. 1395l(t) ) for prescribing opioids and incentives under each such system for prescribing non-opioid treatments, and recommendations as the Commission deems appropriate for addressing any of such incentives that are adverse incentives. (3) A description of how opioid use is tracked and monitored through Medicare claims data and other mechanisms and the identification of any areas in which further data and methods are needed for improving data and understanding of opioid use.