; (ii) that demonstrated substantial clinical improvement, as determined by the Secretary; and (iii) for which payment— (I) as an outpatient hospital service under this part was not being made as of the date of the enactment of this subparagraph; or (II) was being made under this paragraph as of such date. . 2003. Requiring a review of current opioid prescriptions for chronic pain and screening for opioid use disorder to be included in the Welcome to Medicare initial preventive physical examination (a) In general Section 1861(ww) of the Social Security Act ( 42 U.S.C. 1395x(ww) ) is amended— (1) in paragraph (1), by inserting and a review of current opioid prescriptions and screening for opioid use disorder (as defined in paragraph (4)), before but does not include ; and (2) by adding at the end the following new paragraph: (4) (A) For purposes of paragraph (1), the term a review of current opioid prescriptions and screening for opioid use disorder means, with respect to an individual— (i) a review by a physician or qualified non-physician practitioner of all current prescriptions of the individual; and (ii) in the case of an individual determined by the review of a physician or qualified non-physician practitioner under subparagraph (A) to have a current prescription for opioids for chronic pain that has been prescribed for a minimum period of time (as specified by the Secretary)— (I) a review by the physician or practitioner of the potential risk factors to the individual for opioid use disorder; (II) an evaluation by the physician or practitioner of pain of the individual; (III) the provision of information regarding non-opioid treatment options for the treatment and management of any chronic pain of the individual