; and (II) cost-effective means by which an enrollee may so safely dispose of such drugs. . 4. Revising measures used under the Hospital Consumer Assessment of Healthcare Providers and Systems survey relating to pain management (a) Restriction on the use of pain questions in HCAHPS Section 1886(b)(3)(B)(viii) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3)(B)(viii) ) is amended by adding at the end the following new subclause: (XII) With respect to a Hospital Consumer Assessment of Healthcare Providers and Systems survey (or a successor survey) conducted on or after January 1, 2019, such survey may not include questions about communication by hospital staff with an individual about such individual’s pain unless such questions take into account, as applicable, whether an individual experiencing pain was informed about risks associated with the use of opioids and about non-opioid alternatives for the treatment of pain. . (b) Restriction on use of pain questions in the hospital value-Based purchasing program for fiscal year 2019 Section 1886(o)(2)(B) is amended by adding at the end the following new clause: (iii) For fiscal year 2019 For value-based incentive payments made with respect to discharges occurring during fiscal year 2019, the Secretary shall ensure that measures selected under subparagraph (A) do not include a measure based on questions about communication by hospital staff with an individual about such individual’s pain included in the Hospital Consumer Assessment of Healthcare Providers and Systems survey. .