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Hearing on “Combating the Opioid Crisis: Improving the Ability of Medicare and Medicaid to Provide Care for Patients,” Subcommittee on Health (April 11 - 12, 2018)

Date: 
Wednesday, April 11, 2018 - 2:15pm
Continuations: 
Thursday, April 12, 2018 - 10:15am
Location: 
2123 Rayburn House Office Building
Subcommittees: 

The Subcommittee on Health held a hearing on Wednesday, April 11, 2018, at 2:15 p.m. in 2123 Rayburn House Office Building. The hearing is entitled “Combating the Opioid Crisis: Improving the Ability of Medicare and Medicaid to Provide Care for Patients.” The Subcommittee on Health  hearing continued on Thursday, April 12, 2018, at 10:15 a.m. in 2322 Rayburn House Office Building.

 

Livestream

Part I:

 

Part II:

 

Key Documents

Memorandum from Ranking Member Pallone to the Subcommittee on Health

Opening Statement of Ranking Member Pallone as prepared for delivery

Opening Statement of Subcommittee Ranking Member Green as prepared for delivery

Preliminary Transcript  Part I

Preliminary Transcript  Part II

 

Legislation

H.R. __, Adding Resources on Non-Opioid Alternatives to the Medicare Handbook,To amend title XVIII of the Social Security Act to provide educational resources regarding opioid use and pain management as part of the Medicare & You handbook.

 

H.R. __, CMS Action Plan, To require the Secretary of Health and Human Services to provide for an action plan on recommendations for changes under Medicare and Medicaid to prevent opioids addictions and enhance access to medicationassisted treatment, and for other purposes.

 

H.R. __, Incentivizing Non-Opioid Drugs, To amend title XVIII of the Social Security Act to encourage the use of non-opioid analgesics for the management of post-surgical pain under the Medicare program, and for other purposes. 

 

H.R. __, Post-surgical Injections as an Opioid Alternative, To amend title XVIII of the Social Security Act to provide for modifications in payment for certain outpatient surgical services. 

 

H.R. __, Initial Pain Assessment, To amend title XVIII of the Social Security Act to require an evaluation and management of chronic pain to be included in the Welcome to Medicare initial preventive physical examination.  

 

H.R. 3331, to amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology.

 

H.R. __, Use of Telehealth to Treat Opioid Use Disorder, To amend title XVIII of the Social Security Act to provide the Secretary of Health and Human Services authority to waive certain Medicare telehealth requirements in the case of certain treatment of an opioid use disorder or co-occurring mental health disorder. 

 

H.R. __, Alternative Payment Model for Treatment Substance Use Disorder, To amend title XVIII of the Social Security Act to provide for an opioid use disorder treatment demonstration program. 

 

H.R. __, CMS/Plan Sharing, To amend title XVIII of the Social Security Act to provide for certain program integrity transparency measures under Medicare parts C and D. 

 

H.R. 3528, Every Prescription Conveyed Securely Act, To amend title XVIII of the Social Security Act to require e prescribing for coverage under part D of the Medicare program of prescription drugs that are controlled substances. 

 

H.R. __, Mandatory Lock-in, To amend title XVIII of the Social Security Act to require prescription drug plan sponsors under the Medicare program to establish drug management programs for at-risk beneficiaries. 

 

H.R. 4841, Standardizing Electronic Prior Authorization for Safe Prescribing Act, To amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes.  

 

H.R. __, Beneficiary Education, To amend title XVIII of the Social Security Act to require prescription drug plans under Medicare part D to include information on the adverse effects of opioid overutilization and of coverage of nonpharmacological therapies and nonopioid medications or devices used to treat pain. 

 

H.R. __, Evaluating Abuse Deterrent Formulations, To direct the Secretary of Health and Human Services to conduct a study on barriers to accessing abuse-deterrent opioid formulations for individuals enrolled in a plan under part C or D of the Medicare program. 

 

H.R. __, Prescriber Notification, To amend title XVIII of the Social Security Act to require the Secretary of Health and Human Services to provide notifications under the Medicare program to outlier prescribers of opioids.

 

H.R. __, Prescriber Education, To require the Secretary of Health and Human Services to provide grants for eligible entities to provide technical assistance to outlier prescribers of opioids. 

 

H.R. __, Medication Therapy Management (MTM) Expansion, To amend title XVIII of the Social Security Act to expand eligibility for medication therapy management programs established under part D of the Medicare program to include certain individuals who are at risk for prescription drug abuse. 

 

H.R. __, Improving Medicaid Data Timeliness Act, To amend title XI of the Social Security Act to provide for a one-year claims filing period for State Medicaid claims, and for other purposes. 

 

H.R. 1925, At-Risk Youth Medicaid Protection Act, To amend title XIX of the Social Security Act to protect at-risk youth against termination of Medicaid eligibility while an inmate of a public institution. 

 

H.R. 4005, Medicaid Reentry Act, To amend title XIX of the Social Security Act to allow for medical assistance under Medicaid for inmates during the 30-day period preceding release from a public institution. 

 

H.R. 4998, Health Insurance for Former Foster Youth Act, To amend title XIX of the Social Security Act to ensure health insurance coverage continuity for former foster youth. 

 

H.R. 3192, CHIP Mental Health Parity Act, To amend title XXI of the Social Security Act to ensure access to mental health services for children under the Children’s Health Insurance Program, and for other purposes. 

 

H.R. __, Require State Medicaid Programs to Report on All Core Behavioral Health Measures, To amend title XI of the Social Security Act to require States to annually report on certain adult health quality measures, and for other purposes.

 

H.R. __, Medicaid IMD ADDITIONAL INFO Act, To require the Medicaid and CHIP Payment and Access Commission to conduct a study and report on requirements applicable to and practices of institutions for mental disease under the Medicaid program. 

 

H.R. __, Incentives to Create Medicaid Health Homes to Treat Substance Use Disorder, To amend title XIX of the Social Security Act to provide for an extension of the enhanced FMAP for certain Medicaid health homes for individuals with substance use disorders. 

 

H.R. __, Protecting NAS Babies Act, To require the Secretary of Health and Human Services to develop a strategy implementing certain recommendations relating to the Protecting Our Infants Act of 2015, and for other purposes. 

 

H.R. __, Medicaid PARTNERSHIP Act, To amend title XIX of the Social Security Act to provide for requirements under the Medicaid program relating to the use of qualified prescription drug monitoring programs and prescribing and dispensing certain controlled substances. 

 

H.R. __, Limited repeal of the IMD Exclusion for adult Medicaid beneficiaries with substance use disorder, To amend title XIX of the Social Security Act to allow States to provide under Medicaid services for certain individuals with substance use disorders in institutions for mental diseases. 

 

H.R. __, HUMAN CAPITAL in Medicaid Act, To amend title XIX of the Social Security Act to provide for an increased Federal medical assistance percentage for the compensation of qualified officers of State agencies, and for other purposes. 

 

H.R. __, Medicaid Graduate Medical Education Transparency Act, To amend title XIX of the Social Security Act to provide for reporting requirements relating to graduate medical education. 

 

H.R. __, Medicaid DRUG Improvement Act, To amend title XIX of the Social Security Act to require as a condition of receipt of full Federal medical assistance percentage under Medicaid that State Medicaid plans have in place certain drug utilization review activities. 

 

H.R. __, Medicaid Pharmacy Home Act, To amend title XIX of the Social Security Act to require States to operate drug management programs for at-risk beneficiaries, and for other purposes.

 

H.R. __, To amend title XIX of the Social Security Act to provide for Medicaid coverage protections for pregnant and postpartum women while receiving inpatient treatment for a substance use disorder.

 

H.R. __, To amend title XIX of the Social Security Act to provide for a demonstration project to increase substance use provider capacity under the Medicaid program.

 

Witnesses

Panel I:

Kimberly Brandt
Principal Deputy Administrator for Operations
Centers for Medicare & Medicaid Services

Testimony

 

Panel II:

John M. Kravitz, CHCIO, MHA
Chief Information Officer
Geisinger Health System

Testimony


David Guth
CEO and Co-Founder
Centerstone America

Testimony


Toby Douglas
Senior Vice President for Medicaid Solutions
Centene Corporation

Testimony


Michael Botticelli
Executive Director
Grayken Center for Addiction
Boston Medical Center

Testimony


Sam Srivastava
CEO
Magellan Healthcare

Testimony

Issues: