The House Energy and Commerce Health Subcommittee yesterday advanced to the full committee a number of AHA-supported bills to address the opioid crisis. The bills would amend the Medicaid Institutions for Mental Disease exclusion; cover IMD substance use disorder treatment for pregnant women up to 12 months after delivery; and provide grants to study alternative emergency pain management protocols, and develop programs to ensure care coordination and treatment for patients who have experienced overdoses. They also would add chronic pain evaluation and management to Medicare’s initial preventive physical examination for new beneficiaries; direct the Centers for Medicare & Medicaid Services to standardize electronic prior authorization for Medicare Part D prescriptions; provide grants for prescriber education; require state Medicaid programs to integrate prescription drug monitoring program use into clinical workflows; and instruct CMS to evaluate the use of telehealth services in treating opioid use disorder. In addition, the AHA-supported bills would direct CMS to evaluate the use of abuse-deterrent opioids in Medicare plans; establish a threshold, based on specialty and geographic area, for which a prescriber would be considered an outlier opioid prescriber; and require all Children’s Health Insurance Program plans to cover treatment of mental illness and substance use disorders. During the markup, which considered more than 50 bills, the subcommittee also advanced a bill opposed by AHA that would require state Medicaid programs to report to CMS how graduate medical education funds are used to support physician training. In addition, the panel did not vote on AHA-supported bills that would improve information sharing regarding patients’ substance use disorder treatment history by aligning 42 CFR Part 2 with the Health Insurance Portability and Accountability Act, and require the Health and Human Services Secretary to advance recommendations addressing the care of infants with opioid dependency. Health Subcommittee Chair Michael Burgess (R-TX) expects the full committee to consider the reported bills and others in May. On Tuesday, the Senate Health, Education, Labor and Pensions Committee unanimously approved the Opioid Crisis Response Act. Other committees, including House Ways and Means and Senate Finance, also are considering comprehensive opioid-related legislation.

Related News Articles

Headline
Hospitals in states that impose Medicaid work requirements could see reduced Medicaid revenues and operating margins and increased uncompensated care costs,…
Headline
In a study of Blue Cross and Blue Shield enrollees reported last week in the New England Journal of Medicine, initial opioid prescriptions declined 54 percent…
Headline
he Medicaid and CHIP Payment and Access Commission today released its March 2019 report to Congress, which recommends Congress phase in the Affordable Care Act…
Headline
The Centers for Medicare & Medicaid Services today
Perspective
As our country works to expand health coverage and improve access to care, “Medicare for All” is getting a lot of attention. There are many different flavors…
Headline
Reps. Terri Sewell, D-Ala., and John Katko, R-N.Y., today introduced the Resident Physician Shortage Reduction Act of 2019 (H.R. 1763) that would add up to 15,…