US SB1913 | 2015-2016 | 114th Congress

Status

Spectrum: Moderate Partisan Bill (Republican 22-4)
Status: Introduced on July 30 2015 - 25% progression, died in committee
Action: 2015-07-30 - Read twice and referred to the Committee on Finance.
Pending: Senate Finance Committee
Text: Latest bill text (Introduced) [PDF]

Summary

Stopping Medication Abuse and Protecting Seniors Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to: (1) authorize a Medicare prescription drug plan (PDP) sponsor to establish a drug management program under which the PDP sponsor may limit an at-risk beneficiary’s access to coverage for frequently abused drugs to include only those drugs that are prescribed by selected prescribers and dispensed by selected pharmacies; and (2) require a PDP sponsor to have in place a utilization management tool to prevent drug abuse. With respect to a drug management program, a PDP sponsor must: (1) provide specified notice to a beneficiary who has been identified by the Centers for Medicare & Medicaid (CMS) as “at-risk” and consequently enrolled in the program; and (2) in selecting prescribers and dispensers, ensure that the beneficiary continues to have reasonable access to drugs. These determinations shall be subject to expedited reconsideration and appeal. A PDP sponsor must review and consider an at-risk beneficiary’s preferences regarding prescriber and pharmacy selection. Certain individuals, including those receiving hospice care or residing in a long-term care facility, are exempted from enrollment in a drug management program. CMS must, for purposes of quality or performance assessments, review and consider complaints received from at-risk beneficiaries regarding lack of access due to their enrollment in a drug management program. In addition, CMS must establish rules and procedures requiring a PDP sponsor to provide specified program data.

Tracking Information

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Title

Stopping Medication Abuse and Protecting Seniors Act of 2015

Sponsors


History

DateChamberAction
2015-07-30SenateRead twice and referred to the Committee on Finance.

Same As/Similar To

HB6 (Related) 2015-07-13 - Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
HB1021 (Related) 2015-03-19 - Referred to the Subcommittee on Health.
HB2298 (Related) 2015-06-01 - Referred to the Subcommittee on Health.
SB1431 (Related) 2015-05-21 - Read twice and referred to the Committee on Finance.
HB4697 (Related) 2016-04-01 - Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations.
SB524 (Related) 2016-07-22 - Became Public Law No: 114-198. (TXT | PDF)
HB4876 (Related) 2016-03-29 - Referred to the Subcommittee on Health.

Subjects


US Congress State Sources


Bill Comments

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