H. R. 4499
IN THE HOUSE OF REPRESENTATIVES
February 9, 2016
Mr. Mooney of West Virginia (for himself, Mr. Rogers of Kentucky, Ms. Kuster, Mrs. Comstock, Mr. Ryan of Ohio, Mr. Guinta, and Mr. Lynch) introduced the following bill; which was referred to the Committee on Ways and Means
To amend title XVIII of the Social Security Act to remove consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program, and for other purposes.
This Act may be cited as the
Promoting Responsible Opioid Prescribing Act of 2016 and as the
PROP Act of 2016.
Removing consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program
Section 1886(o)(2)(B) of the Social Security Act (42 U.S.C. 1395ww(o)(2)(B)) is amended—
in clause (i)(II), by inserting
, subject to clause (iii), after
by adding at the end the following new clause:
Exclusion of certain pain-related measures
For value-based incentive payments made with respect to discharges occurring during fiscal year 2016 or a subsequent fiscal year, the Secretary shall ensure that measures selected under subparagraph (A) do not include measures based on any assessments by patients, with respect to hospital stays of such patients, of—
the need of such patients, during such stay, for medicine for pain;
how often, during such stay, the pain of such patients was well controlled; or
how often, during such stay, the staff of the hospital in which such stay occurred did everything they could to help the patient with the pain experienced by the patient.