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H.R. 5605 (115th): Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act

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About the bill

Source: Republican Policy Committee

H.R. 5605 establishes a four-year demonstration program to increase access to treatment for opioid use disorder. The demonstration would provide incentive payments and funding for care management services based on criteria such as patient engagement, use of evidence-based treatments, and treatment length and intensity. Under the bill, the Secretary of Health and Human Services would be directed to encourage other payers to coordinate payments for opioid use disorder treatments and to evaluate the extent to which the demonstration reduces hospitalizations, increases the use of medication-assisted treatments, and improves the health outcomes of individuals with opioid use disorders during and after the demonstration. This bill also incorporates H.R. 3528, Every Prescription Conveyed Securely Act, which would require e-prescribing, with exceptions, for coverage of prescribed controlled substances under the Medicare Part D …

Sponsor and status

Raul Ruiz

Sponsor. Representative for California's 36th congressional district. Democrat.

Read Text »
Last Updated: Jun 20, 2018
Length: 22 pages
Apr 24, 2018
115th Congress (2017–2019)
Enacted Via Other Measures

Provisions of this bill were incorporated into other bills which were enacted.

This bill was incorporated into:

H.R. 6: SUPPORT for Patients and Communities Act
Enacted — Signed by the President on Oct 24, 2018. (compare text)

2 Cosponsors (2 Republicans)


Position statements

What legislators are saying

Greg Walden on combating the opioid crisis: Our communities are counting on us to deliver on solutions
    — Rep. Greg Walden [R-OR2, 1999-2020] (Co-sponsor) on May 21, 2018

Cramer: house pushes for opioid reform
    — Sen. Kevin Cramer [R-ND] on Jun 20, 2018

Sensenbrenner Votes to Send Comprehensive Opioid Legislation to Senate
    — Rep. James Sensenbrenner [R-WI5, 2003-2020] on Jun 22, 2018

More statements at ProPublica Represent...

What stakeholders are saying

R Street Institute estimates H.R. 5605 will add $122 million in new spending through 2028.


Apr 24, 2018

Bills and resolutions are referred to committees which debate the bill before possibly sending it on to the whole chamber.

May 17, 2018
Ordered Reported

A committee has voted to issue a report to the full chamber recommending that the bill be considered further. Only about 1 in 4 bills are reported out of committee.

Jun 12, 2018
Reported by House Committee on Energy and Commerce

A committee issued a report on the bill, which often provides helpful explanatory background on the issue addressed by the bill and the bill's intentions.

Jun 19, 2018
Passed House (Senate next)

The bill was passed in a vote in the House. It goes to the Senate next. The vote was by voice vote so no record of individual votes was made.

H.R. 5605 (115th) was a bill in the United States Congress.

A bill must be passed by both the House and Senate in identical form and then be signed by the President to become law.

Bills numbers restart every two years. That means there are other bills with the number H.R. 5605. This is the one from the 115th Congress.

This bill was introduced in the 115th Congress, which met from Jan 3, 2017 to Jan 3, 2019. Legislation not passed by the end of a Congress is cleared from the books.

How to cite this information.

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“H.R. 5605 — 115th Congress: Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act.” 2018. February 7, 2023 <>

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