Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013

Summary

Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act (SSA) to establish a safe pharmacy access program under which a prescription drug plan (PDP) sponsor (or a Medicare Advantage (MA) organization offering an MA-PD plan) shall have in place procedures designed to prevent fraud and abuse in the dispensing of certain controlled substances under Medicare part D. Allows a PDP sponsor to suspend payments and clean claim notifications to a pharmacy pending an investigation of a credible allegation of fraud against the pharmacy, unless the Secretary determines there is a good cause not to suspend payments. Directs the Secretary of Health and Human Services (HHS), under contracts entered into under the Medicare integrity program with Medicare drug integrity contractors (MEDICs), to authorize such MEDICs to obtain prescription and medical records directly from entities such as pharmacies, PDPs, and physicians. Requires a MEDIC to acknowledge receipt of a PDP sponsor referral of information for investigation, report back to the sponsor the investigation results within 45 days, and share them with appropriate agencies. Requires electronic transmission (e-prescribing) of prescriptions for certain covered Medicare part D controlled substances.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

1. 30 October 2013

   Introduced

   Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

   Source: IntroReferral

2. 30 October 2013

   Introduced

   Introduced in House

   Source: IntroReferral

3. 30 October 2013

   Introduced

   Introduced in House

   Source: IntroReferral

4. 1 November 2013

   Referred

   Referred to the Subcommittee on Health.

   Source: Committee

Votes

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Versions

• Introduced in House · 30 October 2013 · Download file

Documents

3 official files

• Introduced in House (text)

  Introduced in House · EN · 30 October 2013

  ViewDownloadOpen at official source

• Introduced in House (PDF)

  Introduced in House · EN · 30 October 2013

  ViewDownloadOpen at official source

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• Introduced in House

  summary · EN · 30 October 2013

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  Vertaal document

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Sponsors

• Rep. Bilirakis, Gus M. [R-FL-12] · R · Sponsor
• Sen. Luján, Ben Ray [D-NM] · D · Sponsor
• Rep. Rogers, Harold [R-KY-5] · R · Cosponsor
• Rep. Whitfield, Ed [R-KY-1] · R · Cosponsor
• Rep. Long, Billy [R-MO-7] · R · Cosponsor
• Rep. Ross, Dennis A. [R-FL-15] · R · Cosponsor
• · hsif00 · Standing
• · hswm00 · Standing

Related records

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