COMPREHENSIVE SCREENINGS FOR SENIORS.

SEC. 2002. COMPREHENSIVE SCREENINGS FOR SENIORS. (a) Initial Preventive Physical Examination.—Section 1861(ww) of the Social Security Act (42 U.S.C. 1395x(ww)) is amended— (1) in paragraph (1)— (A) by striking “paragraph (2) and” and inserting “paragraph (2),”; and (B) by inserting “and the furnishing of a review of any current opioid prescriptions (as defined in paragraph (4)),” after “upon the agreement with the individual,”; and (2) in paragraph (2)— (A) by redesignating subparagraph (N) as subparagraph (O); and (B) by inserting after subparagraph (M) the following new subparagraph: “(N) Screening for potential substance use disorders.” ; and (3) by adding at the end the following new paragraph: “(4) For purposes of paragraph (1), the term ‘a review of any current opioid prescriptions’ means, with respect to an individual determined to have a current prescription for opioids— “(A) a review of the potential risk factors to the individual for opioid use disorder; “(B) an evaluation of the individual’s severity of pain and current treatment plan; “(C) the provision of information on non-opioid treatment options; and “(D) a referral to a specialist, as appropriate.” . (b) Annual Wellness Visit.—Section 1861(hhh)(2) of the Social Security Act (42 U.S.C. 1395x(hhh)(2)) is amended— (1) by redesignating subparagraph (G) as subparagraph (I); and (2) by inserting after subparagraph (F) the following new subparagraphs: “(G) Screening for potential substance use disorders and referral for treatment as appropriate. “(H) The furnishing of a review of any current opioid prescriptions (as defined in subsection (ww)(4)).” . (c) [42 U.S.C. 1395x note] Rule of Construction.—Nothing in the amendments made by subsection (a) or (b) shall be construed to prohibit separate payment for structured assessment and intervention services for substance abuse furnished to an individual on the same day as an initial preventive physical examination or an annual wellness visit. (d) [42 U.S.C. 1395x note] Effective Date.—The amendments made by this section shall apply to examinations and visits furnished on or after January 1, 2020.