Pub. L. 115-271, tit. VI, subtit. K, sec. 6102 (as amended)

REQUIRING MEDICARE ADVANTAGE PLANS AND PART D PRESCRIPTION DRUG PLANS TO INCLUDE INFORMATION ON RISKS ASSOCIATED WITH OPIOIDS AND COVERAGE OF NONPHARMACOLOGICAL THERAPIES AND NONOPIOID MEDICATIONS OR DEVICES USED TO TREAT PAIN.

Year: 2025Length: 216 wordsOfficial source
SEC. 6102. REQUIRING MEDICARE ADVANTAGE PLANS AND PART D PRESCRIPTION DRUG PLANS TO INCLUDE INFORMATION ON RISKS ASSOCIATED WITH OPIOIDS AND COVERAGE OF NONPHARMACOLOGICAL THERAPIES AND NONOPIOID MEDICATIONS OR DEVICES USED TO TREAT PAIN. Section 1860D-4(a)(1) of the Social Security Act (42 U.S.C. 1395w-104(a)(1)) is amended— (1) in subparagraph (A), by inserting “, subject to subparagraph (C),” before “including”; (2) in subparagraph (B), by adding at the end the following new clause: “(vi) For plan year 2021 and each subsequent plan year, subject to subparagraph (C), with respect to the treatment of pain— “(I) the risks associated with prolonged opioid use; and “(II) coverage of nonpharmacological therapies, devices, and nonopioid medications— “(aa) in the case of an MA-PD plan under part C, under such plan; and “(bb) in the case of a prescription drug plan, under such plan and under parts A and B.” ; and (3) by adding at the end the following new subparagraph: “(C) Targeted provision of information.—A PDP sponsor of a prescription drug plan may, in lieu of disclosing the information described in subparagraph (B)(vi) to each enrollee under the plan, disclose such information through mail or electronic communications to a subset of enrollees under the plan, such as enrollees who have been prescribed an opioid in the previous 2-year period.” .
Pub. L. 115-271, tit. VI, subtit. K, sec. 6102 (as amended): REQUIRING MEDICARE ADVANTAGE PLANS AND PART D PRESCRIPTION DRUG PLANS TO INCLUDE INFORMATION ON RISKS ASSOCIATED WITH OPIOIDS AND COVERAGE OF NONPHARMACOLOGICAL THERAPIES AND NONOPIOID MEDICATIONS OR DEVICES USED TO TREAT PAIN. | Justis AI