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house Bill H.R. 5590

Should HHS Have an Action Plan for Improving the Treatment & Prevention of Opioid Addiction?

Argument in favor

The magnitude of the opioid epidemic is tremendous, and expanding the role of Medicare and Medicaid as vehicles for delivering preventive and rehabilitative care is worth exploring.

John's Opinion
···
06/19/2018
Universal single payer healthcare, cradle to grave. Legalize marijuana and use it to help treat opioid addiction.
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David 's Opinion
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06/19/2018
An action plan is definitely needed. Any action plan will only work if it uses an integrated co-occurring model that provides time-unlimited treatment, addressing both mental health and chemical health problems simultaneously with the same team using the same tools. The model for this type of treatment has been developed, tested, and proven to work better than anything that has gone before. Start by talking to the people at Dartmouth, then Minnesota and Ohio where it’s been further developed and actually being used.
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Matt's Opinion
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06/18/2018
(Step one:) Legalize cannabis. (Step two:) Heavily restrict opioid prescriptions and recommend cannabis with high CBD to THC ratios like Harlequin with a 5:1 avg CBD output. (Step three:) Bitch about it because you think weed smokers make baby Jesus cry and try to get people addicted to opioids again because Endo and Allegran cut you a fat check you received on the floor of the house while voting on opioid restrictions.
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Argument opposed

Medicare and Medicaid already cover some forms of detox, addiction medications, and inpatient treatment centers, so it’s not clear what recommendations HHS and the public may make.

Mart's Opinion
···
06/19/2018
This is a health issue, not a government issue. Where in Constitution is the power for medical treatment?
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Dave's Opinion
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06/19/2018
Dept. of Health and Human Services (HHS) was ask to develop an action plan for recommending changes? Obamacare (ACA) address this, but trump and the republicans party have been trying to get rid of and defund it! Opioids may fall under a pre-existing condition? Leave it out of Medicare and Medicaid, fund ACA (Obamacare)!
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Tom's Opinion
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06/19/2018
I am avidly against bureaucracies invested with power to present and obtain their agendas. What is being ignored are the thousands of Americans who suffer from legitimately diagnosed diseases and or physical trauma of which the pain meds are being denied access to via prosecution of physicians who prescribes these meds. I am a Viet Nam Era Veteran who suffers from a diagnosed disease and pain meds are critical for me living a somewhat decent life. Thousands of people are now suffering because of government intervention by extracting all pain meds from legitimately diagnosed individuals.
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bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
      senate Committees
      Committee on Finance
  • The house Passed June 19th, 2018
    Passed by Voice Vote
      house Committees
      Committee on Energy and Commerce
      Committee on Ways and Means
      Health
    IntroducedApril 24th, 2018

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What is House Bill H.R. 5590?

This bill would require the Dept. of Health and Human Services (HHS) to develop an action plan for recommending changes to the Medicare and Medicaid programs to enhance: (1) the treatment and prevention of opioid addiction, and (2) the coverage and reimbursement of medication-assisted treatment (MAT) for opioid addiction. This action plan would be due by January 1, 2019.

The bill would also require HHS to convene a stakeholder meeting to solicit public comment on the action plan, issue a request for information within three months of the bill’s enactment, submit a report of its actions and findings to Congress by June 1, 2019.


Impact

Opioid epidemic; Medicare; Medicaid; and Health and Human Services.

Cost of House Bill H.R. 5590

$2.00 Million
The CBO estimates, based on historical spending patterns for similar activities, that implementing this bill would cost approximately $2 million over the 2019-2023 period.

More Information

In-Depth: Rep. Adam Kinzinger (R-IL) introduced this bill with Rep. Yvette D. Clarke (D-NY) to ensure the creation of policies to address the opioid abuse crisis at the coverage, reimbursement, treatment, and information provision level. Rep. Kinzinger said of the bill:

“For far too long, we have employed a ‘one size fits all’ method for treating pain and substance abuse disorder. We must have other options and in the 21st Century, we should be encouraging innovation and push the boundaries of our medical advances.  As we continue to face this devastating opioid epidemic, both Medicaid and Medicare are on the front lines and it’s critical that our policies are working towards the prevention of opioid abuse while still providing the care that patients need… I look forward to working towards putting an end to the opioid abuse crisis and creating a system that is flexible, adaptable, and focused on preventing and treating addiction.”

The Biotechnology Innovation Organization (BIO) supports this bill. BIO’s President and CEO, Jim Greenwood, said:

“As the largest payer of healthcare services in the country, the Centers for Medicare and Medicaid Services (CMS) has the ability to lead by example in developing policies that improve timely patient access to the most effective treatments for pain and addiction, as well as helping to stimulate research and investment in novel treatments to better meet patients’ needs. Specific and targeted updates to coverage and reimbursement policies impacting the Medicare and Medicaid programs will drive appropriate coverage of novel pain and addiction treatment across the United States. By directing CMS to develop an Opioid Action Plan, this Act would help accomplish this critical goal.”

This bill has six cosponsors, including two Democrats and four Republicans. There is a companion to this bill in the Senate, S. 2769, sponsored by Dean Heller (R-NV).


Of Note: The opioid epidemic impact is tremendous: in 2016, an average of over 115 across the country died of overdoses each day, adding up to 42,249 people dying from overdoses. That same year, HHS estimates that a total of 11.5 million people misused prescription opioids. In total, the epidemic carried a $504 billion economic cost.

In 2017, HHS declared the opioid epidemic a public health emergency and announced a 5-Point Strategy to Combat the Opioid Crisis with five specific strategies for HHS to execute against:

  • Improving access to treatment and recovery services;

  • Promoting use of overdose-reversing drugs;

  • Strengthening our understanding of the epidemic through better public health surveillance;

  • Providing support for cutting edge research on pain and addiction; and

  • Advancing better practices for pain management


Media:

Summary by Lorelei Yang

(Photo Credit: DNY59 / iStock)

AKA

Opioid Addiction Action Plan Act

Official Title

To require the Secretary of Health and Human Services to provide for an action plan on recommendations for changes under Medicare and Medicaid to prevent opioids addictions and enhance access to medication-assisted treatment, and for other purposes.

    Universal single payer healthcare, cradle to grave. Legalize marijuana and use it to help treat opioid addiction.
    Like (59)
    Follow
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    This is a health issue, not a government issue. Where in Constitution is the power for medical treatment?
    Like (10)
    Follow
    Share
    An action plan is definitely needed. Any action plan will only work if it uses an integrated co-occurring model that provides time-unlimited treatment, addressing both mental health and chemical health problems simultaneously with the same team using the same tools. The model for this type of treatment has been developed, tested, and proven to work better than anything that has gone before. Start by talking to the people at Dartmouth, then Minnesota and Ohio where it’s been further developed and actually being used.
    Like (15)
    Follow
    Share
    (Step one:) Legalize cannabis. (Step two:) Heavily restrict opioid prescriptions and recommend cannabis with high CBD to THC ratios like Harlequin with a 5:1 avg CBD output. (Step three:) Bitch about it because you think weed smokers make baby Jesus cry and try to get people addicted to opioids again because Endo and Allegran cut you a fat check you received on the floor of the house while voting on opioid restrictions.
    Like (12)
    Follow
    Share
    Dept. of Health and Human Services (HHS) was ask to develop an action plan for recommending changes? Obamacare (ACA) address this, but trump and the republicans party have been trying to get rid of and defund it! Opioids may fall under a pre-existing condition? Leave it out of Medicare and Medicaid, fund ACA (Obamacare)!
    Like (5)
    Follow
    Share
    I am avidly against bureaucracies invested with power to present and obtain their agendas. What is being ignored are the thousands of Americans who suffer from legitimately diagnosed diseases and or physical trauma of which the pain meds are being denied access to via prosecution of physicians who prescribes these meds. I am a Viet Nam Era Veteran who suffers from a diagnosed disease and pain meds are critical for me living a somewhat decent life. Thousands of people are now suffering because of government intervention by extracting all pain meds from legitimately diagnosed individuals.
    Like (4)
    Follow
    Share
    Making the Dept. of Health create an action plan for Medicare and Medicaid is just delaying the inevitable need for restructuring the program.
    Like (2)
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    The government needs to stay out of our healthcare and leave these type of decisions to the doctors who are licensed and trained to treat their patients appropriately. This subject is very misreported and there are huge agendas. Hysteria and an illogical emotional response is being trained into people by key words such as “opioid epidemic” so instead of using logic everyone is knee-jerk reacting to rhetoric.
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    Not that isn't enough. Stop smoking campaign included education, starting with young children. With DeVoss support for charter schools, this will be much harder to coordinate but necessary
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    And that action plan should include aggressive countermeasures against the primary cause of all addictions: POVERTY!
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    No big pharmaceutical companies should be held accountable for the cost.
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    Efficiency through centralization not only saves money, but can allow us to maximize the return on what we the people invest in, in this case delivery of services to help we the people. Still, prevention is always the best medicine and we need more funding for PUBLIC schools for early and truthful education about what drugs do to our health, which includes the good and the bad, aka ALL the facts. Things are far more complicated than people seem capable of understanding and there are many things at play, including the fact that people use various substances to try to relieve the unreasonable stress people are placed under living in a country where working full time is not perceived as working hard enough just to make ends meet, which is inhumane & illogical.
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    Government needs to stay out of doctor patient relationships, so that doctors aren't frightened to treat a patient appropriately, and humanely.
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    Help HHS get an opioid plan up and running, please!
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    Instead of HHS, just expand the service under Medicare/Medicaid. This new move to have one agency affecting the mission of another can lead to a quagmire
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    It would be rewarding to see something positive from HHS.
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    Of course we need an action plan for opioid addiction, but what we need even more is to free our DEA people to be able to go after big Pharma companies who are responsible for flooding our country with these addictive drugs!!!
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    How about telling congress to secure the border. That might help.
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    Yes, go get some of that $708 BILLION sent over to fund our war machine.
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    Leave it to my Dr and ME
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