Like Countable?

Install the App
TRY NOW

house Bill H.R. 5676

Should Medicare Prescription Drug Plans be Allowed to Suspend Payments to Pharmacies Accused of Fraud?

Argument in favor

This commonsense, bipartisan bill would ensure that pharmacies accused of fraud stop receiving payments under Medicare Advantage and Medicare Prescription Drug Plans while they’re investigated.

Anthony's Opinion
···
06/19/2018
they are screwing us all of them how else did they go from a million dollar company to a company worth billions and enough cash to buy each other out for over 30 billion they are screwing us big time now go prove it
Like (12)
Follow
Share
Leon's Opinion
···
06/19/2018
I’m not even sure why this wasn’t already happening.
Like (2)
Follow
Share
SneakyPete's Opinion
···
06/19/2018
WHY THE HECK NOT. This is a commonsense, bipartisan bill which would ensure that pharmacies accused of fraud stop receiving payments, under Medicare Advantage and Medicare Prescription Drug Plans, while they’re investigated. 6*19*18 .....
Like (2)
Follow
Share

Argument opposed

While pharmacies facing substantive allegations of fraud need to be investigated, suspending payments to them under Medicare prescription drug plans goes too far and won't serve as a deterrent.

Edgar l.'s Opinion
···
06/20/2018
Medicare deems writing the wrong number in a code as fraud. No it's a mistake. Although I'm not in favor of big pharmacies this is going to hurt the small pharmacy. They deserve due process.
Like (22)
Follow
Share
Sara's Opinion
···
06/20/2018
So now we are going to jail people who have been accused of wrongdoing without due process? I guess those of you stating approval of this would be okay losing a business or going to jail on an accusation. Thought not. Use your heads and think before writing.
Like (7)
Follow
Share
Crystal's Opinion
···
06/20/2018
The fraud should be proven, not just alleged before withholding payment
Like (6)
Follow
Share

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
    Roll Call Vote 356 Yea / 3 Nay
      house Committees
      Committee on Energy and Commerce
      Committee on Ways and Means
      Health
    IntroducedMay 3rd, 2018

Log in or create an account to see how your Reps voted!

What is House Bill H.R. 5676?

This bill — the SENIOR Communities Protection Act — would authorize the suspension of payments by Medicare Prescription Drug Plans and Medicare Advantage to a pharmacy pending the investigation of credible allegations of fraud against the pharmacy. A fraud hotline tip, without other evidence, couldn’t be considered a credible allegation of fraud. The Dept. of Health and Human Services (HHS) has similar authority under Medicare Fee-for-Service, and the HHS Inspector General would be required to investigate allegations under this bill.

The bill’s full title is the Stop Excessive Narcotics in Our Retirement (SENIOR) Communities Protection Act.

Impact

Pharmacies accused of fraud; Medicare Advantage and Medicare Prescription Drug Plans; and the HHS IG.

Cost of House Bill H.R. 5676

The CBO estimates that enacting this bill would decrease Medicare Part D spending by $9 million over the 2019-2028 period.

More Information

In-Depth: Sponsoring Rep. Tom MacArthur (R-NJ) introduced this bill, which passed the House Ways and Means Committee on a voice vote and has the support of five bipartisan cosponsors — including three Democrats and two Republicans.


Media:

Summary by Eric Revell

(Photo Credit: PeopleImages / iStock)

AKA

SENIOR Communities Protection Act

Official Title

To amend title XVIII of the Social Security Act to authorize the suspension of payments by Medicare prescription drug plans and MA-PD plans pending investigations of credible allegations of fraud by pharmacies.

    they are screwing us all of them how else did they go from a million dollar company to a company worth billions and enough cash to buy each other out for over 30 billion they are screwing us big time now go prove it
    Like (12)
    Follow
    Share
    Medicare deems writing the wrong number in a code as fraud. No it's a mistake. Although I'm not in favor of big pharmacies this is going to hurt the small pharmacy. They deserve due process.
    Like (22)
    Follow
    Share
    So now we are going to jail people who have been accused of wrongdoing without due process? I guess those of you stating approval of this would be okay losing a business or going to jail on an accusation. Thought not. Use your heads and think before writing.
    Like (7)
    Follow
    Share
    The fraud should be proven, not just alleged before withholding payment
    Like (6)
    Follow
    Share
    Innocent until proven guilty is the basis of our legal system
    Like (6)
    Follow
    Share
    What happened to innocent until proven guilty. It might be the most honest the bad guys are, while under investigation.
    Like (5)
    Follow
    Share
    Not without Proof of fraud, if they are accused of fraud then there should be an investigation to prove it. If it is proven they committed fraud and they should be close down.
    Like (5)
    Follow
    Share
    This will only hurt the beneficiary of a federal drug plan.
    Like (3)
    Follow
    Share
    Accused? No. If they are indited on charges of fraud, then they should be suspended in escrow, until such time as guilt or innocence is determined.
    Like (3)
    Follow
    Share
    Absolutely
    Like (3)
    Follow
    Share
    WHY THE HECK NOT. This is a commonsense, bipartisan bill which would ensure that pharmacies accused of fraud stop receiving payments, under Medicare Advantage and Medicare Prescription Drug Plans, while they’re investigated. 6*19*18 .....
    Like (2)
    Follow
    Share
    If a senior loses out on necessary medicine and it leads to death, I believe that is more a moral tragedy than money being stolen from customers.
    Like (2)
    Follow
    Share
    Innocent until conviction
    Like (2)
    Follow
    Share
    I am concerned that actual patients who need the drugs may be more immediately affected. Fine the fraudulent but do not cripple delivery to the patients reliant.
    Like (2)
    Follow
    Share
    There is a huge difference between accused and convicted. This bill is trash the way it's written.
    Like (2)
    Follow
    Share
    Convicted yes, charged no.
    Like (2)
    Follow
    Share
    Absolute no! ACCUSED is not enough. Not proven guilty is not guilty.
    Like (2)
    Follow
    Share
    I’m not even sure why this wasn’t already happening.
    Like (2)
    Follow
    Share
    A fraudulent pharmacy or any other health care provider is a bad apple and needs to be eliminated but only after conviction, not accusation. Paid watchdogs do exist in the industry, some quite zealous and will report mistakes as “probable fraud.” Not the same as convicted of fraud. You are still innocent until proven guilty. If the investigative and judicial system cannot handle it, enlarge and support the system. No kangaroo courts. I’m sure people who favor this do not want fraudulent pharmacies to flourish, neither do I. But remember law is based on precedent. Too many of these bills will send the message that pre-conviction punishment is OK depending on the cause at hand or how angry one is about what happened. Do you want this or any government to have this power? In any industry? To people personally? If you like civil forfeiture, you might like this bill. We’re getting closer to a police dystopia than you think.
    Like (2)
    Follow
    Share
    Accusations should NEVER be the basis for denying payments or services. Follow the law- investigate, present the findings, and follow protocol. This is poor legislation and SWAMP!
    Like (1)
    Follow
    Share
    MORE