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bill Progress


  • Not enacted
    The President has not signed this bill
  • The senate has not voted
      senate Committees
      Senate Committee on Finance
  • The house Passed June 19th, 2018
    Roll Call Vote 356 Yea / 3 Nay
      house Committees
      House Committee on Ways and Means
      Health
      House Committee on Energy and Commerce
    IntroducedMay 3rd, 2018

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What is it?

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

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.

    Another 'duh' bill! This ONLY makes sense!
    Like (16)
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    Accused? No. Convicted Yes. We believe in innocence until proven guilty In This country.
    Like (55)
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    In the US, there is a burden of proof beyond reasonable doubt that must be considered. A credible allegation is still just an allegation. Until fraud has been investigated and proven, then payments to these pharmacies should continue.
    Like (30)
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    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)
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    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)
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    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)
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    The fraud should be proven, not just alleged before withholding payment
    Like (6)
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    Innocent until proven guilty is the basis of our legal system
    Like (6)
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    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)
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    What happened to innocent until proven guilty. It might be the most honest the bad guys are, while under investigation.
    Like (5)
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    How silly can accusations be. If you’re really into closing a pharmacy get them to show their books and then back up the accusations with a forensic accounting before closing.
    Like (4)
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    Why doesn’t Congress do something meaningful like dealing with trumps attack on our democracy !! Why ? because they’re afraid of trump and value their OWN jobs more than protecting our democracy and their constituents!!! BUNCH OF GUTLESS WONDERS !!!! OUT OF A JOB IN NOVEMBER!!!!!!!!!!
    Like (4)
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    This will only hurt the beneficiary of a federal drug plan.
    Like (3)
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    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)
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    Absolutely
    Like (3)
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    Innocent until conviction
    Like (2)
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    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)
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    Absolutely I think they should be allowed to do that I’ve been defrauded by a pharmacy here in Las Vegas and I still am not happy about it. The pharmacies are getting away with murder and making our insurance pay for it
    Like (2)
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    Convicted yes, charged no.
    Like (2)
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    Absolute no! ACCUSED is not enough. Not proven guilty is not guilty.
    Like (2)
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