Plain English summary not yet available
The full original text is available below. Check back soon as we process this bill.
II
116TH CONGRESS
1ST SESSION
S. 1505
To require prescription drug plans and MA–PD plans to report potential
fraud, waste, and abuse to the Secretary of Health and Human Services
under Medicare part D, and for other purposes.
IN THE SENATE OF THE UNITED STATES
MAY 16, 2019
Mr. CORNYN (for himself and Mr. CARDIN) introduced the following bill;
which was read twice and referred to the Committee on Finance
A BILL
To require prescription drug plans and MA–PD plans to
report potential fraud, waste, and abuse to the Secretary
of Health and Human Services under Medicare part
D, and for other purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Medicare Prescription
4
Drug Fraud Prevention Act of 2019’’.
5
VerDate Sep 11 2014
02:28 May 25, 2019
Jkt 089200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\S1505.IS
S1505
kjohnson on DSK79L0C42 with BILLS
2
•S 1505 IS
SEC. 2. REQUIRING PRESCRIPTION DRUG PLANS AND MA–
1
PD PLANS TO REPORT POTENTIAL FRAUD,
2
WASTE, AND ABUSE TO THE SECRETARY OF
3
HHS.
4
Section 1860D–4 of the Social Security Act (42
5
U.S.C. 1395w–104) is amended—
6
(1) by redesignating subsection (m) (relating to
7
program integrity transparency measures), as added
8
by section 6063(c) of the Substance Use-Disorder
9
Prevention that Promotes Opioid Recovery and
10
Treatment for Patients and Communities Act (Pub-
11
lic Law 115–271), as subsection (n); and
12
(2) by adding at the end the following new sub-
13
section:
14
‘‘(o) REPORTING POTENTIAL FRAUD, WASTE, AND
15
ABUSE.—Beginning January 1, 2021, the PDP sponsor
16
of a prescription drug plan shall report to the Secretary,
17
as specified by the Secretary—
18
‘‘(1) any substantiated or suspicious activities
19
(as defined by the Secretary) with respect to the
20
program under this part as it relates to fraud,
21
waste, and abuse; and
22
‘‘(2) any steps made by the PDP sponsor after
23
identifying such activities to take corrective ac-
24
tions.’’.
25
Æ
VerDate Sep 11 2014
02:28 May 25, 2019
Jkt 089200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6301
E:\BILLS\S1505.IS
S1505
kjohnson on DSK79L0C42 with BILLS