H.R. 6 - 115th Congress (2017-2018) - SUPPORT for Patients and Communities Act

Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act or the SUPPORT for Patients and Communities Act

This bill makes several changes to state Medicaid programs to address opioid and substance use disorders. Specifically, the bill:

modifies provisions related to coverage for juvenile inmates and former foster care youth,
establishes a demonstration project to increase provider treatment capacity for substance use disorders,
requires the establishment of drug management programs for at-risk beneficiaries,
establishes drug review and utilization requirements,
extends the enhanced federal matching rate for expenditures regarding substance use disorder health home services, and
temporarily requires coverage of medication-assisted treatment.

The bill also alters Medicare requirements to address opioid use. Specifically, the bill:

exempts substance use disorder telehealth services from specified requirements,
requires the initial examination for new enrollees to include an opioid use disorder screening,
modifies provisions regarding electronic prescriptions and post-surgical pain management,
requires prescription drug plan sponsors to establish drug management programs for at-risk beneficiaries, and
requires coverage for services provided by certified opioid treatment programs.

The bill also addresses other opioid-related issues. Specifically, the bill:

establishes and expands programs to support increased detection and monitoring of fentanyl and other synthetic opioids, and
increases the maximum number of patients that health care practitioners may initially treat with medication-assisted treatment (i.e., under a buprenorphine waiver).

Additionally, the bill temporarily eliminates the enhanced federal matching rate for Medicaid expenditures regarding specified medical services provided by certain managed care organizations.

Text (6)

Enrolled Bill

Engrossed Amendment House

September 28, 2018

Engrossed Amendment Senate

September 17, 2018

Placed on Calendar Senate

June 26, 2018

Engrossed in House

June 22, 2018

Introduced in House

June 13, 2018

Amendments (10)

Show All Amendments

Displaying only amendments with a detailed public record (7)

Sep 17, 2018

Agreed to in Senate

Sponsorship

Senate Amendment 4013

In the nature of a substitute.

Agreed To

Amendments

Jun 22, 2018

Agreed to in House

Sponsorship

House Amendment 802

An amendment numbered 7 printed in Part B of House Report 115-766 to direct the Secretary of Health and Human Services (HHS) to conduct a survey of organizations that provide substance abuse treatment services. Under the amendment, HHS is required to develop, and submit to Congress, a plan to direct appropriate resources to address inadequacies in services or funding for specific types of drug addictions identified through the survey.

Agreed To

Jun 22, 2018

Agreed to in House

Sponsorship

House Amendment 801

An amendment numbered 5 printed in Part B of House Report 115-766 to direct HHS to issue guidelines for prescribing naloxone in situations involving any type of prescription or illicit opioid use.

Agreed To

Jun 22, 2018

Agreed to in House

Sponsorship

House Amendment 800

An amendment numbered 4 printed in Part B of House Report 115-766 to require a report from HHS on opioid prescribing practices and opioid misuse during pregnancy, and evaluating non-opiate pain management practices during pregnancy.

Agreed To

Jun 22, 2018

Agreed to in House

Sponsorship

House Amendment 799

An amendment numbered 3 printed in Part B of House Report 115-766 to direct the Commissioner of Food and Drugs to develop high-quality, evidence-based opioid analgesic prescribing guidelines for the indication-specific treatment of acute pain. In developing such guidelines, it requires the Commissioner of Food and Drugs to gather input through a public workshop and comment period, and to provide a report to Congress on how such guidelines will be used to protect the public health.

Agreed To

Jun 22, 2018

Withdrawn

Sponsorship

House Amendment 798

An amendment numbered 2 printed in Part B of House Report 115-766 to strike language expanding the classes of health care workers who are authorized to dispense narcotics for narcotic treatment.

Active

Jun 22, 2018

Agreed to in House

Sponsorship

House Amendment 797

An amendment numbered 1 printed in Part B of House Report 115-766 to call for Medicaid, Medicare, and public health reforms to help combat the opioid crisis.

Agreed To

Actions (45)

Show Only Major Actions

10/24/2018

Became Public Law No: 115-271.

10/24/2018

Signed by President.

10/16/2018

Presented to President.

10/04/2018

Message on Senate action sent to the House.

10/03/2018

Senate agreed to the House amendment to the Senate amendment to H.R. 6. by Yea-Nay Vote. 98 - 1. Record Vote Number: 221.

10/03/2018

Resolving differences -- Senate actions: Senate agreed to the House amendment to the Senate amendment to H.R. 6. by Yea-Nay Vote. 98 - 1. Record Vote Number: 221.

10/03/2018

Motion by Senator Thune to concur in the House amendment to the Senate amendment to H.R. 6 made in Senate.

10/03/2018

Measure laid before Senate by unanimous consent. (consideration: CR S6467-6483)

10/01/2018

Message on House action received in Senate and at desk: House amendment to Senate amendment.

09/28/2018

House agreed to Senate amendment with an amendment pursuant to H. Res. 1099.

09/28/2018

Resolving differences -- House actions: House agreed to Senate amendment with an amendment pursuant to H. Res. 1099.

09/18/2018

Message on Senate action sent to the House.

09/17/2018

Passed Senate with an amendment by Yea-Nay Vote. 99 - 1. Record Vote Number: 210.

09/17/2018

Passed/agreed to in Senate: Passed Senate with an amendment by Yea-Nay Vote. 99 - 1. Record Vote Number: 210.

09/17/2018

Measure laid before Senate by unanimous consent. (consideration: CR S6159-6180)

06/26/2018

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 485.

06/25/2018

Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

06/22/2018

Motion to reconsider laid on the table Agreed to without objection.

06/22/2018

On passage Passed by the Yeas and Nays: 396 - 14 (Roll no. 288). (text: CR H5522-5560)

06/22/2018

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 396 - 14 (Roll no. 288).(text: CR H5522-5560)

06/22/2018

On motion to recommit with instructions Failed by the Yeas and Nays: 185 - 226 (Roll no. 287).

06/22/2018

The previous question on the motion to recommit with instructions was ordered without objection.

06/22/2018

DEBATE - The House proceeded with 10 minutes of debate on the motion to recommit with instructions. The instructions contained in the motion seek to require the bill to be reported back to the House with an amendment to add 2 sections to the bill titled "Distribution of Additional Residency Positions to Help Combat Opioid Crisis" and "Funding for Opioid Grant Program for State Response to Opioid Abuse Crisis".

06/22/2018

Mr. Tonko moved to recommit with instructions to the Committees on Energy and Commerce and Ways and Means. (consideration: CR H5567-5572; text: CR H5567-5570)

06/22/2018

The House adopted the amendments en gross as agreed to by the Committee of the Whole House on the state of the Union.

06/22/2018

The previous question was ordered pursuant to the rule.

06/22/2018

The House rose from the Committee of the Whole House on the state of the Union to report H.R. 6.

06/22/2018

DEBATE - Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Maxine Waters amendment No. 7.

06/22/2018

DEBATE - Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Keating amendment No. 5.

06/22/2018

DEBATE - Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Curtis amendment No. 4.

06/22/2018

DEBATE - Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Barton amendment No. 3.

06/22/2018

DEBATE - Pursuant to the provisions of H. Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Dunn amendment No. 2.

06/22/2018

The Committee resumed its sitting.

06/22/2018

DEBATE - Pursuant to the provisions of H.Res. 949, the Committee of the Whole proceeded with 10 minutes of debate on the Walden amendment No. 1.

06/22/2018

GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 6.

06/22/2018

The Speaker designated the Honorable Don Bacon to act as Chairman of the Committee.

06/22/2018

House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 949 and Rule XVIII.

06/22/2018

Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R.5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.

06/22/2018

Considered under the provisions of rule H. Res. 949. (consideration: CR H5511-5572)

06/21/2018

ORDER OF PROCEDURE - Mr. Burgess asked unanimous consent that, notwithstanding H.Res. 949, during consideration of H.R. 6 pursuant to such resolution, general debate shall not exceed one hour, with 40 minutes equally divided and controlled by the chair and ranking minority member of the Committee on Energy and Commerce and 20 minutes equally divided and controlled by the chair and ranking minority member of the Committee on Ways and Means.

06/19/2018

Rules Committee Resolution H. Res. 949 Reported to House. Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R.5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.

06/14/2018

Referred to the Subcommittee on Health.

06/13/2018

Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations.

06/13/2018

Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

06/13/2018

Introduced in House

Public Record

Record Updated

Mar 22, 2023 7:50:47 PM