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To amend title XIX of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the Medicaid additional rebate requirement for new formulations of prescription drugs, and for other purposes.

1/11/2023, 1:31 PM

Congressional Summary of HR 5145

This bill amends title XIX (Medicaid) of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the requirement that manufacturers of single-source or innovator drugs pay additional rebates to state Medicaid programs.

Under current law, the Centers for Medicare & Medicaid Services (CMS) must use predictive modeling and other analytic technologies to identify improper Medicaid claims. The bill prohibits a state agency from using or disclosing such technologies except for purposes of administering a state Medicaid program or Children's Health Insurance Program (CHIP). A state agency shall have in effect adequate data security and control policies to ensure that access to such information is restricted to authorized persons for authorized uses.

The bill places $5 million in the Medicaid Improvement Fund to be available beginning in FY2021.

Current Status of Bill HR 5145

Bill HR 5145 is currently in the status of Bill Introduced since April 29, 2016. Bill HR 5145 was introduced during Congress 114 and was introduced to the House on April 29, 2016.  Bill HR 5145's most recent activity was Referred to the Subcommittee on Health. as of May 17, 2016

Bipartisan Support of Bill HR 5145

Total Number of Sponsors
1
Democrat Sponsors
0
Republican Sponsors
1
Unaffiliated Sponsors
0
Total Number of Cosponsors
1
Democrat Cosponsors
1
Republican Cosponsors
0
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 5145

Primary Policy Focus

Health

Potential Impact Areas

- Child health
- Drug trafficking and controlled substances
- Drug, alcohol, tobacco use
- Fraud offenses and financial crimes
- Freedom of information
- Government information and archives
- Government studies and investigations
- Health care costs and insurance
- Health information and medical records
- Health programs administration and funding
- Medicaid
- Medicare
- Prescription drugs
- Public contracts and procurement

Alternate Title(s) of Bill HR 5145

To amend title XIX of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the Medicaid additional rebate requirement for new formulations of prescription drugs, and for other purposes.
To amend title XIX of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the Medicaid additional rebate requirement for new formulations of prescription drugs, and for other purposes.

Comments

Sponsors and Cosponsors of HR 5145

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