Text: H.R.4062 — 114th Congress (2015-2016)All Information (Except Text)

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Introduced in House (11/18/2015)


114th CONGRESS
1st Session
H. R. 4062


To amend title XVIII of the Social Security Act to remove the enrollment restriction on certain physicians and practitioners prescribing covered outpatient drugs under the Medicare prescription drug program.


IN THE HOUSE OF REPRESENTATIVES

November 18, 2015

Mr. Marchant (for himself, Mr. Blumenauer, Mrs. Black, Mr. Nunes, and Mr. Thompson of California) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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


A BILL

To amend title XVIII of the Social Security Act to remove the enrollment restriction on certain physicians and practitioners prescribing covered outpatient drugs under the Medicare prescription drug program.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Protecting Seniors Access to Proper Care Act of 2015”.

SEC. 2. Removing duplicative paperwork in permitting certain non-enrolled physicians or practitioners to prescribe covered outpatient drugs under Medicare part D.

Section 1860D–4 of the Social Security Act (42 U.S.C. 1395w–103) is amended by adding at the end the following new subsection:

“(m) Removal of enrollment restriction.—Nothing in this title or section 6405(c) of the Patient Protection and Affordable Care Act (42 U.S.C. 1395f note) shall be construed as requiring, as a condition of payment by a PDP sponsor for a covered part D drug prescribed by an individual who is a physician or who is a practitioner described in section 1842(b)(18)(C) and authorized under State law to prescribe such drug, that the individual be enrolled under section 1866(j) so long as—

“(1) the individual is not otherwise disqualified from being so enrolled; and

“(2) (A) the individual is not a physician described in section 1861(r)(1); or

“(B) the individual is such a physician and the individual’s practice prescribes a low-volume (as determined by the Secretary) of billings for such drugs under this part.”.