Stopping Medication Abuse and Protecting Seniors Act of 2015
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Stopping Medication Abuse and Protecting Seniors Act of 2015
This bill amends title XVIII (Medicare) of the Social Security Act to: (1) authorize a Medicare prescription drug plan (PDP) sponsor to establish a drug management program under which the PDP sponsor may limit an at-risk beneficiary’s access to coverage for frequently abused drugs to include only those drugs that are prescribed by selected prescribers and dispensed by selected pharmacies; and (2) require a PDP sponsor to have in place a utilization management tool to prevent drug abuse.
With respect to a drug management program, a PDP sponsor must: (1) provide specified notice to a beneficiary who has been identified by the Centers for Medicare & Medicaid (CMS) as “at-risk” and consequently enrolled in the program; and (2) in selecting prescribers and dispensers, ensure that the beneficiary continues to have reasonable access to drugs. These determinations shall be subject to expedited reconsideration and appeal. A PDP sponsor must review and consider an at-risk beneficiary’s preferences regarding prescriber and pharmacy selection.
Certain individuals, including those receiving hospice care or residing in a long-term care facility, are exempted from enrollment in a drug management program.
CMS must, for purposes of quality or performance assessments, review and consider complaints received from at-risk beneficiaries regarding lack of access due to their enrollment in a drug management program. In addition, CMS must establish rules and procedures requiring a PDP sponsor to provide specified program data.
Read twice and referred to the Committee on Finance.
- Introduced in Senate Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). S. 1913: Stopping Medication Abuse and Protecting Seniors Act of 2015. 114th Congress. Open America. https://openamerica.io/bill/114-S-1913/
"S. 1913: Stopping Medication Abuse and Protecting Seniors Act of 2015." 114th Congress, 2026, Open America, https://openamerica.io/bill/114-S-1913/.
S. 1913, 114th Cong. (2026), https://openamerica.io/bill/114-S-1913/.
[S. 1913: Stopping Medication Abuse and Protecting Seniors Act of 2015](https://openamerica.io/bill/114-S-1913/)