Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018
Official title: To amend title XVIII of the Social Security Act to provide for the review and adjustment of payments under the Medicare outpatient prospective payment system t… Show full official titleShow less
Official title: To amend title XVIII of the Social Security Act to provide for the review and adjustment of payments under the Medicare outpatient prospective payment system to avoid financial incentives to use opioids instead of non-opioid alternative treatments, and for other purposes.
More subjectsShow fewer subjects
Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.
Referred to the Subcommittee on Health.
Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018
This bill establishes several requirements for the Centers for Medicare & Medicaid Services (CMS), and alters requirements under Medicare and Medicare Advantage (MA), related to pain management and opioid use.
Among other requirements, the CMS must review payments under Medicare for opioid and non-opioid pain management procedures, specifically with respect to ambulatory outpatient surgical procedures and hospital outpatient department services. The CMS must ensure that there are no payment incentives for using opioids instead of non-opioid alternatives and must make revisions accordingly.
The bill also requires payment under Medicare to federally qualified health centers and rural health clinics that have health care practitioners who are newly certified to provide medication-assisted treatment (e.g., buprenorphine).
The bill also authorizes the suspension of payments to a pharmacy under the Medicare prescription drug benefit and MA prescription drug plans pending the investigation of a credible allegation of fraud by the pharmacy.
- Engrossed in House Formatted Text PDF Formatted XML
- Introduced in House Formatted Text PDF Formatted XML
- Referred in Senate Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 6110: Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018. 115th Congress. Open America. https://openamerica.io/bill/115-HR-6110/
"H.R. 6110: Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018." 115th Congress, 2026, Open America, https://openamerica.io/bill/115-HR-6110/.
H.R. 6110, 115th Cong. (2026), https://openamerica.io/bill/115-HR-6110/.
[H.R. 6110: Dr. Todd Graham Pain Management, Treatment, and Recovery Act of 2018](https://openamerica.io/bill/115-HR-6110/)