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HR 5242 116th Congress House

Opioid Settlement Accountability Act

Official title: To amend title XIX of the Social Security Act to prohibit the Secretary of Health and Human Services from treating any Medicaid-related funds recovered from on… Show full official titleShow less

Official title: To amend title XIX of the Social Security Act to prohibit the Secretary of Health and Human Services from treating any Medicaid-related funds recovered from one or more pharmaceutical companies or drug distributors with respect to opioid litigation as an overpayment under such title, and for other purposes.

Introduced: November 21, 2019 See on congress.gov
Health Alternative treatmentsCivil actions and liabilityDrug trafficking and controlled substancesDrug, alcohol, tobacco use
More subjectsShow fewer subjects
Employment and training programsFirst responders and emergency personnelHealth care coverage and accessHealth personnelHealth programs administration and fundingHealth promotion and preventive careLaw enforcement administration and fundingMedicaidPrescription drugsRetail and wholesale tradesState and local finance
This bill died when the 116th Congress ended
It never became law before the 116th Congress (2019–2020) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Nov 22, 2019
Referred to the Subcommittee on Health.
Nov 21, 2019
Referred to the House Committee on Energy and Commerce.
Nov 21, 2019
Introduced in House
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 Latest action November 22, 2019

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Opioid Settlement Accountability Act

This bill establishes certain requirements with respect to the disposition of funds received by states from litigation against opioid manufacturers and distributors.

Specifically, the bill requires states to use such funds to address opioid use, such as through (1) opioid prevention and treatment services, (2) health care practitioner training, (3) first responder equipment, and (4) social support services.

Additionally, the bill prohibits the Centers for Medicare & Medicaid Services from considering such funds that are recovered or paid to a state on or after December 31, 2023, as an overpayment that reduces the state's payment, or that is subject to recoupment, under Medicaid.

The bill applies retroactively.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 5242: Opioid Settlement Accountability Act. 116th Congress. Open America. https://openamerica.io/bill/116-HR-5242/
MLA
"H.R. 5242: Opioid Settlement Accountability Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-5242/.
Bluebook (legal)
H.R. 5242, 116th Cong. (2026), https://openamerica.io/bill/116-HR-5242/.
Markdown link
[H.R. 5242: Opioid Settlement Accountability Act](https://openamerica.io/bill/116-HR-5242/)
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