Bill Text
- Text of H.R. 4641
To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. (as reported)
Union Calendar No. 412
114
TH CONGRESS
2
D SESSION H. R. 4641
[Report No. 114–536]
To provide for the establishment of an inter-agency task force to review,
modify, and update best practices for pain management and prescribing
pain medication, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
F
EBRUARY 26, 2016
Mrs. B
ROOKS of Indiana (for herself and Mr. KENNEDY) introduced the
following bill; which was referred to the Committee on Energy and Commerce
M
AY 3, 2016
Additional sponsor: Mr. O
LSON
M
AY 3, 2016
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed in italic]
[For text of introduced bill, see copy of bill as introduced on February 26, 2016]
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HR 4641 RH
A BILL
To provide for the establishment of an inter-agency task
force to review, modify, and update best practices for
pain management and prescribing pain medication, and
for other purposes.
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HR 4641 RH
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Be it enacted by the Senate and House of Representa2
tives of the United States of America in Congress assembled,
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SECTION 1. DEVELOPMENT OF BEST PRACTICES FOR THE
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USE OF PRESCRIPTION OPIOIDS.
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(a) DEFINITIONS.—In this section—
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(1) the term ‘‘Secretary’’ means the Secretary of
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Health and Human Services; and
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(2) the term ‘‘task force’’ means the Pain Man9
agement Best Practices Inter-Agency Task Force con
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vened under subsection (b).
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(b) INTER-AGENCY TASK FORCE.—Not later than De12
cember 14, 2018, the Secretary, in cooperation with the Sec
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retary of Veterans Affairs, the Secretary of Defense, and the
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Administrator of the Drug Enforcement Administration,
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shall convene a Pain Management Best Practices Inter-
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Agency Task Force to review, modify, and update, as ap17
propriate, best practices for pain management (including
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chronic and acute pain) and prescribing pain medication.
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(c) MEMBERSHIP.—The task force shall be comprised
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of—
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(1) representatives of—
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(A) the Department of Health and Human
23
Services;
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(B) the Department of Veterans Affairs;
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(C) the Food and Drug Administration;
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HR 4641 RH
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(D) the Department of Defense;
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(E) the Drug Enforcement Administration;
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(F) the Centers for Disease Control and
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Prevention;
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(G) the Health Resources and Services Ad6
ministration;
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(H) the Indian Health Service;
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(I) the National Academy of Medicine;
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(J) the National Institutes of Health;
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(K) the Office of National Drug Control
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Policy; and
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(L) the Substance Abuse and Mental Health
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Services Administration;
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(2) State medical boards;
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(3) physicians, dentists, and nonphysician pre16
scribers;
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(4) hospitals;
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(5) pharmacists and pharmacies;
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(6) experts in the fields of pain research and ad20
diction research;
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(7) representatives of—
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(A) pain management professional organi23
zations;
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(B) the mental health treatment commu25
nity;
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(C) the addiction treatment and recovery
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community;
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(D) pain advocacy groups; and
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(E) groups with expertise on overdose rever5
sal;
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(8) a person in recovery from addiction to medi7
cation for chronic pain;
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(9) a person with chronic pain; and
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(10) other stakeholders, as the Secretary deter10
mines appropriate.
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(d) DUTIES.—The task force shall—
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(1) not later than 180 days after the date on
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which the task force is convened under subsection (b),
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review, modify, and update, as appropriate, best
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practices for pain management (including chronic
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and acute pain) and prescribing pain medication,
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taking into consideration—
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(A) existing pain management research;
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(B) recommendations from relevant con20
ferences and existing relevant evidence-based
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guidelines;
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(C) ongoing efforts at the State and local
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levels and by medical professional organizations
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to develop improved pain management strategies,
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including consideration of differences within and
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HR 4641 RH
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between classes of opioids, the availability of
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opioids with abuse deterrent technology, and
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pharmacological, nonpharmacological, and med4
ical device alternatives to opioids to reduce
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opioid monotherapy in appropriate cases;
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(D) the management of high-risk popu7
lations, other than populations who suffer pain,
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who—
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(i) may use or be prescribed
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benzodiazepines, alcohol, and diverted
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opioids; or
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(ii) receive opioids in the course of
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medical care; and
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(E) the 2016 Guideline for Prescribing
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Opioids for Chronic Pain issued by the Centers
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for Disease Control and Prevention;
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(2) solicit and take into consideration public
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comment on the practices developed under paragraph
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(1), amending such best practices if appropriate; and
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(3) develop a strategy for disseminating informa21
tion about the best practices developed under para
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graphs (1) and (2) to prescribers, pharmacists, State
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medical boards, educational institutions that educate
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prescribers and pharmacists, and other parties, as the
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Secretary determines appropriate.
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(e) LIMITATION.—The task force shall not have rule2
making authority.
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(f) REPORT.—Not later than 270 days after the date
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on which the task force is convened under subsection (b),
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the task force shall submit to Congress a report that in6
cludes—
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(1) the strategy for disseminating best practices
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for pain management (including chronic and acute
9
pain) and prescribing pain medication, as developed
10
under subsection (d);
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(2) the results of a feasibility study on linking
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the best practices described in paragraph (1) to re13
ceiving and renewing registrations under section
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303(f) of the Controlled Substances Act (21 U.S.C.
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823(f)); and
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(3) recommendations for effectively applying the
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best practices described in paragraph (1) to improve
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prescribing practices at medical facilities, including
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medical facilities of the Veterans Health Administra20
tion and Indian Health Service.
Filed under: General Problems
Exact Mr.Gregorich,,,I even had someone from N.I.D.A.,,,tell me if my doctor choosed to stop using opiates that I should go to the cdc site and try a non opiate medicines,,,I was stunned,,,at some lady playing doctor,,knowing nothing about me or my medical history,,,It is my firm belief,,since no-one can physically feel the physical pain of another,,NO-ONE has thee divine right to decide who is to suffer in physical pain,,,As a humane civilized world/society since their are MEDICINES available to lessen physical pain,,we try only to lessen that physical pain!!!!!!!!!!!!!!That is how a civilized humane society functions..WE WILL ALWAYS HAVE THAT GUY AT THE END OF THE BAR WHO CAN’T STOP W/2 BEERS AT DINNER,,ALWAYS….. its a given in our society,,,but it should also be a given we don’t willfully kill our physically ill via torture and death…It should never be acceptable to use torture and genocide onto any entoity as a humane civilized society!!!!!!!Yet America is completely accepting torture and genocide as thee prescription for the medically ill w/painful MEDICAL conditions!!!!!WHY?????I MEAN THEY DO THESE SURVEYS ,”FOR”,, restrictions on our medicines,,,why not ask real questions like,,the consequences of restricting medicines means people in physical pain will be denied medicine,,Do u then believe human beings should be left to suffer in physical pain??,,U know we use to have to right answer ,,we treated people with physically painfull conditions,,the decision was left up to the doctors,,,not some non educated person who claims he knows more then doctors,,which happens a lot,,,By my home some idiot is on t,v commercials here ,,the ,”whistle blower,” for Tomah V.A.,,,hes NOT a doctor,,,hell he’s not even a pharmacist,,,yet he knew more then Doctors,,and ,”they” believed him!!!!Now they refuse to release data on how many of our vets are choosing death,,to stop their physical pain from war,,They,,ie Trammy Baldwin, refuses to have a box on all coroners reports,,”Death due to untreated physical pain,”,,They refuse to record the damage they have created,,how f-ing convenient,,,,We need to get that changed,,,,,,,,maryw
So instead of consulting the people whom it will have the greatest affect upon, they’re bringing in more uneducated (in the arena of pain), discriminatory, got their information from the masses, inhumane, unethical, self-serving, empathy-lacking jerks, who have preconceived notions regarding the topic, whose pockets, offshore bank accounts and campaigns are filled with BILLIONS of dollars from anti-opiate special interest groups, whose lives and families will unlikely be affected by these laws, because their money and stature will get them whatever they need if they should so happen to need a prescription for pain meds to decide the fate of the 100 million of us who know exponentially more about pain and pain medicine than all of them combined? Oh, and in HR 4641 RH, they’re allowing the testimony of ONE pain patient. Sounds perfectly fair, equal, and transparent to me! #NewAmericanGenocide #Opiategate
What one of these ass politicians needs to do is experience the torture of chronic pain before they move on with their little games . They are playing God with people’s lives not governing . They do not own us and they have no right to deny medical intervention . Everything they say on there little panels and studies are in my eyes rigged . I was taught as a child always question people’s intentions . If qualified doctors aren’t able to treat chronic pain what makes a politician think they can . I have been off pain medication for over a year and suicide is always on my mind , this is torture one day if I make it through this madness I hope to see all responsible for this hate crime be jailed for crimes against humanity . To deny medical intervention for chronic pain is torture, torture is illegal .