text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Commit to Opioid Medical Prescriber 
  Accountability and Safety for Seniors Act'' or the ``COMPASS Act''.
  
  SEC. 2. MEDICARE NOTIFICATIONS TO OUTLIER PRESCRIBERS OF OPIOIDS.
  
      Section 1860D-4(c)(4) of the Social Security Act (42 U.S.C. 1395w-
  104(c)(4)) is amended by adding at the end the following new paragraph:
                      ``(D) Outlier prescriber notification.--
                              ``(i) Notification.--Beginning not later 
                          than two years after the date of the enactment 
                          of this subparagraph, the Secretary shall, in 
                          the case of a prescriber identified by the 
                          Secretary under clause (ii) to be an outlier 
                          prescriber of opioids, provide, subject to 
                          clause (iv), an annual notification to such 
                          prescriber that such prescriber has been so 
                          identified and that includes resources on 
                          proper prescribing methods and other 
                          information specified in accordance with clause 
                          (iii).
                              ``(ii) Identification of outlier 
                          prescribers of opioids.--
                                      ``(I) In general.--The Secretary 
                                  shall, subject to subclause (III), 
                                  using the valid prescriber National 
                                  Provider Identifiers included pursuant 
                                  to subparagraph (A) on claims for 
                                  covered part D drugs for part D 
                                  eligible individuals enrolled in 
                                  prescription drug plans under this part 
                                  or MA-PD plans under part C and based 
                                  on the threshold established under 
                                  subclause (II), conduct an analysis to 
                                  identify prescribers that are outlier 
                                  opioid prescribers for a period 
                                  specified by the Secretary.
                                      ``(II) Establishment of 
                                  threshold.--For purposes of subclause 
                                  (I) and subject to subclause (III), the 
                                  Secretary shall, after consultation 
                                  with stakeholders, establish a 
                                  threshold, based on prescriber 
                                  specialty and geographic area, for 
                                  identifying whether a prescriber in a 
                                  specialty and geographic area is an 
                                  outlier prescriber of opioids as 
                                  compared to other prescribers of 
                                  opioids within such specialty and area.
                                      ``(III) Exclusions.--The Secretary 
                                  may exclude the following individuals 
                                  and prescribers from the analysis under 
                                  this clause:
                                              ``(aa) Individuals 
                                          receiving hospice services.
                                              ``(bb) Individuals with a 
                                          cancer diagnosis.
                                              ``(cc) Prescribers who are 
                                          the subject of an investigation 
                                          by the Centers for Medicare & 
                                          Medicaid Services or the Office 
                                          of Inspector General of the 
                                          Department of Health and Human 
                                          Services.
                              ``(iii) Contents of notification.--The 
                          Secretary shall, based on input from 
                          stakeholders, specify the resources and other 
                          information to be included in notifications 
                          provided under clause (i).
                              ``(iv) Modifications and expansions.--
                                      ``(I) Frequency.--Beginning 5 years 
                                  after the date of the enactment of this 
                                  subparagraph, the Secretary may change 
                                  the frequency of the notifications 
                                  described in clause (i) based on 
                                  stakeholder input.
                                      ``(II) Expansion to other 
                                  prescriptions.--The Secretary may 
                                  expand notifications under this 
                                  subparagraph to include identifications 
                                  and notifications with respect to 
                                  concurrent prescriptions of covered 
                                  Part D drugs used in combination with 
                                  opioids that are considered to have 
                                  adverse side effects when so used in 
                                  such combination, as determined by the 
                                  Secretary.
                              ``(v) Opioids defined.--For purposes of 
                          this subparagraph, the term `opioids' has such 
                          meaning as specified by the Secretary through 
                          program instruction or otherwise.''.
target: Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act or the COMPASS Act This bill requires the Centers for Medicare &amp; Medicaid Services (CMS) to identify outlier prescribers of opioids under the Medicare prescription drug benefit and Medicare Advantage prescription drug plans. Specifically, the CMS must: (1) establish an opioid-prescription threshold for determining whether a prescriber is an outlier compared to other prescribers, based on specialty and geographic area; (2) use National Provider Identifiers (unique provider identification numbers currently included on claims for covered drugs) to identify outlier prescribers; and (3) annually notify identified outlier prescribers of their status and provide them with resources on proper prescribing methods. The CMS may also identify and notify outlier prescribers based on co-prescriptions of covered drugs that have adverse effects when used in combination with opioids.
feat_title: Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act