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Code · BILL · 113th Congress · H.R. 2828 (Introduced in House) — To amend titles XI and XVIII of the Social Security Act to prevent fraud and abuse under the Medicare program and to... · Sec. 6

Sec. 6. Encouraging the establishment of State prescription drug monitoring programs

260 words·~1 min read·/bill/113/hr/2828/ih/section-6

A research copy — for the controlling text, always check the official state or federal source. Not legal advice.

Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ) is amended by adding at the end the following: With respect to a calendar quarter, the Federal medical assistance percentage for the amounts under clauses
(i)and
(II)of subparagraph
(C)shall be decreased by 10 percent for such quarter, if— a State is receiving a grant for a State controlled substance monitoring program under section 399O of the Public Health Service Act (or the Secretary determines that the State meets the requirements for such a grant); through such program, the State identifies fraud, waste, or abuse in connection the provision of prescription drug coverage under the State plan; and the State or a political subdivision of the State— is reimbursed an amount by a third party (pursuant to the provisions of the State plan in compliance with section 1902(a)(25)) for expenditures related to such fraud, waste, or abuse; or recovered (as such term is used under section 1903(d)(3)(A)) an amount. A State may use the amounts received as a result of the increased Federal medical assistance percentage under paragraph
(1)to support the State controlled substance monitoring program established by the State. . Section 1905(b) of the Social Security Act ( 42 U.S.C. 1396d(b) ) is amended by striking Subject to subsections (y), (z), and
(aa)and inserting Subject to subsections (y), (z), (aa), and
(ee). The amendments made by this subsection shall apply to calendar quarters beginning on or after the end of the 30-day period after the date of the enactment of this Act.
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Sec. 6
Encouraging the establishment of State prescription drug monitoring programs
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