# 114-hr-4876: Medicare Prescription Drug Abuse Prevention Act of 2016

114-hr-4876, Medicare Prescription Drug Abuse Prevention Act of 2016, is a 114th Congress bill sponsored by Rep. Meehan, Patrick [R-PA-7] (R-PA); status Referred to the Subcommittee on Health. (as of 2025-11-18).

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- As of: 2025-11-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 114-hr-4876
- Congress: 114
- Title: Medicare Prescription Drug Abuse Prevention Act of 2016
- Status: Referred to the Subcommittee on Health.
- Introduced: 2016-03-23
- Sponsor: Rep. Meehan, Patrick [R-PA-7] (R-PA)
- Cosponsors: 3
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

Medicare Prescription Drug Abuse Prevention Act of 2016 This bill amends title XVIII (Medicare) of the Social Security Act to: (1) authorize a Medicare prescription drug plan (PDP) sponsor to establish a drug management program under which the PDP sponsor may limit an at-risk beneficiary's access to coverage for frequently abused drugs to include only those drugs that are prescribed by selected prescribers and dispensed by selected pharmacies; and (2) require a PDP sponsor to have in place a utilization management tool to prevent drug abuse. With respect to a drug management program, a PDP sponsor must: (1) provide specified notice to a beneficiary who has been identified by the Centers for Medicare & Medicaid (CMS) as "at-risk" and consequently enrolled in the program; and (2) in selecting prescribers and dispensers, ensure that the beneficiary continues to have reasonable access to drugs. These determinations shall be subject to expedited reconsideration and appeal. A PDP sponsor must review and consider an at-risk beneficiary's preferences regarding prescriber and pharmacy selection. Certain individuals, including those receiving hospice care or residing in a long-term care facility, are exempted from enrollment in a drug management program. CMS must, for purposes of quality or performance assessments, review and consider complaints received from at-risk beneficiaries regarding lack of access due to their enrollment in a drug management program. In addition, CMS must establish rules and procedures requiring a PDP sponsor to provide specified program data.

## Cosponsors (3)

- Rep. Neal, Richard E. [D-MA-1] (D-MA), 2016-03-23T00:00:00.000Z
- Rep. Reed, Tom [R-NY-23] (R-NY), 2016-04-12T00:00:00.000Z
- PATRICK TIBERI (R-OH), 2016-04-27T00:00:00.000Z

## Related bills

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- 114-hr-5090: To ensure that air transportation between the United States and the European Union complies with the intent of article 17 bis of the United States-European Uni…
- 114-hr-5082: Investing in Opportunity Act
- 114-hr-4938: Free File Act of 2016
- 114-hr-4514: Combating BDS Act of 2016
- 114-hr-4294: SAVERS Act of 2015

## Sources
- [114-hr-4876 on Congress.gov](https://www.congress.gov/bill/114th-congress/house-bill/4876)

## Related
- [114-hr-5621: To posthumously award a Congressional Gold Medal to Lawrence Eugene "Larry" Dob…](https://policyrisk.com/legislation/114-hr-5621)
- [114-hr-5090: To ensure that air transportation between the United States and the European Un…](https://policyrisk.com/legislation/114-hr-5090)
- [114-hr-5082: Investing in Opportunity Act](https://policyrisk.com/legislation/114-hr-5082)
- [114-hr-4938: Free File Act of 2016](https://policyrisk.com/legislation/114-hr-4938)
- [114-hr-4514: Combating BDS Act of 2016](https://policyrisk.com/legislation/114-hr-4514)
- [114-hr-4294: SAVERS Act of 2015](https://policyrisk.com/legislation/114-hr-4294)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/114-hr-4876 (as of 2025-11-18).