# 114-hr-5145: To amend title XIX of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the Medicaid additional rebate requirement for new formulations of prescription drugs, and for other purposes.

114-hr-5145, To amend title XIX of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the Medicaid additional rebate requirement for new formulations of prescription drugs, and for other purposes., is a 114th Congress bill sponsored by Rep. Bilirakis, Gus M. [R-FL-12] (R-FL); status Referred to the Subcommittee on Health. (as of 2025-11-18).

- Canonical: https://policyrisk.com/legislation/114-hr-5145
- 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-5145
- Congress: 114
- Title: To amend title XIX of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the Medicaid additional rebate requirement for new formulations of prescription drugs, and for other purposes.
- Status: Referred to the Subcommittee on Health.
- Introduced: 2016-04-29
- Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] (R-FL)
- Cosponsors: 1
- Policy area: Health
- Touches household money: no
- Last recorded action: 2025-11-18

## Summary

This bill amends title XIX (Medicaid) of the Social Security Act to exclude abuse-deterrent formulations of prescription drugs from the requirement that manufacturers of single-source or innovator drugs pay additional rebates to state Medicaid programs. Under current law, the Centers for Medicare & Medicaid Services (CMS) must use predictive modeling and other analytic technologies to identify improper Medicaid claims. The bill prohibits a state agency from using or disclosing such technologies except for purposes of administering a state Medicaid program or Children's Health Insurance Program (CHIP). A state agency shall have in effect adequate data security and control policies to ensure that access to such information is restricted to authorized persons for authorized uses. The bill places $5 million in the Medicaid Improvement Fund to be available beginning in FY2021.

## Cosponsors (1)

- Rep. Yarmuth, John A. [D-KY-3] (D-KY), 2016-04-29T00:00:00.000Z

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## Sources
- [114-hr-5145 on Congress.gov](https://www.congress.gov/bill/114th-congress/house-bill/5145)

## Related
- [114-hr-6474: To eliminate the daily newspaper cross-ownership rule of the Federal Communicat…](https://policyrisk.com/legislation/114-hr-6474)
- [114-hr-5621: To posthumously award a Congressional Gold Medal to Lawrence Eugene "Larry" Dob…](https://policyrisk.com/legislation/114-hr-5621)
- [114-hr-5183: ALS Disability Insurance Access Act of 2016](https://policyrisk.com/legislation/114-hr-5183)
- [114-hr-4592: Naismith Memorial Basketball Hall of Fame Commemorative Coin Act](https://policyrisk.com/legislation/114-hr-4592)
- [114-hr-4521: Lake Berryessa Recreation Enhancement Act of 2016](https://policyrisk.com/legislation/114-hr-4521)
- [114-hr-4336: An act to amend title 38, United States Code, to provide for the inurnment in A…](https://policyrisk.com/legislation/114-hr-4336)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/114-hr-5145 (as of 2025-11-18).