This bill — the SENIOR Communities Protection Act — would authorize the suspension of payments by Medicare Prescription Drug Plans and Medicare Advantage to a pharmacy pending the investigation of credible allegations of fraud against the pharmacy. A fraud hotline tip, without other evidence, couldn’t be considered a credible allegation of fraud. The Dept. of Health and Human Services (HHS) has similar authority under Medicare Fee-for-Service, and the HHS Inspector General would be required to investigate allegations under this bill.
The bill’s full title is the Stop Excessive Narcotics in Our Retirement (SENIOR) Communities Protection Act.