119-s2072

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2072 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 2072

To promote affordable access to evidence-based opioid treatments under 
 the Medicare program and require coverage of medication assisted 
 treatment for opioid use disorders, opioid overdose reversal 
 medications, and recovery support services by health plans without 
 cost-sharing requirements.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 June 12, 2025

 Mr. Blumenthal (for himself, Mr. Fetterman, Mr. Heinrich, Mr. Lujan, 
Ms. Klobuchar, and Mr. Welch) introduced the following bill; which was 
 read twice and referred to the Committee on Finance

_______________________________________________________________________

 A BILL

To promote affordable access to evidence-based opioid treatments under 
 the Medicare program and require coverage of medication assisted 
 treatment for opioid use disorders, opioid overdose reversal 
 medications, and recovery support services by health plans without 
 cost-sharing requirements.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Maximizing Opioid Recovery Emergency 
Savings Act'' or the ``MORE Savings Act''.

SEC. 2. TESTING OF ELIMINATION OF MEDICARE COST-SHARING FOR EVIDENCE-
 BASED OPIOID TREATMENTS.

 

Section 1115A

    (b)

    (2) of the Social Security Act (42 U.S.C. 
1315a

    (b)

    (2) ) is amended--

    (1) in subparagraph
        (A) , in the last sentence, by inserting 
 ``, and shall include the model described in subparagraph
            (D) (which shall be implemented by not later than six months after 
 the date of the enactment of the Maximizing Opioid Recovery 
 Emergency Savings Act)'' before the period at the end; and

    (2) by adding at the end the following new subparagraph:
 ``
            (D) Affordable access to evidence-based opioid 
 treatments.--
 ``
            (i) In general.--The model described in 
 this subparagraph is a model that seeks to 
 provide affordable access to evidence-based 
 opioid treatments and community-based recovery 
 support services by eliminating coinsurance, 
 copayments, and deductibles otherwise 
 applicable under parts B and D of title XVIII 
 (including as such parts are applied under part 
 C of such title) for the following items and 
 services that are otherwise covered under such 
 parts:
 ``
            (I) Drugs and biologicals 
 prescribed or furnished to treat opioid 
 use disorders or reverse overdose.
 ``
            (II) Behavioral health and 
 community support services furnished 
 for the treatment of opioid use 
 disorders, including treatment of 
 addiction in non-hospital residential 
 facilities licensed to furnish such 
 treatment.
 ``
            (III) Recovery support services 
 to maintain a healthy lifestyle 
 following opioid misuse treatment, such 
 as peer counseling and transportation.
 ``
            (ii) Selection of sites.--The CMI shall 
 select 15 States in which to conduct the model 
 under this subparagraph. A State shall meet 
 each of the following criteria in order to be 
 selected under the preceding sentence:
 ``
            (I) The State has a high 
 proportion of Medicare beneficiaries.
 ``
            (II) The State has a high rate of 
 overdose deaths due to opioids.
 ``
            (III) The State has a significant 
 percentage of rural areas.
 ``
            (iii) Termination and modification 
 provision not applicable for first five years 
 of the model.--The provisions of paragraph

    (3)
        (B) shall apply to the model under this 
 subparagraph beginning on the date that is five 
 years after such model is implemented, but 
 shall not apply to such model prior to such 
 date.''.

SEC. 3. COVERAGE OF OPIOID TREATMENTS.

    (a) In General.--

    (1) PHSA.--Part D of title XXVII of the Public Health 
 Service Act (42 U.S.C. 300gg-111 et seq.) is amended by adding 
 at the end the following:

``

SEC. 2799A-11. COVERAGE OF OPIOID TREATMENTS.

 ``A group health plan and a health insurance issuer offering group 
or individual health insurance coverage shall, at a minimum, with 
respect to a participant, beneficiary, or enrollee in the plan or 
coverage, provide coverage for and shall not impose any cost-sharing 
requirements for--
 ``

    (1) prescription drugs for the treatment of opioid use 
 disorders or to reverse overdose;
 ``

    (2) behavioral health services for the treatment of 
 opioid use disorders, including treatment of opioid use 
 disorders in non-hospital residential facilities licensed to 
 provide such treatment; or
 ``

    (3) community recovery support services that are provided 
 in conjunction with, where appropriate, medication-assisted 
 treatment for an opioid use disorder, such as peer counseling 
 and transportation, to support the participant, beneficiary, or 
 enrollee in maintaining a healthy lifestyle following opioid 
 misuse treatment.''.

    (2) ERISA.--
        (A) In general.--Subpart B of part 7 of subtitle B 
 of title I of the Employee Retirement Income Security 
 Act of 1974 (29 U.S.C. 1185 et seq.) is amended by 
 adding at the end the following:

``

SEC. 726. COVERAGE OF OPIOID TREATMENTS.

 ``A group health plan and a health insurance issuer offering group 
health insurance coverage shall, at a minimum, with respect to a 
participant or beneficiary in the plan or coverage, provide coverage 
for and shall not impose any cost-sharing requirements for--
 ``

    (1) prescription drugs for the treatment of opioid use 
 disorders or to reverse overdose;
 ``

    (2) behavioral health services for the treatment of 
 opioid use disorders, including treatment of opioid use 
 disorders in non-hospital residential facilities licensed to 
 provide such treatment; or
 ``

    (3) community recovery support services that are provided 
 in conjunction with, where appropriate, medication-assisted 
 treatment for an opioid use disorder, such as peer counseling 
 and transportation, to support the participant or beneficiary 
 in maintaining a healthy lifestyle following opioid misuse 
 treatment.''.
        (B) Clerical amendment.--The table of contents in 
 

section 1 of the Employee Retirement Income Security 
 Act of 1974 (29 U.S.C. 1001 et seq.) is amended by 
 inserting after the item relating to 

section 725 the 
 following new item:

``

Sec. 726. Coverage of opioid treatments.''.

    (3) IRC.--
        (A) In general.--Chapter 100 of the Internal 
 Revenue Code of 1986 is amended by adding at the end 
 the following:

``

SEC. 9826. COVERAGE OF OPIOID TREATMENTS.

 ``A group health plan shall, at a minimum, with respect to a 
participant or beneficiary in the plan, provide coverage for and shall 
not impose any cost-sharing requirements for--
 ``

    (1) prescription drugs for the treatment of opioid use 
 disorders or to reverse overdose;
 ``

    (2) behavioral health services for the treatment of 
 opioid use disorders, including treatment of opioid use 
 disorders in non-hospital residential facilities licensed to 
 provide such treatment; or
 ``

    (3) community recovery support services that are provided 
 in conjunction with, where appropriate, medication-assisted 
 treatment for an opioid use disorder, such as peer counseling 
 and transportation, to support the participant or beneficiary 
 in maintaining a healthy lifestyle following opioid misuse 
 treatment.''.
        (B) Clerical amendment.--The table of sections for 
 subchapter B of chapter 100 of the Internal Revenue 
 Code of 1986 is amended by adding at the end the 
 following new item:

``

Sec. 9826. Coverage of opioid treatments.''.

    (b) Effective Date.--The amendments made by subsection

    (a) shall 
apply with respect to plan years beginning on or after January 1, 2027.

SEC. 4. ENHANCED FEDERAL MATCH FOR MEDICATION-ASSISTED TREATMENT AND 
 RECOVERY SUPPORT SERVICES UNDER MEDICAID.

    (a) In General.--

Section 1905

    (b) of the Social Security Act (42 
U.S.C. 1396d

    (b) ) is amended by adding at the end the following: 
``Notwithstanding the first sentence of this subsection, during the 
portion of the period described in subsection

    (a)

    (29) that begins on 
the date of enactment of this sentence, the Federal medical assistance 
percentage shall be 90 percent with respect to amounts expended during 
such portion of such period by a State that is one of the 50 States or 
the District of Columbia as medical assistance for medication-assisted 
treatment (as defined in subsection

    (ee)

    (1) ).''.

    (b) State Option To Provide Recovery Support Services as Part of 
Medication-Assisted Treatment.--

Section 1905

    (ee)

    (1) of the Social 
Security Act (42 U.S.C. 1396d

    (ee)

    (1) ) is amended--

    (1) in subparagraph
        (A) , by striking ``; and'' and 
 inserting a semicolon;

    (2) in subparagraph
        (B) , by striking the period at the end 
 and inserting ``; and''; and

    (3) by adding at the end the following new subparagraph:
 ``
            (C) at the option of a State, includes recovery 
 support services, such as peer counseling and 
 transportation, that are provided to an individual in 
 conjunction with the provision of such drugs and 
 biological products to support the individual in 
 maintaining a healthy lifestyle following opioid misuse 
 treatment.''.
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