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.
Summary
What This Bill Does
The bill requires 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, provides coverage of opioid treatments Title XXVII of the Public Health Service Act is amended by inserting after section 2719A (42 U.S.C, and provides coverage of opioid treatments A group health plan and a health insurance issuer offering group or individual health insurance coverage shall, at a minimum, provide coverage for and shall not impose any. It relies on compliance mandates, definition changes, appropriations, and exemptions. The main policy areas are Agriculture, Healthcare, and Transportation.
Who Benefits and How
Public beneficiaries or protected communities affected by the clause could face reduced risk, Transportation operators and users affected by the bill could face lower compliance burdens, and Patients and health care consumers affected by the bill could face lower compliance burdens.
Who Bears the Burden and How
Federal, state, or local agencies responsible for implementing the clause would take on compliance duties, Transportation operators and users affected by the bill would take on compliance duties, and Patients and health care consumers affected by the bill would take on compliance duties.
Key Provisions
- Requires 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.
- Provides coverage of opioid treatments Title XXVII of the Public Health Service Act is amended by inserting after section 2719A (42 U.S.C.
- Provides coverage of opioid treatments A group health plan and a health insurance issuer offering group or individual health insurance coverage shall, at a minimum, provide coverage for and shall not impose any...
- Requires enhanced Federal match for medication-assisted treatment and recovery support services under Medicaid Section 1905(b) of the Social Security Act (42 U.S.C.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill requires 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, provides coverage of opioid treatments Title XXVII of the Public Health Service Act is amended by inserting after section 2719A (42 U.S.C, and provides coverage of opioid treatments A group health plan and a health insurance issuer offering group or individual health insurance coverage shall, at a minimum, provide coverage for and shall not impose any.
Key Policy Areas
Agriculture, Healthcare, Transportation
Primary Purpose
The bill requires 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, provides coverage of opioid treatments Title XXVII of the Public Health Service Act is amended by inserting after section 2719A (42 U.S.C, and provides coverage of opioid treatments A group health plan and a health insurance issuer offering group or individual health insurance coverage shall, at a minimum, provide coverage for and shall not impose any.
Policy Domains
Whole bill
Identified Gains
- Public beneficiaries or protected communities affected by the clause
- Transportation operators and users affected by the bill
- Patients and health care consumers affected by the bill
- Lobbyists, political organizations, and disclosure users affected by the bill
- Agricultural producers and rural communities affected by the bill
Identified Costs
- Federal, state, or local agencies responsible for implementing the clause
- Transportation operators and users affected by the bill
- Patients and health care consumers affected by the bill
Sponsors
Legislative Progress
IntroducedMr. Casey (for himself, Mr. Blumenthal, Ms. Klobuchar, and Mr. …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
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