,,ii  #aafth ,,congress  #ast ,session  
,s4 #adbd  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ac1      
#bjai,mr4 ,casey 7for himself1 ,mrs4    
,shaheen1 and ,ms4 ,klobuchar7          
introduced the following bill2 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 disorders1     
opioid overdose reversal medications1   
and recovery support services by health 
plans without cost-sharing requirements4
  #a4 ,short title ,this ,act may be    
cited as the ,maximizing ,opioid        
,recovery ,emergency ,savings ,act or   
the ,,more ,savings ,act4  #b4 ,testing 
of elimination of ,medicare cost-sharing
 for evidence-based opioid treatments   
,section #aaae;,a7b77#b7 of the ,social 
,security ,act 7#db ,u4,s4,c4           
#acae;a7b77#b77 is amended-- 7#a7 in    

subparagraph 7,a71 in the last sentence1
 by inserting 1 and shall include the   
model described in subparagraph 7,d7    
7which shall be implemented by not later
 than six months after the date of the  
enactment of the ,maximizing ,opioid    
,recovery ,emergency ,savings ,act7     
before the period at the end2 and  7#b7 
by adding at the end the following new  
subparagraph3  7,d7 ,affordable access  
to evidence-based opioid treatments  7i7
 ,in general ,the model described in    
this subparagraph is a model that seeks 
to provide affordable access to         
evidence-based opioid treatments and    
recovery support services by eliminating
 coinsurance1 copayments1 and           
deductibles otherwise applicable under  
parts ,b and ,d of title ,,xviii        
7including as such parts are applied    
under part ,c of such title7 for the    
following items and services that are   
otherwise covered under such parts3 7,i7
 ,drugs and biologicals prescribed or   
furnished to treat opioid use disorders 

or reverse overdose4  7,,ii7 ,behavioral
 health services furnished for the      
treatment of opioid use disorders4      
7,,iii7 ,recovery support services to   
maintain a healthy lifestyle following  
opioid misuse treatment1 such as peer   
counseling and transportation4  7ii7    
,selection of sites ,the ,,cmi shall    
select #ae ,states in which to conduct  
the model under this subparagraph4 ,a   
,state shall meet each of the following 
criteria in order to be selected under  
the preceding sentence3 7,i7 ,the ,state
 has a high proportion of ,medicare     
beneficiaries4  7,,ii7 ,the ,state has a
 high rate of overdose deaths due to    
opioids4  7,,iii7 ,the ,state has a     
significant percentage of rural areas4  
7iii7 ,termination and modification     
provision not applicable for first five 
years of the model ,the provisions of   
paragraph 7#c77;,b7 shall apply to the  
model under this subparagraph beginning 
on the date that is five years after    
such model is implemented1 but shall not

 apply to such model prior to such date4
  4  #c4 ,coverage of opioid treatments 
,title ,,xxvii of the ,public ,health   
,service ,act is amended by inserting   
after section #bgai;,a 7#db ,u4,s4,c4   
#cjj;gg-#ai;a7 the following3  #bgbj4   
,coverage of opioid treatments ,a group 
health plan and a health insurance      
issuer offering group or individual     
health insurance coverage shall1 at a   
minimum1 provide coverage for and shall 
not impose any cost-sharing requirements
 for-- 7#a7 prescription drugs for the  
treatment of opioid use disorders or to 
reverse overdose2  7#b7 behavioral      
health services for the treatment of    
opioid use disorders2 or  7#c7 recovery 
support services that are provided in   
conjunction with medication-assisted    
treatment for an opioid use disorder1   
such as peer counseling and             
transportation1 to support the enrollee 
in maintaining a healthy lifestyle      
following opioid misuse treatment4  4   
#d4 ,enhanced ,federal match for        

medication-assisted treatment and       
recovery support services under         
,medicaid  7a7 ,in general ,section     
#aije7;b7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acif;d7b77 is amended by
 adding at the end the following3       
,notwithstanding the first sentence of  
this subsection1 the ,federal medical   
assistance percentage shall be #ij      
percent with respect to amounts expended
 during the period described in         
subsection 7a77#bi7 by a ,state that is 
one of the #ej ,states or the ,district 
of ,columbia as medical assistance for  
medication-assisted treatment 7as       
defined in subsection 7ee77#a7744  7b7  
,state option ,to provide recovery      
support services as part of             
medication-,assisted treatment ,section 
#aije7;ee77#a7 of the ,social ,security 
,act 7#db ,u4,s4,c4 #acif;d7ee77#a77 is 
amended-- 7#a7 in subparagraph 7,a71 by 
striking 2 and and inserting a          
semicolon2  7#b7 in subparagraph 7,b71  
by striking the period at the end and   

inserting 2 and2 and  7#c7 by adding at 
the end the following new subparagraph3 
7,c7 at the option of a ,state1 includes
 recovery support services1 such as peer
 counseling and transportation1 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      
treatment4  4