,,ii  #aaith ,,congress  #ast ,session  
,s4 #bjgb  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,june #ab1     
#bjbe,mr4 ,blumenthal 7for himself1 ,mr4
 ,fetterman1 ,mr4 ,heinrich1 ,mr4 ,lujn1
 ,ms4 ,klobuchar1 and ,mr4 ,welch7      
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    
community-based 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 and community 
support services furnished for the      
treatment of opioid use disorders1      
including treatment of addiction in     
non-hospital residential facilities     
licensed to furnish such treatment4     
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 
7a7 ,in general  7#a7 ,,phsa ,part ,d of
 title ,,xxvii of the ,public ,health   
,service ,act 7#db ,u4,s4,c4            
#cjj;gg-#aaa et seq47 is amended by     
adding at the end the following3        
#bgii;,a-#aa4 ,coverage of opioid       
treatments ,a group health plan and a   
health insurance issuer offering group  
or individual health insurance coverage 
shall1 at a minimum1 with respect to a  
participant1 beneficiary1 or enrollee in
 the plan or coverage1 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

 disorders1 including treatment of      
opioid use disorders in non-hospital    
residential facilities licensed to      
provide such treatment2 or  7#c7        
community recovery support services that
 are provided in conjunction with1 where
 appropriate1 medication-assisted       
treatment for an opioid use disorder1   
such as peer counseling and             
transportation1 to support the          
participant1 beneficiary1 or enrollee in
 maintaining a healthy lifestyle        
following opioid misuse treatment4  4   
7#b7 ,,erisa  7,a7 ,in general ,subpart 
,b of part #g of subtitle ,b of title ,i
 of the ,employee ,retirement ,income   
,security ,act of #aigd 7#bi ,u4,s4,c4  
#aahe et seq47 is amended by adding at  
the end the following3  #gbf4 ,coverage 
of opioid treatments ,a group health    
plan and a health insurance issuer      
offering group health insurance coverage
 shall1 at a minimum1 with respect to a 
participant or beneficiary in the plan  
or coverage1 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 disorders1      
including treatment of opioid use       
disorders in non-hospital residential   
facilities licensed to provide such     
treatment2 or  7#c7 community recovery  
support services that are provided in   
conjunction with1 where appropriate1    
medication-assisted treatment for an    
opioid use disorder1 such as peer       
counseling and transportation1 to       
support the participant or beneficiary  
in maintaining a healthy lifestyle      
following opioid misuse treatment4  4   
7,b7 ,clerical amendment ,the table of  
contents in section #a of the ,employee 
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #ajja et seq47 is  
amended by inserting after the item     
relating to section #gbe the following  
new item3  ,sec4 #gbf4 ,coverage of     

opioid treatments4  4  7#c7 ,,irc  7,a7 
,in general ,chapter #ajj of the        
,internal ,revenue ,code of #aihf is    
amended by adding at the end the        
following3  #ihbf4 ,coverage of opioid  
treatments ,a group health plan shall1  
at a minimum1 with respect to a         
participant or beneficiary in the plan1 
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 disorders1 including         
treatment of opioid use disorders in    
non-hospital residential facilities     
licensed to provide such treatment2 or  
7#c7 community recovery support services
 that are provided in conjunction with1 
where appropriate1 medication-assisted  
treatment for an opioid use disorder1   
such as peer counseling and             
transportation1 to support the          
participant or beneficiary in           

maintaining a healthy lifestyle         
following opioid misuse treatment4  4   
7,b7 ,clerical amendment ,the table of  
sections for subchapter ,b of chapter   
#ajj of the ,internal ,revenue ,code of 
#aihf is amended by adding at the end   
the following new item3 ,sec4 #ihbf4    
,coverage of opioid treatments44  7b7   
,effective date ,the amendments made by 
subsection 7a7 shall apply with respect 
to plan years beginning on or after     
,january #a1 #bjbg4  #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      
during the portion of the period        
described in subsection 7a77#bi7 that   
begins on the date of enactment of this 
sentence1 the ,federal medical          
assistance percentage shall be #ij      

percent with respect to amounts expended
 during such portion of such period 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