A Democratic bill with no cosponsors
Last activity — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The Maximizing Opioid Recovery Emergency Savings Act aims to increase affordable access to evidence-based opioid treatments. It establishes a Medicare model to eliminate cost-sharing for specific drugs, behavioral health services, and recovery support services in 15 selected States. Additionally, the bill requires group health plans and health insurance issuers to provide coverage for opioid treatments without cost-sharing requirements. It also enhances the Federal medical assistance percentage for Medicaid to 90 percent for medication-assisted treatment. Finally, it allows States the option to include recovery support services as part of medication-assisted treatment under Medicaid.
Yes· 3 of 11
- Scored +9
Does this do more about addiction and overdose deaths?
The bill directly addresses the opioid crisis by increasing affordability of treatments and recovery services.
- Scored +8
Does this lower the price of prescription medicines?
The bill mandates the elimination of cost-sharing for drugs used to treat opioid use disorders or reverse overdoses.
- Scored +8
Does this make health care easier to get in general?
The bill improves access to evidence-based opioid treatments and recovery support services through eliminated cost-sharing.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Elimination of out-of-pocket costs for Medicare beneficiaries: The bill seeks to eliminate coinsurance, copayments, and deductibles for drugs used to treat opioid use disorders or reverse overdoses, behavioral health services, and recovery support services under Medicare parts B and D (Section 2).
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Increased access to recovery services: By removing cost-sharing, the bill provides affordable access to behavioral health services, including treatment in non-hospital residential facilities, and recovery support services like peer counseling and transportation (Section 2 and Section 3).
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Mandated coverage for health plan members: Group health plans and insurance issuers must provide coverage for prescription drugs to treat opioid use disorders or reverse overdoses, behavioral health services, and community recovery support services without imposing cost-sharing requirements (Section 3).
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Increased funding for State Medicaid programs: The bill increases the Federal medical assistance percentage to 90 percent for medication-assisted treatment in States and the District of Columbia (Section 4).
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Expanded Medicaid service options: States have the option to include recovery support services, such as transportation and peer counseling, as part of medication-assisted treatment to help individuals maintain a healthy lifestyle (Section 4).
Potential Negative Impacts for People
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Limited scope of the Medicare model: The Medicare cost-sharing elimination model is restricted to 15 selected States based on specific criteria like high proportions of beneficiaries, high overdose death rates, and significant rural areas (Section 2).
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Delayed implementation for health plans: The requirements for group health plans and insurance issuers regarding coverage and cost-sharing for opioid treatments apply to plan years beginning on or after January 1, 2027 (Section 3).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Healthcare
- Does this do more about addiction and overdose deaths? — The bill directly addresses the opioid crisis by increasing affordability of treatments and recovery services. Does this make health care easier to get in general? — The bill improves access to evidence-based opioid treatments and recovery support services through eliminated cost-sharing. Does this lower the price of prescription medicines? — The bill mandates the elimination of cost-sharing for drugs used to treat opioid use disorders or reverse overdoses. Does this make mental health care easier to get? — The bill expands access to behavioral health services for the treatment of opioid use disorders. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill increases the Federal medical assistance percentage to 90 percent for medication-assisted treatment. Does this put more money into Medicare, the health coverage for people over 65? — The bill establishes a model to eliminate cost-sharing for specific opioid treatments and services under Medicare.
- Demographic And Interest Groups
- Would households on low incomes be better off under this? — The bill increases Medicaid funding and service options which benefits low-income individuals seeking treatment. Would retired people be better off under this? — The bill provides significant cost-sharing relief for Medicare-eligible retirees needing opioid treatment. Would people over 65 be better off under this? — The bill improves Medicare access to essential opioid treatment services by eliminating cost-sharing. Would middle-income households be better off under this? — The bill provides cost-sharing relief for Medicare beneficiaries which can impact middle-class seniors. Would people in rural areas be better off under this? — The bill specifically includes rural areas as a criterion for selecting Medicare model states.
- 9/3/2026
- Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.