I 

118TH CONGRESS 

1ST SESSION H. R. 1620 

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 HOUSE OF REPRESENTATIVES 

MARCH 17, 2023 

Ms. DEAN of Pennsylvania (for herself and Mr. MCGARVEY) introduced the 

following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Maximizing Opioid Re3 covery Emergency Savings Act’’ or the ‘‘MORE Savings 

4 Act’’. 

5 SEC. 2. TESTING OF ELIMINATION OF MEDICARE COST6 SHARING FOR EVIDENCE-BASED OPIOID 

7 TREATMENTS. 

8 Section 1115A(b)(2) of the Social Security Act (42 

9 U.S.C. 1315a(b)(2)) is amended— 

10 (1) in subparagraph (A), in the last sentence, 

11 by inserting ‘‘, and shall include the model described 

12 in subparagraph (D) (which shall be implemented by 

13 not later than six months after the date of the en14 actment of the Maximizing Opioid Recovery Emer15 gency Savings Act)’’ before the period at the end; 

16 and 

17 (2) by adding at the end the following new sub18 paragraph: 

19 ‘‘(D) AFFORDABLE ACCESS TO EVIDENCE20 BASED OPIOID TREATMENTS.— 

21 ‘‘(i) IN GENERAL.—The model de22 scribed in this subparagraph is a model 

23 that seeks to provide affordable access to 

24 evidence-based opioid treatments and com25 munity-based recovery support services by 

26 eliminating coinsurance, copayments, and 


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1 deductibles otherwise applicable under 

2 parts B and D of title XVIII (including as 

3 such parts are applied under part C of 

4 such title) for the following items and serv5 ices that are otherwise covered under such 

6 parts: 

7 ‘‘(I) Drugs and biologicals pre8 scribed or furnished to treat opioid 

9 use disorders or reverse overdose. 

10 ‘‘(II) Behavioral health and com11 munity support services furnished for 

12 the treatment of opioid use disorders, 

13 including treatment of addiction in 

14 non-hospital residential facilities li15 censed to furnish such treatment. 

16 ‘‘(III) Recovery support services 

17 to maintain a healthy lifestyle fol18 lowing opioid misuse treatment, such 

19 as peer counseling and transportation. 

20 ‘‘(ii) SELECTION OF SITES.—The CMI 

21 shall select 15 States in which to conduct 

22 the model under this subparagraph. A 

23 State shall meet each of the following cri24 teria in order to be selected under the pre25 ceding sentence: 


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1 ‘‘(I) The State has a high pro2 portion of Medicare beneficiaries. 

3 ‘‘(II) The State has a high rate 

4 of overdose deaths due to opioids. 

5 ‘‘(III) The State has a significant 

6 percentage of rural areas. 

7 ‘‘(iii) TERMINATION AND MODIFICA8 TION PROVISION NOT APPLICABLE FOR

9 FIRST FIVE YEARS OF THE MODEL.—The 

10 provisions of paragraph (3)(B) shall apply 

11 to the model under this subparagraph be12 ginning on the date that is five years after 

13 such model is implemented, but shall not 

14 apply to such model prior to such date.’’. 

15 SEC. 3. COVERAGE OF OPIOID TREATMENTS. 

16 (a) IN GENERAL.—Title XXVII of the Public Health 

17 Service Act is amended by inserting after section 2719A 

18 (42 U.S.C. 300gg–19a) the following: 

19 ‘‘SEC. 2720. COVERAGE OF OPIOID TREATMENTS. 

20 ‘‘A group health plan and a health insurance issuer 

21 offering group or individual health insurance coverage 

22 shall, at a minimum, provide coverage for and shall not 

23 impose any cost-sharing requirements for— 

24 ‘‘(1) prescription drugs for the treatment of 

25 opioid use disorders or to reverse overdose; 


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1 ‘‘(2) behavioral health services for the treat2 ment of opioid use disorders, including treatment of 

3 opioid use disorders in non-hospital residential facili4 ties licensed to provide such treatment; or 

5 ‘‘(3) community recovery support services that 

6 are provided in conjunction with, where appropriate, 

7 medication-assisted treatment for an opioid use dis8 order, such as peer counseling and transportation, to 

9 support the enrollee in maintaining a healthy life10 style following opioid misuse treatment.’’. 

11 (b) EFFECTIVE DATE.—The amendment made by 

12 subsection (a) shall apply with respect to plan years begin13 ning on or after January 1, 2025. 

14 SEC. 4. ENHANCED FEDERAL MATCH FOR MEDICATION-AS15 SISTED TREATMENT AND RECOVERY SUP16 PORT SERVICES UNDER MEDICAID. 

17 (a) IN GENERAL.—Section 1905(b) of the Social Se18 curity Act (42 U.S.C. 1396d(b)) is amended by adding 

19 at the end the following: ‘‘Notwithstanding the first sen20 tence of this subsection, during the portion of the period 

21 described in subsection (a)(29) that begins on the date 

22 of enactment of this sentence, the Federal medical assist23 ance percentage shall be 90 percent with respect to 

24 amounts expended during such portion of such period by 

25 a State that is one of the 50 States or the District of 


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1 Columbia as medical assistance for medication-assisted 

2 treatment (as defined in subsection (ee)(1)).’’. 

3 (b) STATE OPTION TO PROVIDE RECOVERY SUP4 PORT SERVICES AS PART OF MEDICATION-ASSISTED

5 TREATMENT.—Section 1905(ee)(1) of the Social Security 

6 Act (42 U.S.C. 1396d(ee)(1)) is amended— 

7 (1) in subparagraph (A), by striking ‘‘; and’’ 

8 and inserting a semicolon; 

9 (2) in subparagraph (B), by striking the period 

10 at the end and inserting ‘‘; and’’; and 

11 (3) by adding at the end the following new sub12 paragraph: 

13 ‘‘(C) at the option of a State, includes re14 covery support services, such as peer counseling 

15 and transportation, that are provided to an in16 dividual in conjunction with the provision of 

17 such drugs and biological products to support 

18 the individual in maintaining a healthy lifestyle 

19 following opioid misuse treatment.’’. 

Æ 


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