Turn the Tide Act

Bill: 116-s-2102
Sponsor: Sen. Shaheen, Jeanne [D-NH]
Introduced: 2019-07-11 in the Senate
Policy area: Health
Subjects: Administrative law and regulatory procedures
Alternative treatments
Appropriations
Child health
Congressional oversight
Crime prevention
Criminal procedure and sentencing
Department of Health and Human Services
Department of Justice
Disability and health-based discrimination
Drug safety, medical device, and laboratory regulation
Drug therapy
Drug trafficking and controlled substances
Drug, alcohol, tobacco use
Education programs funding
Elementary and secondary education
Emergency medical services and trauma care
Employment and training programs
Executive agency funding and structure
Family services
First responders and emergency personnel
Government information and archives
Government lending and loan guarantees
Health care costs and insurance
Health care coverage and access
Health care quality
Health information and medical records
Health personnel
Health programs administration and funding
Health promotion and preventive care
Health technology, devices, supplies
Higher education
Home and outpatient care
Hospital care
Housing and community development funding
Indian social and development programs
Infectious and parasitic diseases
Law enforcement administration and funding
Long-term, rehabilitative, and terminal care
Medicaid
Medical education
Medical tests and diagnostic methods
Mental health
Minority health
Prescription drugs
Right of privacy
Rural conditions and development
Sex and reproductive health
Social work, volunteer service, charitable organizations
State and local finance
State and local government operations
Student aid and college costs
Surgery and anesthesia
Teaching, teachers, curricula
Women's health

Summary:
action_date: 2019-07-11
text: 

Turn the Tide Act

 
 This bill funds through FY2023 the SUPPORT for Patients and Communities Act, which established various programs to address opioid addiction. Funded programs include (1) grants to increase access to substance use disorder treatments; (2) research, training, and developing best practices within the public health sector; (3) prevention and recovery services for youth, women, and infants; (4) overdose prevention and treatment; and (5) other community, judicial, and administrative programs. The bill also reauthorizes through FY2024 and increases funding for the Opioid State Targeted Response grants program and reauthorizes through FY2029 and increases funding for the Substance Abuse Prevention and Treatment Block Grant program.
 
Further, the bill prohibits health insurance plans, including Medicaid, from requiring prior authorization for medication-assisted treatment for opioid addiction. Plans also must cover at least one overdose-reversing drug without any cost-sharing requirement. The bill also revises Medicaid to require state payments to providers of mental and behavioral health services for substance use disorders and extends funding for demonstration projects that link provider payments to certain metrics. The bill also targets loan repayments for substance use disorder treatment professionals to states with the highest rates of drug overdoses.
 
 Additionally, separate payment classifications must be established for specified procedures covered by Medicare that utilize non-opioid drugs to treat pain after surgery. The bill also (1) establishes grant programs to support responses to children exposed to trauma, (2) expands support for the drug-free communities program, and (3) funds peer-mentoring pilot programs for law enforcement agencies.


Legislative actions:
action_date: 2019-07-11
text: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
action_date: 2019-07-11
text: Introduced in Senate