Medicare in 15 states and private health plans would cover opioid treatment without copays or deductibles.
This bill would make it easier and more affordable for people to get help for opioid use disorder. It would remove out-of-pocket costs for opioid treatments and recovery services for Medicare beneficiaries in 15 states. It would also require most private health plans to cover these services without any copays or deductibles, starting in 2027.
Today, people often pay copayments, coinsurance, or deductibles for opioid treatments and recovery services under Medicare and private health plans. After this bill, many people with private insurance would pay nothing out-of-pocket for these services, and Medicare beneficiaries in 15 states would also pay nothing. States would also receive an increased 90 percent federal match for their Medicaid spending on medication-assisted treatment.
HR 10254 · 119th Congress · AI Summary by gemini-2.5-flash · 8/10
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