Turn the Tide Act

Sponsor: Chris Pappas (Democratic-NH)July 16, 2026

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, the Judiciary, Oversight and Government Reform, Education and Workforce, and Financial Services, 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.

Health plans would cover opioid overdose reversal medicine for free, boosting addiction treatment funds.

This bill, called the "Turn the Tide Act," would make sure health insurance plans cover opioid overdose reversal medicine without any co-pays or deductibles. It also sets aside billions of dollars for programs that help people with substance use disorder, including treatment, prevention, and recovery housing. This aims to make it easier for people to get life-saving care and support.

What Would Change

Currently, people may face co-pays, deductibles, or prior authorization (requiring advance approval from the insurer) requirements for opioid overdose reversal medicine and medication-assisted treatment. States also receive federal funding for substance use disorder programs, but this bill would significantly increase and restructure some of that funding. After this bill, health plans would cover opioid overdose reversal medicine for free. Medicaid would not require prior authorization for medication-assisted treatment. States would also receive billions more for various addiction and mental health support programs.

Key Provisions

Requires most health insurance plans to cover at least one opioid overdose reversal medicine with no co-pays or deductibles.
Prevents Medicaid from requiring prior authorization (requiring advance approval from the insurer) for medication-assisted treatment for substance use disorder.
Sets aside $5.5 billion each year for State Opioid Response Grants and $3 billion each year for Substance Abuse Prevention and Treatment Block Grants from 2027-2031.
Increases federal funding to states for Medicaid payments to mental and behavioral health providers treating substance use disorder.
Creates a new Medicaid demonstration project (an experimental program) to test providing recovery housing for certain individuals with opioid use disorder.

View on Congress.gov

HR 9759 · 119th Congress · July 16, 2026 · AI Summary by gemini-2.5-flash · 8/10

Turn the Tide Act

What Would Change

Key Provisions

Lobbying Activity