The MORE Savings Act would test eliminating Medicare cost-sharing for covered opioid treatment and recovery services in 15 selected states. It would also require many group and individual health plans to cover specified opioid treatments without cost-sharing starting with plan years on or after January 1, 2027. For Medicaid, it would set a 90 percent federal matching rate for medication-assisted treatment during a specified period and let states include certain recovery support services in that treatment.
If you have Medicare in a selected state, the test model would remove deductibles, copayments, and coinsurance for eligible, covered opioid treatment drugs, behavioral health and community support services, and recovery support services. The selected states must have a high proportion of Medicare beneficiaries, high opioid overdose death rates, and significant rural areas. The bill would also require applicable health plans to cover opioid treatment drugs, overdose reversal drugs, behavioral health services, and certain recovery supports without cost-sharing. States could choose to include peer counseling and transportation as Medicaid recovery support services.
The bill would remove cost-sharing for the specified services when covered under the Medicare model or applicable health plan requirements. It provides a 90 percent federal Medicaid matching rate for medication-assisted treatment during the period described in the bill. No publicly available information on total costs or savings.
No publicly available information.
No publicly available information.