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HR-10254House2026-09-03Health

MORE Savings Act

YourVoice.Now Summary

Your MoneyTransparency & Accountability

Health plans would cover opioid addiction care with no copays from 2027 — Medicare would test the same in 15 states.

Your Money

Health plan coverage of opioid addiction care — no copays from 2027

Job-based and individual health plans would have to cover drugs that treat opioid addiction or reverse an overdose. They would also cover counseling, licensed live-in treatment, and recovery help like peer counseling and rides, with no copay, coinsurance, or deductible.

Medicaid coverage of peer counseling and rides — state's choice

States could choose to have Medicaid pay for recovery help, like peer counseling and rides, given along with addiction medicine. Whether you get it depends on your state.

Medicare copays for opioid addiction care — dropped in 15 test states

Medicare would run a test in 15 states that drops copays, coinsurance, and deductibles for addiction drugs, overdose-reversal drugs, counseling, and recovery help. It covers Part B, Part D, and Medicare Advantage, and must start within six months.

Transparency & Accountability

Cost and quality check on the Medicare test — paused five years

Medicare must normally end or change a test unless experts expect it to improve care or save money without making the other worse. That rule would not apply to this test until it has run five years.

More about this bill

If you get health insurance through work or buy your own plan, it would have to cover opioid addiction care. You would pay no copay, coinsurance, or deductible for it. This covers drugs that treat opioid addiction or reverse an overdose. It also covers counseling, care in licensed live-in treatment centers, and recovery help such as peer counseling and rides. The rule starts with plan years that begin on or after January 1, 2027. Medicare would also test dropping these costs for its members in 15 states. The states must have many Medicare members, high opioid overdose death rates, and large rural areas. The test must start within six months after the bill becomes law. The usual rule that ends tests that raise costs or hurt care would not apply for its first five years. For Medicaid, the federal government would pay 90% of what states spend on addiction medicine and related counseling. Today its share is 50% to 83%, depending on the state. States could also choose to add recovery help, like peer counseling and rides, to that Medicaid care.

Congressional Summary

Maximizing Opioid Recovery Emergency Savings Act or the MORE Savings Act This bill modifies coverage of opioid treatments and recovery support services under Medicare, Medicaid, and private health insurance. Specifically, the bill requires the Center for Medicare and Medicaid Innovation to test a model in which specified opioid treatments and recovery support services are provided under Medicare without cost-sharing (e.g., coinsurance, copayments, and deductibles). The bill also allows state Medicaid programs to cover recovery support services as part of medication-assisted treatment (MAT) and increases the applicable Federal Medical Assistance Percentage for MAT. Additionally, beginning in 2027, private health insurers must cover specified opioid treatments and MAT-associated recovery support services without cost-sharing.

Details

Congress
119th
Chamber
House
Status
summarized
Action
Introduced in House
Action Date
2026-09-03
Date Added
2026-10-07
Source
Congress.gov →

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