Fatal Overdose Reduction Act of 2025
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S 665 — Fatal Overdose Reduction Act of 2025
Last action — Read twice and referred to the Committee on Finance.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill is in committee in the Senate. Introduced February 20, 2025. It must pass committee before a floor vote.
Next likely step: a committee vote, then a floor vote in the Senate.
Prognosis
Where this bill stands today.
Odds of enactment
LowHow often bills like it became law.
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In Committee
Current position in the legislative process.
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2 sponsors
1 primary, 1 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (1 D · 1 R) — cross-party backing.
Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.
Summary
Fatal Overdose Reduction Act of 2025This bill establishes a five-year Medicaid demonstration program to support the provision of comprehensive and accessible services to treat opioid use and substance use disorders.Specifically, the bill establishes a demonstration program through which states may receive a Federal Medical Assistance Percentage (i.e., federal matching rate) of at least 90% for services provided by organizations that serve as Health Engagement Hubs. States must certify that these organizations provide a certain level of services, including physical and behavioral health services that are easily and quickly accessible, peer support services, and targeted case management. Organizations must also meet specified minimum staffing requirements, have a community advisory board, and be equipped to provide certain social services (e.g., employment counseling).The Centers for Medicare & Medicaid Services (CMS) may select up to 10 states to participate in the program. The bill provides funds for state planning grants and administration of the program.The CMS must contract with an entity to evaluate the program, and the Government Accountability Office must report on this evaluation.
Bill Text
- Introduced Introduced in Senate Current html February 20, 2025
Compared against current U.S. Code AI-generated reading aid — verify against the official bill.
The bill establishes a Health Engagement Hub Demonstration Program under Medicaid to enhance access to treatment for opioid use disorder and other substance use disorders.
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42 U.S.C. 1396b
(cc) Health Engagement Hub Demonstration Program.--
Adds a new subsection for the Health Engagement Hub Demonstration Program.
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42 U.S.C. 1396b
The Secretary shall conduct a demonstration program (referred to in this subsection as the `demonstration program') for the purpose of increasing access to treatment for opioid use disorder and other substance use disorders through the establishment of Health Engagement Hubs that meet the criteria published by the Secretary under paragraph (2)(A).
Mandates the Secretary to create a demonstration program to improve treatment access for substance use disorders.
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42 U.S.C. 1396b
Not later than 6 months after the date of enactment of this subsection, the Secretary shall publish the following: (A) Certification criteria.
Requires the Secretary to publish certification criteria for organizations to become Health Engagement Hubs.
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42 U.S.C. 1396b
Guidance for States selected to participate in the demonstration program to use to establish a prospective payment system for the required items and services described in paragraph (3)(B).
Requires guidance for States on setting up payment systems for services provided by Health Engagement Hubs.
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42 U.S.C. 1396b
Statements that, with respect to the provision of medical assistance for prescribed drugs or covered outpatient drugs... a certified Health Engagement Hub that provides medical assistance for prescribed drugs or covered outpatient drugs... shall not be precluded from receiving payment under the State plan.
Clarifies payment provisions for certified Health Engagement Hubs that provide medication assistance.
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42 U.S.C. 1396b
Such requirements as the Secretary determines appropriate for an Indian Tribe or Tribal organization... to apply for, and be selected to participate in, the demonstration program.
Includes provisions for Indian Tribes and organizations to participate in the demonstration program.
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42 U.S.C. 1396b
In order to be certified as a Health Engagement Hub, an organization shall satisfy the following requirements:...
Establishes criteria that organizations must meet to be certified as Health Engagement Hubs.
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42 U.S.C. 1396b
The items and services specified in this subparagraph are the following, subject to the requirements applicable under this title to the provision of such items and services:...
Defines the scope of services that Health Engagement Hubs will provide.
Action History
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Introduced in Senate
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Read twice and referred to the Committee on Finance.
Sponsors
- Maria Cantwell · Primary
- Bill Cassidy · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 1 co-sponsors · 545 not signed on
Sponsors (1)
- Cantwell, Maria Democratic
Co-sponsors (1)
- Cassidy, Bill Republican
Not signed on (545)
545 members have not signed on to this bill.
Show all 545 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- What does S 665 do?
- Fatal Overdose Reduction Act of 2025This bill establishes a five-year Medicaid demonstration program to support the provision of comprehensive and accessible services to treat opioid use and substance use disorders.Specifically, the bill establishes a demonstration program through which states may receive a Federal Medical Assistance Percentage (i.e., federal matching rate) of at least 90% for services provided by organizations that serve as Health Engagement Hubs. States must certify that these organizations provide a certain level of services, including physical and behavioral health services that are easily and quickly accessible, peer support services, and targeted case management. Organizations must also meet specified minimum staffing requirements, have a community advisory board, and be equipped to provide certain social services (e.g., employment counseling).The Centers for Medicare & Medicaid Services (CMS) may select up to 10 states to participate in the program. The bill provides funds for state planning grants and administration of the program.The CMS must contract with an entity to evaluate the program, and the Government Accountability Office must report on this evaluation.
- Who sponsors S 665?
- S 665 is sponsored by Cantwell, Maria (Democratic) and Cassidy, Bill (Republican).
- What is the current status of S 665?
- This bill is in committee in the Senate. Introduced February 20, 2025. It must pass committee before a floor vote.
- Where can I track S 665?
- Track S 665 free on One Click Politics — get push/email alerts when it moves.
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