Eliminating insurance barriers to medication-assisted treatment
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(a) Prohibition Section 1903(i) of the Social Security Act (42 U.S.C. 1396b(i)) is amended— (1) in paragraph (26), by striking; or and inserting a semicolon; (2) in paragraph (27), by striking the period at the end and inserting; or; and (3) by inserting after paragraph (27) the following new paragraph: (28) with respect to any amount expended for medical assistance for medication-assisted treatment (as defined in section 1905(ee)) if the State imposes any utilization control policies or procedures (as defined by the Secretary), including any prior authorization requirements, with respect to the provision of such assistance.. (b) Conforming amendment Section 1905(a)(29) of the Social Security Act (42 U.S.C. 1396d(a)(29)) is amended by inserting and section 1903(i)(28) after subsection (ee). (c) Effective date The amendments made by this subsection take effect on October 1, 2026.