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S. 3136Senate118th Congress (2023-2025)In Committee

Extending Access to Addiction Treatment Act

Sponsored by Margaret Wood HassanSen. Margaret Wood Hassan (D-NH)
Introduced October 26, 2023

AI-Generated Summary

Updated January 20, 2026 at 12:32 PM UTC

The Extending Access to Addiction Treatment Act changes Medicaid rules so that state Medicaid plans must continue covering medication‑assisted treatment for substance use disorders. It removes the previous end date for this coverage requirement and sets a recurring certification schedule for states. The changes affect Medicaid beneficiaries who need addiction treatment and the states that administer Medicaid programs.

Key Provisions

  • Eliminates the October 1, 2020 – September 30, 2025 time limit, making the Medicaid coverage requirement for medication‑assisted treatment ongoing.
  • Requires each state to certify its compliance with the coverage requirement at least every five years, subject to the Secretary’s approval.
  • Updates a related provision in the Substance Use‑Disorder Prevention Act by removing the reference to the October 1, 2025 deadline.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

Finance Committee

October 26, 2023

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SenateIntro Referral

Introduced in Senate

October 26, 2023

SenateIntro Referral

Read twice and referred to the Committee on Finance.

Finance Committee

October 26, 2023

Bill Text

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Introduced in SenateIssued October 26, 2023

II

118th CONGRESS

1st Session

S. 3136

IN THE SENATE OF THE UNITED STATES

October 26, 2023

Ms. Hassan (for herself and Mrs. Blackburn) introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XIX of the Social Security Act to extend the requirement for State Medicaid plans to provide coverage for medication-assisted treatment.

1.

Short title

This Act may be cited as the Extending Access to Addiction Treatment Act.

2.

Extending requirement for State Medicaid plans to provide coverage for medication-assisted treatment

(a)

In general

Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—

(1)

in subsection (a)(29), by striking for the period beginning October 1, 2020, and ending September 30, 2025, and inserting beginning on October 1, 2020,; and

(2)

in subsection (ee)(2), by striking for the period specified in such paragraph, if before the beginning of such period the State certifies to the satisfaction of the Secretary and inserting if such State certifies, not less than every 5 years and to the satisfaction of the Secretary,.

(b)

Conforming amendment

Section 1006(b)(4)(A) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (42 U.S.C. 1396a note) is amended by striking , and before October 1, 2025.