# Turn the Tide Act Summary
The Turn the Tide Act provides substantial federal funding to expand substance use disorder treatment and prevention programs across multiple agencies. Senators Shaheen and Hassan introduced this legislation to strengthen existing initiatives under the SUPPORT for Patients and Communities Act with dedicated appropriations from fiscal years 2024 through 2027 (extending to 2028-2033 for certain programs).
The bill allocates approximately $9.4 billion annually across public health, housing, and law enforcement initiatives. Major funding areas include $5.5 billion yearly for State Opioid Response Grants, $3 billion for substance abuse prevention and treatment block grants, and significant amounts for programs addressing first responder training ($56 million), recovery housing ($60 million for 2024-2029), mental health education ($75 million), and overdose prevention ($506 million). The legislation also establishes new Medicaid payment requirements guaranteeing providers receive Medicare-equivalent rates for behavioral health services treating substance use disorders through October 2028, with the federal government covering 100 percent of increased costs.
The bill removes insurance barriers to medication-assisted treatment by prohibiting prior authorization requirements under Medicaid and requires health plans to cover opioid overdose reversal medications without cost-sharing or utilization controls starting January 2025. Additionally, it funds grants for drug courts, law enforcement wellness programs, and adverse childhood experiences response teams, while authorizing a Medicaid demonstration project to test recovery housing as a covered service for individuals with opioid use disorder.
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