The Residential Recovery for Seniors Act would expand Medicare coverage to include three types of residential substance use disorder treatment programs for seniors. The bill establishes Medicare Part A coverage for clinically managed low-intensity residential services, clinically managed high-intensity residential services, and medically managed residential services, each designed for different levels of medical need and supervision. These programs would provide 24-hour residential treatment including bed and board, clinical services, addiction medications, and recovery support, with medical staff regularly reviewing whether patients still need the prescribed level of care. The bill affects seniors enrolled in Medicare and residential treatment facilities that meet specified standards for staffing, medical oversight, and evidence-based addiction treatment practices. Starting October 1, 2025, the federal government would pay these facilities using a per-day rate system, with initial payments set to cover 100 percent of reasonable treatment costs and adjusted annually for inflation.
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