The Residential Recovery for Seniors Act would add coverage of residential substance use disorder treatment services to Medicare for seniors aged 65 and older. The bill establishes Medicare coverage for three levels of residential addiction treatment: clinically managed low-intensity programs, clinically managed high-intensity programs, and medically managed residential programs, each designed for different severity levels and medical needs. These facilities would need to be accredited, state-licensed, and meet specific staffing and clinical standards developed by addiction medicine experts. The bill requires the Secretary of Health and Human Services to develop a payment system for these services starting October 1, 2025, with initial payment rates set at one hundred percent of facilities' reasonable costs and subsequent years adjusted by a market basket index. The legislation would allow Medicare to pay for bed and board, clinical services, medications, nursing care, and recovery support services provided by eligible residential treatment facilities.
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