Expanding Opportunities for Recovery Act of 2026

Key Points

• This bill creates a new federal grant program so states can pay for opioid addiction treatment for people who are uninsured or whose insurance won't fully cover care.
• Treatment paid for by the grant must be evidence-based, like medication-assisted treatment, and doctors decide what care and how much time a patient needs, not insurance companies.
• The program is aimed at closing insurance gaps, including plans that force patients into cheaper outpatient care before covering doctor-recommended inpatient treatment.
• Grant money cannot cover more than 60 straight days of treatment for any one person, capping how long an individual can rely on this funding.
• States that take the money must track outcomes like drug use levels, treatment retention, and criminal justice involvement, and report this data publicly.