Residential Recovery for Seniors Act

The Residential Recovery for Seniors Act (S 4860) expands Medicare Part A coverage to include three types of residential substance use disorder treatment services for seniors: clinically managed low-intensity, high-intensity, and medically managed residential care. The bill defines specific program requirements for facilities providing these services, including 24-hour supervision, clinical assessments, medication management, and regular need reviews (every 10-30 days depending on intensity level). It adds these specialized facilities as Medicare providers and establishes a prospective payment system to cover these services starting in 2025, with payment rates based on facility costs and adjusted annually. This legislation directly affects seniors with substance use disorders who require residential treatment but currently face limited Medicare coverage for such services.