Turn the Tide Act

The Turn the Tide Act primarily increases federal funding for substance use disorder treatment, prevention, and recovery services, directing billions of dollars to states, tribes, and local organizations starting in fiscal year 2027. It expands access to medication-assisted treatment by prohibiting insurance companies from imposing prior authorization requirements or cost-sharing fees for these drugs and mandates that health plans cover at least one formulation of opioid overdose reversal medications without deductibles. The legislation also establishes new programs and grants to support first responder training, recovery housing, mental health care for children exposed to trauma, and workforce development in areas with the highest overdose death rates. Additionally, the bill extends existing Medicaid waivers and creates a demonstration project to test whether providing recovery housing under Medicaid can reduce emergency room visits and hospitalizations for individuals with opioid use disorders.