Relating to: modifying administrative rules relating to regulation of opioid treatment programs and requiring adjustments to the rates for substance use disorder treatment services with medications for opioid use disorder. (FE)

AB 1081 adjusts payment rates for opioid treatment programs using medication-based care to match Medicare rates for comparable services starting in 2027. It also sets new staffing requirements, including a medical director with addiction medicine experience who must be present 40% of dosing time (reduced to 20% for the first 60 days of operation), and mandates one counselor for every 55 enrolled patients. The bill changes admission rules for minors, requiring documented failed detox attempts and written parental consent, while adding requirements for initial physical exams and Hepatitis/HIV testing with patient consent. These provisions directly affect all Wisconsin opioid treatment programs providing medication-assisted therapy.