Bill · H.R. 9538· House(119-HR-9538)
Residential Recovery for Seniors Act
- Introduced
- 6/30/2026
- Last activity
- 6/30/2026 — Referred to the House Committee on Ways and Means.
- Sponsored by
- Lauren Underwood
- Cosponsors
- - 3 - 5
- Introduced
- In Committee
What this bill would do
This bill is called the Residential Recovery for Seniors Act. It adds Medicare Part A coverage for specific residential substance use disorder services. The legislation defines three types of care: clinically managed low-intensity, clinically managed high-intensity, and medically managed services. It outlines the specific rules, program standards, and facility requirements for each type of care. Additionally, the bill includes these residential facilities as official Medicare providers. Finally, it sets up a per diem prospective payment system for these services starting on or after October 1, 2026.
Yes· 3 of 32
Would people over 65 be better off under this?+9
Directly benefits seniors by covering residential substance use disorder treatment under Medicare Part A.
Would retired people be better off under this?+8
Retirees on Medicare gain robust new benefits for addressing substance use disorders.
Does this make health care easier to get in general?+8
Directly establishes comprehensive Medicare Part A coverage for residential substance use disorder services for seniors.
The opposite
Does this reduce what the federal government spends?-3
The legislation introduces a new prospective payment system and federal reimbursements under Medicare, increasing overall spending.
Does this reduce what the federal government owes?-2
Adding new coverage under Medicare Part A will increase federal government spending and outlays.
Does this make the government pay for what it commits to?-1
Expanding entitlements without offsetting revenue measures marginally decreases fiscal responsibility.
Who it would affect, and how
Potential Positive Impacts for People
-
Medicare Coverage for Substance Use Treatment: Under Section 2(a), the bill adds Medicare Part A coverage for clinically managed low-intensity, clinically managed high-intensity, and medically managed residential substance use disorder services. This is positive because it helps seniors get coverage for necessary addiction treatment and recovery support.
-
Access to Necessary Medications: Provisions in Section 2(b) (such as sections 1861(nnn)(2)(C), 1861(ooo)(2)(C), and 1861(ppp)(2)(F)) ensure that facilities directly provide or have direct affiliations with providers who can prescribe all addiction and psychiatric medications and provide medication management. This is beneficial because it ensures patients have access to vital medicines during their treatment.
-
Regular Care Reviews: According to Section 2(a) (amending section 1812(a)), a patient's continued need for services must be reviewed and reaffirmed periodically—at least every 30 days for clinically managed care and at least every 10 days for medically managed care. This is a positive safeguard to ensure patients receive the correct level of ongoing attention for their recovery.
Potential Negative Impacts for People
- Exclusion of Certain Professional Services: Under Section 2(b) (such as sections 1861(nnn)(1)(C)(i), 1861(ooo)(1)(C)(i), and 1861(ppp)(1)(D)(i)), the definition of covered services specifically excludes medical or surgical services provided by a physician, certain nurse practitioner or physician assistant services, qualified psychologist services, and private-duty nursing. This could be viewed as a negative burden because patients might have to navigate separate arrangements or costs for these specific types of professional care while in a facility.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Seniors+9Good For Retirees+8Good For Low Income Households+5Good For Middle Class Households+4Good For Veterans+4Good For People With Disabilities+3Good For Business Owners+2Good For African Americans+1Good For Asian Americans+1Good For Hispanic Americans+1Good For Men+1Good For Middle Aged+1Good For Native Americans+1Good For Rural Residents+1Good For Urban Residents+1Good For White Americans+1Good For Women+1
- Healthcare
- Improves Healthcare Access+8Improves Opioid Crisis Response+8Improves Mental Health Access+7Increases Medicare Funding+6Improves Veterans Healthcare+3
- Social Issues And Justice
- Improves Social Security+4Improves Disability Rights+1Improves Racial Equity+1Reduces Homelessness+1
- Governance And Ideology
- Increases Federal Power+2Improves Government Transparency+1
- National Security And Foreign Policy
- Improves Veterans Benefits+2
- Economy And Finance
- Improves Consumer Protection+3Improves Small Business Support+2Increases Job Creation+2Reduces Government Spending-3Reduces National Debt-2Improves Fiscal Responsibility-1
- 9/24/2026
- 1 Cosponsor added.
- 9/3/2026
- 1 Cosponsor added.
- 7/20/2026
- 1 Cosponsor added.
- 6/30/2026
- Referred to the House Committee on Ways and Means.
- 5 Cosponsors added.
- Introduced in House
Mike BostRepublican · Illinois
Brian FitzpatrickRepublican · Pennsylvania
Henry JohnsonDemocrat · Georgia
Darin LaHoodRepublican · Illinois
Carol MillerRepublican · West Virginia
Paul TonkoDemocrat · New York
David ValadaoRepublican · California
Debbie Wasserman SchultzDemocrat · Florida