House Votes on Shea-Porter Motion to Require Insurance Coverage of Opioid Use Disorder Treatment
WASHINGTON, DC – Congresswoman Carol Shea-Porter (NH-01) today offered and the House voted on a Motion to Recommit that would require association health plans to provide coverage for substance use disorder treatment. As Congress this week considers the American Health Care Act, which would cause 24 million Americans to lose their coverage, Shea-Porter called on her colleagues to work together to improve access to quality, affordable health care.
“Today, Members of Congress can say to my constituents in New Hampshire and their constituents across this great nation: we hear you. We know your sons and daughters, your nieces and nephews, your neighbors and friends are struggling, and we have your back,” said Shea-Porter. “We believe all Americans deserve good health insurance they can count on when they need it most. We aren’t going to pull the rug out from under people who are about to turn their lives around.”
Shea-Porter’s remarks highlighted the fact that much-needed treatment facilities, such as Hope on Haven Hill in Rochester, which she recently visited, have been able to open because more Americans now have insurance that covers treatment thanks to the Affordable Care Act and its Medicaid expansion.
177 Democrats and 2 Republicans voted for Shea-Porter’s motion.
SHEA-PORTER’S FULL HOUSE FLOOR REMARKS
“I rise today on behalf of the families and communities across this nation that are confronting a public health threat of our time: the heroin, fentanyl, and prescription opioid crisis.
“This motion would simply ensure that the health insurance plans that today’s bill would permit must still cover substance use disorder treatment, including for opioids, as an essential health benefit.
“Under current law, we require insurers to cover this treatment. Before the Affordable Care Act, many insurers either didn’t cover treatment at all or imposed onerous requirements that blocked people from getting needed care.
“H.R.1101 would roll back that guarantee. It would allow association health plans to return to the kind of skimpy coverage that left so many people struggling with an opioid disorder in dire straits at critical moments. We know there’s often a narrow window of opportunity -- after an overdose, for example -- for someone to commit to treatment, and these are the moments when being able to make a single phone call can make all the difference.
“This week’s debate about health care is extremely important. Will we decide to work together to improve the American people’s access to quality, affordable health care or weaken benefits and kick 24 million or more of our constituents off their plans? We all need to speak up on behalf of those whose lives have been turned around because they can now access care.
“As I talk to families, medical professionals, and law enforcement officials in my district, I hear stories that highlight the dramatic impact that improved access to coverage has had in making treatment a real option for people with substance use disorder.
“This week, we see that base of coverage is under serious threat. In fact, experts estimate that repealing the Affordable Care Act’s coverage provisions would cause about 2.8 million Americans with a substance use disorder to lose some or all of their coverage.
“And the quality of that coverage is also at risk. Thanks to the Affordable Care Act, insurance now must cover treatment for behavioral health and substance use disorder, just the same as it would cover any other medical service. These parity protections mean insurers must cover treatment for substance use disorder with comparable cost-sharing -- no more surprises, like annual visit limits, higher copays, or frequent pre-authorization requirements and medical necessity reviews.
“Badly needed facilities are opening because plans now cover these services. I recently visited a recovery home for pregnant women and new mothers that was able to open its doors this year in my hometown only because it could rely on Medicaid expansion. Legislation like H.R.1101 would cause fewer people to have this coverage, meaning fewer facilities can open.
“Many of you know that my home state of New Hampshire is on the front lines of the heroin, fentanyl, and prescription opioid crisis. Our communities are struggling, and helping people get treatment is key to turning the tide. I have met the people who couldn’t be in a recovery facility without Medicaid expansion.
“Today, Members of Congress can say to my constituents in New Hampshire and their constituents across this great nation: we hear you. We know your sons and daughters, your nieces and nephews, your neighbors and friends are struggling, and we have your back. We believe all Americans deserve good health insurance they can count on when they need it most. We aren’t going to pull the rug out from under people who are about to turn their lives around.
“I urge my colleagues to support this motion, which would not delay passage of the underlying bill. Thank you.”