# 119-hr-9538: Residential Recovery for Seniors Act

119-hr-9538, Residential Recovery for Seniors Act, is a 119th Congress bill sponsored by Rep. Underwood, Lauren [D-IL-14] (D-IL); status introduced; PRIA reads it as touching household money (as of 2026-09-26).

- Canonical: https://policyrisk.com/legislation/119-hr-9538
- As of: 2026-09-26
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-9538
- Congress: 119
- Title: Residential Recovery for Seniors Act
- Status: introduced
- Introduced: 2026-06-30
- Sponsor: Rep. Underwood, Lauren [D-IL-14] (D-IL)
- Cosponsors: 8
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-26

## Summary

**Creates a new Medicare Part A benefit covering residential substance use disorder treatment across three defined levels.** This bill would set clear program and facility definitions, patient reassessment rules, provider enrollment and certification pathways, and a phased per-diem payment system so Medicare would reimburse qualified residential SUD care. - Families and patients: Medicare beneficiaries with substance use disorder would have coverage for residential care at three levels: low-intensity, high-intensity, and medically managed. Ongoing need must be reaffirmed every 30 days for clinically managed care and not less often than every 10 days for medically managed care. - Providers and facilities: Residential SUD programs that meet accreditation, State licensure, and Secretary-approved standards could enroll in Medicare and bill under a new per-diem prospective payment system. The PPS would begin for cost reporting periods on or after Oct 1, 2026 and the initial year would target payments equal to 100 percent of estimated reasonable costs. - Clinical standards and services: Programs must follow evidence-based, SUD-specific criteria set by a recognized nonprofit medical association and keep comprehensive clinical records and transition plans. High-intensity programs must provide at least 20 hours of clinical services per week.

## Cosponsors (8)

- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2026-09-24T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2026-06-30T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2026-06-30T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2026-06-30T00:00:00.000Z
- Rep. LaHood, Darin [R-IL-16] (R-IL), 2026-06-30T00:00:00.000Z
- Rep. Bost, Mike [R-IL-12] (R-IL), 2026-06-30T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2026-07-20T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2026-09-03T00:00:00.000Z

## Provisions PRIA read

- Medicare coverage for residential SUD: benefit, high. If enacted, you could get Medicare Part A coverage for three residential substance use disorder care levels when you live in an eligible facility. Coverage would require an initial medical-necessity check using evidence-based SUD criteria approved by the Secretary. Continued need would have to be r…
- New rules for residential addiction care: benefit, medium. If enacted, the bill would define three residential SUD service levels and set program, clinical, and facility standards for each. Rules would cover included and excluded services, admission assessments by a physician or advanced practice provider, minimum clinical hours or 24-hour nursing as appli…
- Per-day Medicare payments for SUD: benefit, medium. If enacted, the Secretary would create a per-day prospective payment system for the three residential SUD levels. Payments would apply to cost reporting periods starting on or after October 1, 2026. In the first fiscal year aggregate prospective payments would equal 100 percent of estimated reasona…
- Residential SUD facilities can enroll: benefit, medium. If enacted, clinically managed and medically managed residential SUD facilities could enroll in Medicare to bill for the specified residential services. Enrollment would follow standard Medicare rules and require accreditation, State authorization or licensure, and compliance with health and safety…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-6130: ASAP Act
- 119-hr-452: Miracle on Ice Congressional Gold Medal Act
- 119-hr-1065: Protect Our Letter Carriers Act of 2025
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025

## Sources
- [119-hr-9538 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9538)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-6130: ASAP Act](https://policyrisk.com/legislation/119-hr-6130)
- [119-hr-452: Miracle on Ice Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-452)
- [119-hr-1065: Protect Our Letter Carriers Act of 2025](https://policyrisk.com/legislation/119-hr-1065)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-9538 (as of 2026-09-26).