# 119-hr-9759: Turn the Tide Act 119-hr-9759, Turn the Tide Act, is a 119th Congress bill sponsored by Rep. Pappas, Chris [D-NH-1] (D-NH); status introduced; PRIA reads it as touching household money (as of 2026-08-19). - Canonical: https://policyrisk.com/legislation/119-hr-9759 - As of: 2026-08-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: 119-hr-9759 - Congress: 119 - Title: Turn the Tide Act - Status: introduced - Introduced: 2026-07-16 - Sponsor: Rep. Pappas, Chris [D-NH-1] (D-NH) - Cosponsors: 1 - Policy area: Health - Touches household money: yes - Last recorded action: 2026-08-19 ## Summary **This bill would create major new federal funding to expand prevention, treatment, and recovery for substance use disorders.** It would also remove insurance barriers to medication-assisted treatment and require no-cost access to opioid overdose reversal drugs. - Families and people in recovery would see more treatment and housing support. It would fund recovery housing at $60.0 million per year (FY2027–FY2032) and residential programs for pregnant and postpartum women at $50.0 million per year (FY2027–FY2030). - Patients and clinicians would face fewer insurance roadblocks. The bill would bar Medicaid utilization controls on medication-assisted treatment starting Oct 1, 2026 and would require group plans and Medicare Part D to cover at least one opioid overdose reversal agent with no cost-sharing from plan years beginning Jan 1, 2027. - States, Tribes, and public health systems would get large grants and stronger data and training support. It would authorize State Opioid Response grants at $5.5 billion per year (FY2027–FY2031) with a $50.0 million annual Tribal set-aside and adds funding for surveillance, HIDTA, and ONDCP programs. *Would increase federal spending by multiple billions per year, driven by recurring authorizations such as $5.5 billion per year for State Opioid Response grants and numerous other multi-year appropriations.* ## Cosponsors (1) - Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2026-07-16T00:00:00.000Z ## Provisions PRIA read - Big State and Tribal opioid grants: benefit, high. If enacted, the bill would give $5.5 billion each year to State Opioid Response grants for FY2027–FY2031. It would also set substance abuse block grants at $3.0 billion per year for FY2027–FY2031 and $2.5 billion per year for FY2032–FY2036. The bill requires a $50 million tribal set-aside each year… - Large public health and treatment grants: benefit, high. If enacted, many new and reauthorized grants would fund prevention, treatment, recovery, training, and public-health surveillance. Examples include $516 million per year for overdose prevention and $500 million per year for comprehensive opioid grants (FY2027–FY2030). The bill also funds child-trau… - Medicaid SUD access and payments: benefit, medium. If enacted, Medicaid would have several changes to help people with substance use disorders. Payments for certain mental and behavioral health services for people with SUD would have to be at least 100% of the Medicare Part B rate from October 1, 2026 through September 30, 2030. Starting October 1,… - Tax-free loan repayment for SUD workers: benefit, medium. If enacted, amounts paid under the loan-repayment program for eligible substance use disorder treatment workers would not count as taxable income. The program would also get $65 million per year for FY2027–FY2031, up from prior levels. Eligible workers could therefore owe less tax and more people c… - HIDTA, drug courts, and first responders: benefit, medium. If enacted, the bill would fund law-enforcement and justice programs. HIDTA would get $350 million per year (FY2027–FY2030). The Drug Court Program would get $125 million per year and $5 million per year for training (FY2027–FY2030). First responder training and law-enforcement wellness pilots woul… - Free naloxone and no prior authorization: benefit, low. If enacted, group health plans and Medicare Part D plans would have to cover at least one opioid overdose reversal drug with no cost-sharing for plan years starting January 1, 2027. Plans would also be barred from using prior authorization or other utilization controls for those drugs. The bill wou… - Recovery housing funding floor: benefit, low. If enacted, the Recovery Housing Program would have a $60 million funding floor each year for FY2027–FY2032. The bill would require priority for States with greater need using unemployment, labor force participation, and overdose death rates. At least 50 percent of each year's funds must be disburs… - Drug-Free Communities and ONDCP rules: mixed, medium. If enacted, ONDCP would get $175 million per year for the Drug-Free Communities program and $50 million per year for operations (FY2027–FY2030). The bill would change who can get renewal and additional Drug-Free Community grants, give priority to coalitions in high-opioid-mortality States, and tie… ## Related bills - 119-hr-3151: SHIPS for America Act of 2025 - 119-hr-4669: FEMA Act of 2025 - 119-hr-7973: Momnibus Act - 119-hr-6976: Duty Status Reform Act - 119-hr-2913: Ukraine Support Act - 119-hr-2725: Affordable Housing Credit Improvement Act of 2025 ## Sources - [119-hr-9759 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9759) ## Related - [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151) - [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669) - [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973) - [119-hr-6976: Duty Status Reform Act](https://policyrisk.com/legislation/119-hr-6976) - [119-hr-2913: Ukraine Support Act](https://policyrisk.com/legislation/119-hr-2913) - [119-hr-2725: Affordable Housing Credit Improvement Act of 2025](https://policyrisk.com/legislation/119-hr-2725) - [All bills in Congress](https://policyrisk.com/legislation) Source: PRIA, https://policyrisk.com/legislation/119-hr-9759 (as of 2026-08-19).