# 119-s-4895: Turn the Tide Act

119-s-4895, Turn the Tide Act, is a 119th Congress bill sponsored by Sen. Shaheen, Jeanne [D-NH] (D-NH); status introduced; PRIA reads it as touching household money (as of 2026-07-30).

- Canonical: https://policyrisk.com/legislation/119-s-4895
- As of: 2026-07-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4895
- Congress: 119
- Title: Turn the Tide Act
- Status: introduced
- Introduced: 2026-06-24
- Sponsor: Sen. Shaheen, Jeanne [D-NH] (D-NH)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-30

## Summary

**Expands federal support for prevention, treatment, recovery, and housing for people with substance use disorders.** It pairs large new grant programs and Medicaid payment changes with coverage rules that limit prior authorization for medication-assisted treatment and require zero cost-sharing for opioid overdose reversal agents.

## Cosponsors (1)

- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2026-06-24T00:00:00.000Z

## Provisions PRIA read

- Justice and enforcement opioid funding: benefit, high. If enacted, the bill would fund several law‑enforcement and justice programs addressing opioids and related harms. Examples include $500 million a year for a Comprehensive Opioid Abuse grant program, $125 million a year for the Drug Court Program (plus $5 million for training), $350 million a year…
- Big state opioid response grants: benefit, high. If enacted, the bill would authorize $5.5 billion a year for State Opioid Response grants for each of FY2027–FY2031. The program would reserve $50 million a year for Indian Tribes, send 15% of remaining funds to the States with the highest opioid mortality, and guarantee at least $4 million to each…
- More prevention, treatment, and recovery grants: benefit, high. If enacted, the bill would fund many new and expanded grants for overdose prevention, child trauma, youth prevention, family residential treatment, recovery centers, community recovery, drug disposal, infection surveillance, and related public-health activities for FY2027–FY2030 (and some programs…
- Higher Medicaid behavioral health pay: benefit, medium. If enacted, Medicaid payment rates for certain behavioral health services for patients with substance use disorders would be set at no less than 100% of the Medicare Part B rate from October 1, 2026 through October 1, 2030. For the part of spending above each State's July 1, 2026 rate, the federal…
- Medicaid MAT and recovery housing: benefit, medium. If enacted, States could not apply utilization controls, such as prior authorization, to medication-assisted treatment (MAT) for Medicaid beneficiaries starting October 1, 2026 if they want federal Medicaid payments for that care. The bill would also create a Medicaid demonstration to let some Stat…
- More SUD workforce training and loan help: benefit, medium. If enacted, the bill would boost funding for the substance use disorder workforce. It would raise targeted loan repayment to $65 million a year for FY2027–FY2031 and fund multiple training and demonstration programs (for example, $77 million a year for first responder training, $75 million a year f…
- No-cost naloxone in health plans: benefit, low. If enacted, group and individual health plans and Medicare Part D plans would have to cover at least one FDA-approved opioid overdose reversal drug with no cost-sharing starting for plan years on or after January 1, 2027. Plans could not use prior authorization or similar utilization controls for t…

## Related bills

- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-2823: FAMILY Act
- 119-s-51: Washington, D.C. Admission Act
- 119-s-5108: Right to IVF Act of 2026
- 119-s-1503: Equality Act
- 119-s-5321: HCBS Access Act

## Sources
- [119-s-4895 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4895)

## Related
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-2823: FAMILY Act](https://policyrisk.com/legislation/119-s-2823)
- [119-s-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-s-51)
- [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108)
- [119-s-1503: Equality Act](https://policyrisk.com/legislation/119-s-1503)
- [119-s-5321: HCBS Access Act](https://policyrisk.com/legislation/119-s-5321)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4895 (as of 2026-07-30).