# 119-s-665: Fatal Overdose Reduction Act of 2025

119-s-665, Fatal Overdose Reduction Act of 2025, is a 119th Congress bill sponsored by Sen. Cantwell, Maria [D-WA] (D-WA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-665
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-665
- Congress: 119
- Title: Fatal Overdose Reduction Act of 2025
- Status: introduced
- Introduced: 2025-02-20
- Sponsor: Sen. Cantwell, Maria [D-WA] (D-WA)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Would establish Medicaid-funded Health Engagement Hubs to expand quick, walk-in access to treatment and harm-reduction services for opioid and other substance use disorders.** This bill focuses on local hubs that combine medical care, peer support, and social services to reach people at high risk of overdose. - People with substance use disorders and uninsured individuals: Would offer drop-in access, peer support, naloxone distribution, safer-use supplies, trauma-informed counseling, and rapid access to FDA‑approved medications for treatment within 4 hours, with sliding-scale fees for uninsured clients. - States and providers: Would allow up to 10 states to run a five-year demonstration using a State-chosen prospective payment system and receive a Federal Medical Assistance Percentage of at least 90% for Hub services under the demonstration. - Program design, oversight, and data: Would fund planning grants and administration, require monthly community advisory input, mandate state reporting beginning in year 3, and require a national implementation evaluation contracted by CMS. *Would increase federal spending by at least $60.0 million for planning and administration and authorize enhanced Medicaid matching payments (90%) for Hub services.*

## Cosponsors (1)

- Sen. Cassidy, Bill [R-LA] (R-LA), 2025-02-20T00:00:00.000Z

## Provisions PRIA read

- Hub rules, staffing, and locations: benefit, medium. If enacted, certified Hubs would need to serve Medicaid-eligible people and uninsured people on a drop-in basis without appointments. Hubs must offer sliding-scale fees and cannot deny or limit services for inability to pay or place of residence. Hubs must show at least 12 months of prior OUD/SUD t…
- New Medicaid hub demonstration: benefit, medium. If enacted, HHS would create a Health Engagement Hub demonstration to expand opioid and SUD care for Medicaid-eligible and uninsured people. The HHS Secretary would publish Hub certification and PPS guidance within 6 months. Up to 10 States could be chosen and HHS would only invite States that rece…
- Walk-in addiction treatment and supplies: benefit, medium. If enacted, certified Hubs would be paid under a State-selected prospective payment system for a wide set of services. Required services would include harm reduction and safer-use supplies, naloxone and overdose education, walk-in primary mental health and substance use services, peer support, targ…

## Related bills

- 119-s-524: Coast Guard Authorization Act of 2025
- 119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026
- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-4668: Protect College Sports Act of 2026
- 119-s-2975: PIPELINE Safety Act of 2025
- 119-s-836: Children and Teens’ Online Privacy Protection Act

## Sources
- [119-s-665 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/665)

## Related
- [119-s-524: Coast Guard Authorization Act of 2025](https://policyrisk.com/legislation/119-s-524)
- [119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3923)
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-4668: Protect College Sports Act of 2026](https://policyrisk.com/legislation/119-s-4668)
- [119-s-2975: PIPELINE Safety Act of 2025](https://policyrisk.com/legislation/119-s-2975)
- [119-s-836: Children and Teens’ Online Privacy Protection Act](https://policyrisk.com/legislation/119-s-836)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-665 (as of 2026-04-21).