US SB665

Establishes a Health Engagement Hub Demonstration Program under Medicaid to increase access to treatment for opioid use disorder and other substance use disorders through certified hubs offering drop-in services without appointments

Appropriates $60 million for planning grants and administration, with up to 10 states selected to participate in a 5-year demonstration program receiving 90% federal matching for hub services

Requires certified hubs to provide harm reduction services, medication-assisted treatment within 4 hours of arrival, wound care, infectious disease screening, peer support, and case management in communities disproportionately impacted by overdose

Mandates minimum staffing including a prescriber licensed to dispense controlled substances, registered nurse, licensed behavioral health staff, and peer support specialists with at least 50% having lived experience with substance use

Requires annual state reporting on treatment access, overdose mortality rates, and recovery outcomes, plus a GAO report to Congress assessing the program's effectiveness