United States · Bill · S
S. 644 (118th)
Modernizing Opioid Treatment Access Act
Introduced
2 March 2023
Last action
1 February 2024 · Reported
Status
Placed on Senate Legislative Calendar under General Orders. Calendar No. 318.
Sponsors
Sen. Markey, Edward J. [D-MA], Sen. Paul, Rand [R-KY], Sen. Sanders, Bernard [I-VT], Sen. Braun, Mike [R-IN], Sen. Booker, Cory A. [D-NJ], Sen. Hassan, Margaret Wood [D-NH], Sen. Luján, Ben Ray [D-NM], Sen. Welch, Peter [D-VT], Sen. Lee, Mike [R-UT], Sen. Warren, Elizabeth [D-MA], Sen. Casey, Robert P., Jr. [D-PA], Sen. Heinrich, Martin [D-NM], Sen. Durbin, Richard J. [D-IL]
Subjects
Healthcare
Source updated
5 December 2025
Summary
Modernizing Opioid Treatment Access Act This bill expands access to methadone for an individual's unsupervised use to treat opioid use disorder (OUD). (Typically, methadone must be dispensed to individuals in person through opioid treatment programs.) The bill (1) waives provisions of the Controlled Substances Act that require qualified practitioners to obtain a separate registration from the Drug Enforcement Administration (DEA) to prescribe and dispense methadone to treat OUD, and (2) requires the Substance Abuse and Mental Health Services Administration and the DEA to jointly report on the waiver. Additionally, the bill directs the DEA to register certain practitioners to prescribe methadone that is dispensed through a pharmacy for an individual's unsupervised use. Qualified practitioners must be licensed or authorized to prescribe controlled substances, and they must either work for an opioid treatment program or be a physician or psychiatrist with a specialty certification in addiction medicine. A state may request that the DEA stop registering such practitioners in its jurisdiction. Individuals who receive methadone for unsupervised use must continue to have access to other care through an opioid treatment program. For purposes of the waiver, the bill also requires the exclusive use of electronic prescribing, establishes prescription limits, and sets out requirements for informed consent. Further, the bill permits the use of telehealth to provide methadone treatment and related services if the state and the Department of Health and Human Services jointly determine the use is feasible and appropriate.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
2 March 2023
Introduced
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Source: IntroReferral
2 March 2023
Introduced
Introduced in Senate
Source: IntroReferral
12 December 2023
Reported
Committee on Health, Education, Labor, and Pensions. Ordered to be reported with an amendment in the nature of a substitute favorably.
Source: Committee
1 February 2024
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 318.
Source: Calendars
1 February 2024
Reported
Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.
Source: Committee
1 February 2024
Reported
Committee on Health, Education, Labor, and Pensions. Reported by Senator Sanders with an amendment in the nature of a substitute. Without written report.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Reported to Senate · 1 February 2024 · Download file
- Introduced in Senate · 2 March 2023 · Download file
Documents
5 official files
Reported to Senate (text)
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Reported to Senate (text)
Reported to Senate · EN · 1 February 2024
Reported to Senate (PDF)
Reported to Senate · EN · 1 February 2024
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Introduced in Senate (text)
Introduced in Senate · EN · 2 March 2023
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Introduced in Senate (PDF)
Introduced in Senate · EN · 2 March 2023
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Introduced in Senate
summary · EN · 2 March 2023
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Sponsors
- Sen. Markey, Edward J. [D-MA] · D · Sponsor
- Sen. Paul, Rand [R-KY] · R · Sponsor
- Sen. Sanders, Bernard [I-VT] · I · Sponsor
- Sen. Braun, Mike [R-IN] · R · Sponsor
- Sen. Booker, Cory A. [D-NJ] · D · Sponsor
- Sen. Hassan, Margaret Wood [D-NH] · D · Sponsor
- Sen. Luján, Ben Ray [D-NM] · D · Cosponsor
- Sen. Welch, Peter [D-VT] · D · Cosponsor
- Sen. Lee, Mike [R-UT] · R · Cosponsor
- Sen. Warren, Elizabeth [D-MA] · D · Cosponsor
- Sen. Casey, Robert P., Jr. [D-PA] · D · Cosponsor
- Sen. Heinrich, Martin [D-NM] · D · Cosponsor
- Sen. Durbin, Richard J. [D-IL] · D · Cosponsor
- · sshr00 · Standing
Related records
- related to → Modernizing Opioid Treatment Access Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/118th-congress/senate-bill/644
- Open data entity: https://api.congress.gov/v3/bill/118/s/644
- us · 118-s-644 · source updated 5 December 2025