Securing Advances and a Variety of Evidence-Based IMD Options Act

S 3098 makes permanent a Medicaid program (Section 1915(l)) allowing states to provide medical assistance for individuals in Institutions for Mental Diseases (IMDs). It requires states to facilitate access to medication-assisted treatment for substance use disorders regardless of treatment setting, and to establish evidence-based placement criteria and care standards for such individuals. States must also conduct a one-time assessment within 12 months of approval to evaluate treatment availability across care levels and medication-assisted treatment services. The bill directly affects Medicaid-enrolled individuals in IMDs with substance use disorders and the states administering their care.