Powerful lobbying groups are pushing back against a House-passed bill intended to address the growing opioid epidemic.

America's Health Insurance Plans led eight industry groups in a letter to Senate leadership Monday, asking that they oppose a provision in the House measure.

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The provision, passed as part of the House opioids package in June, would require private insurance plans pay more to cover kidney disease before Medicare becomes the primary payer.

The proposed change is meant to offset the costs of the bill, which includes a wide range of measures intended to fight the epidemic.

"While we strongly support congressional efforts to address the opioid epidemic, we are very concerned about offsets that would reduce the ability of private health plans to provide comprehensive, affordable health care coverage," the groups wrote in a letter to Senate Majority Leader Mitch McConnell Addison (Mitch) Mitchell McConnellTrump 'no longer angry' at Romney because of Supreme Court stance On The Money: Anxious Democrats push for vote on COVID-19 aid | Pelosi, Mnuchin ready to restart talks | Weekly jobless claims increase | Senate treads close to shutdown deadline The Hill's Campaign Report: Trump faces backlash after not committing to peaceful transition of power MORE (R-Ky.), Minority Leader Charles Schumer Chuck SchumerPelosi slams Trump executive order on pre-existing conditions: It 'isn't worth the paper it's signed on' 3 reasons why Biden is misreading the politics of court packing Cruz blocks amended resolution honoring Ginsburg over language about her dying wish MORE (D-N.Y.), and the Republican and Democratic leaders of the Senate Finance Committee.

Shifting more costs to private insurance companies would "burden health plans at a time they are already facing challenges in maintaining affordable coverage," they wrote.

The letter was signed by the American Benefits Council, American Federation of State, County and Municipal Employees, Blue Cross Blue Shield Association, Service Employees International Union, ERISA Industry Committee, United States Chamber of Commerce and UAW.

Those groups are among the most powerful trade associations in Washington, often influencing health-care matters in Congress.

The groups warned that, if passed, the bill would force private health plans to "raise premiums or reduce coverage."



"These options are bad outcomes for workers and retirees," the letter reads.

The Senate doesn't plan to vote on the House bill, but its own package made up of bills passed by the Health, Finance, Commerce, and Judiciary committees.

That means the two chambers will have to hammer out a final opioid package to send to President Trump Donald John TrumpSteele Dossier sub-source was subject of FBI counterintelligence probe Pelosi slams Trump executive order on pre-existing conditions: It 'isn't worth the paper it's signed on' Trump 'no longer angry' at Romney because of Supreme Court stance MORE.