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HR 2483 · 119th Congress · Health

SUPPORT for Patients and Communities Reauthorization Act of 2025

Introduced March 31, 2025 Latest action December 01, 2025 1 cosponsor

Sponsor

Latest action

Became Public Law No: 119-44.

Action timeline

Every recorded action on this bill, newest first. Stage badges color-code the legislative path.

Dec 01, 2025
signed Signed by President.
Dec 01, 2025
signed Became Public Law No: 119-44
Dec 01, 2025
other Became Public Law No: 119-44.
Nov 25, 2025
sent Presented to President.
Sep 19, 2025
floor Message on Senate action sent to the House.

Text versions

Each stage of the bill — official text published by GPO. Click any format to read on congress.gov / govinfo.

Dec 02, 2025 Public Law
United States Legislative Markup
Jun 05, 2025 Referred in Senate
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Jun 04, 2025 Engrossed in House
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May 29, 2025 Reported in House
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Mar 31, 2025 Introduced in House
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— Enrolled Bill
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CRS summaries

Plain-English summaries written by the Congressional Research Service — neutral, nonpartisan staff who summarize bills as they advance through stages. The authoritative description of what each version of the bill does.

via Congressional Research Service · published through congress.gov

Changelog
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How a bill moves through Congress. Each stage produces a new official text. The diff between them shows what changed at that step.

  1. ih / is — Introduced in House / Senate. First filed version.
  2. rfh / rfs — Referred to a committee for review.
  3. rh / rs — Reported back by the committee to the floor (often with amendments — this is where most language changes happen).
  4. pcs / pch — Placed on Calendar for floor consideration.
  5. eh / es — Engrossed. Passed by the originating chamber. Text is now what was actually voted on.
  6. rdh / rds — Received by the other chamber.
  7. eah / eas — Engrossed Amendment. The other chamber passed an amended version.
  8. ath / ats — Agreed to. Both chambers settled on the same text.
  9. enr — Enrolled. Final reconciled text, sent to the President.
  10. pl — Public Law. Signed by the President. It's now law.
  11. pp — Public Print. Official printing post-enactment.

Most bills die before eh/es. Going from pcs → enr is the full path through both chambers.

Line-level diff between text versions of this bill — what actually changed at each legislative stage.

→
+676 −814 438 unchanged
Generating AI summary
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--- Engrossed (House)
+++ Enrolled
@@ -1,38 +1,41 @@
[From the U.S. Government Publishing Office]
-[H.R. 2483 Engrossed in House (EH)]
-
-<DOC>
-
-119th CONGRESS
-1st Session
-H. R. 2483
-
-_______________________________________________________________________
-
-AN ACT
+[H.R. 2483 Enrolled Bill (ENR)]
+
+H.R.2483
+
+One Hundred Nineteenth Congress
+
+of the
+
+United States of America
+
+AT THE FIRST SESSION
+
+Begun and held at the City of Washington on Friday,
+the third day of January, two thousand and twenty-five
+
+An Act
To reauthorize certain programs that provide for opioid use disorder
prevention, treatment, and recovery, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
-
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
-
(a) Short Title.--This Act may be cited as the ``SUPPORT for
Patients and Communities Reauthorization Act of 2025''.
(b) Table of Contents.--The table of contents for this Act is as
follows:
-
Sec. 1. Short title; table of contents.
+
TITLE I--PREVENTION
Sec. 101. Prenatal and postnatal health.
Sec. 102. Monitoring and education regarding infections associated with
illicit drug use and other risk factors.
Sec. 103. Preventing overdoses of controlled substances.
-Sec. 104. Support for individuals and families impacted by fetal
-alcohol spectrum disorder.
+Sec. 104. Support for individuals and families impacted by fetal alcohol
+spectrum disorder.
Sec. 105. Promoting state choice in PDMP systems.
Sec. 106. First responder training program.
Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative.
@@ -44,6 +47,7 @@
Sec. 112. Assessment of opioid drugs and actions.
Sec. 113. Grant program for State and Tribal response to opioid use
disorders.
+
TITLE II--TREATMENT
Sec. 201. Residential treatment program for pregnant and postpartum
@@ -58,15 +62,14 @@
identification, referral, and support.
Sec. 207. Grants to enhance access to substance use disorder treatment.
Sec. 208. State guidance related to individuals with serious mental
-illness and children with serious emotional
-disturbance.
+illness and children with serious emotional disturbance.
Sec. 209. Reviewing the scheduling of approved products containing a
combination of buprenorphine and naloxone.
Sec. 210. References to opioid overdose reversal agents in HHS grant
programs.
Sec. 211. Roundtable on using health information technology to improve
-mental health and substance use care
-outcomes.
+mental health and substance use care outcomes.
+
TITLE III--RECOVERY
Sec. 301. Building communities of recovery.
@@ -78,6 +81,7 @@
crisis.
Sec. 307. Review of information related to funding opportunities under
programs administered by SAMHSA.
+
TITLE IV--MISCELLANEOUS MATTERS
Sec. 401. Delivery of a controlled substance by a pharmacy to a
@@ -87,66 +91,58 @@
TITLE I--PREVENTION
SEC. 101. PRENATAL AND POSTNATAL HEALTH.
-
Section 317L(d) of the Public Health Service Act (42 U.S.C. 247b-
13(d)) is amended by striking ``such sums as may be necessary for each
of the fiscal years 2019 through 2023'' and inserting ``$4,250,000 for
each of fiscal years 2026 through 2030''.
-
-SEC. 102. MONITORING AND EDUCATION REGARDING INFECTIONS ASSOCIATED WITH
-ILLICIT DRUG USE AND OTHER RISK FACTORS.
-
+SEC. 102. MONITORING AND EDUCATION REGARDING INFECTIONS ASSOCIATED
+WITH ILLICIT DRUG USE AND OTHER RISK FACTORS.
Section 317N(d) of the Public Health Service Act (42 U.S.C. 247b-
15(d)) is amended by striking ``fiscal years 2019 through 2023'' and
inserting ``fiscal years 2026 through 2030''.
-
SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUBSTANCES.
-
(a) In General.--Section 392A of the Public Health Service Act (42
U.S.C. 280b-1) is amended--
(1) in subsection (a)(2)--
-(A) in subparagraph (C), by inserting ``and
-associated risks'' before the period at the end; and
-(B) in subparagraph (D), by striking ``opioids''
-and inserting ``substances causing overdose''; and
+(A) in subparagraph (C), by inserting ``and associated
+risks'' before the period at the end; and
+(B) in subparagraph (D), by striking ``opioids'' and
+inserting ``substances causing overdose''; and
(2) in subsection (b)(2)--
-(A) in subparagraph (B), by inserting ``, and
-associated risk factors,'' after ``such overdoses'';
+(A) in subparagraph (B), by inserting ``, and associated
+risk factors,'' after ``such overdoses'';
(B) in subparagraph (C), by striking ``coding'' and
inserting ``monitoring and identifying'';
(C) in subparagraph (E)--
-(i) by inserting a comma after ``public
-health laboratories''; and
-(ii) by inserting ``and other emerging
-substances related'' after ``analogues''; and
-(D) in subparagraph (F), by inserting ``and
-associated risk factors'' after ``overdoses''.
+(i) by inserting a comma after ``public health
+laboratories''; and
+(ii) by inserting ``and other emerging substances
+related'' after ``analogues''; and
+(D) in subparagraph (F), by inserting ``and associated risk
+factors'' after ``overdoses''.
(b) Additional Grants.--Section 392A(a)(3) of the Public Health
Service Act (42 U.S.C. 280b-1(a)(3)) is amended--
-(1) in the matter preceding subparagraph (A), by striking
-``and Indian Tribes--'' and inserting ``and Indian Tribes for
-the following purposes:'';
+(1) in the matter preceding subparagraph (A), by striking ``and
+Indian Tribes--'' and inserting ``and Indian Tribes for the
+following purposes:'';
(2) by amending subparagraph (A) to read as follows:
-``(A) To carry out innovative projects for grantees
-to detect, identify, and rapidly respond to controlled
-substance misuse, abuse, and overdoses, and associated
-risk factors, including changes in patterns of such
-controlled substance use. Such projects may include the
-use of innovative, evidence-based strategies for
-detecting such patterns, such as wastewater
-surveillance, if proven to support actionable
-prevention strategies, in a manner consistent with
-applicable Federal and State privacy laws.''; and
-(3) in subparagraph (B), by striking ``for any'' and
-inserting ``For any''.
+``(A) To carry out innovative projects for grantees to
+detect, identify, and rapidly respond to controlled substance
+misuse, abuse, and overdoses, and associated risk factors,
+including changes in patterns of such controlled substance use.
+Such projects may include the use of innovative, evidence-based
+strategies for detecting such patterns, such as wastewater
+surveillance, if proven to support actionable prevention
+strategies, in a manner consistent with applicable Federal and
+State privacy laws.''; and
+(3) in subparagraph (B), by striking ``for any'' and inserting
+``For any''.
(c) Authorization of Appropriations.--Section 392A(e) of the Public
Health Service Act (42 U.S.C. 280b-1(e)) is amended by striking
``$496,000,000 for each of fiscal years 2019 through 2023'' and
inserting ``$505,579,000 for each of fiscal years 2026 through 2030''.
-
SEC. 104. SUPPORT FOR INDIVIDUALS AND FAMILIES IMPACTED BY FETAL
ALCOHOL SPECTRUM DISORDER.
-
(a) In General.--Part O of title III of the Public Health Service
Act (42 U.S.C. 280f et seq.) is amended to read as follows:
@@ -155,7 +151,6 @@
``SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PREVENTION, INTERVENTION,
AND SERVICES DELIVERY PROGRAM.
-
``(a) In General.--The Secretary shall establish or continue
activities to support a comprehensive fetal alcohol spectrum disorders
(referred to in this section as `FASD') education, prevention,
@@ -163,98 +158,88 @@
include--
``(1) an education and public awareness program to support,
conduct, and evaluate the effectiveness of--
-``(A) educational programs targeting health
-professions schools, social and other supportive
-services, educators and counselors and other service
-providers in all phases of childhood development, and
-other relevant service providers, concerning the
-prevention, identification, and provision of services
-for infants, children, adolescents, and adults with
+``(A) educational programs targeting health professions
+schools, social and other supportive services, educators and
+counselors and other service providers in all phases of
+childhood development, and other relevant service providers,
+concerning the prevention, identification, and provision of
+services for infants, children, adolescents, and adults with
FASD;
-``(B) strategies to educate school-age children,
-including pregnant and high-risk youth, concerning
-FASD;
-``(C) public and community awareness programs
-concerning FASD; and
-``(D) strategies to coordinate information and
-services across affected community agencies, including
-agencies providing social services such as foster care,
-adoption, and social work, agencies providing health
-services, and agencies involved in education,
-vocational training, and civil and criminal justice;
+``(B) strategies to educate school-age children, including
+pregnant and high-risk youth, concerning FASD;
+``(C) public and community awareness programs concerning
+FASD; and
+``(D) strategies to coordinate information and services
+across affected community agencies, including agencies
+providing social services such as foster care, adoption, and
+social work, agencies providing health services, and agencies
+involved in education, vocational training, and civil and
+criminal justice;
``(2) supporting and conducting research on FASD, as
appropriate, including to--
-``(A) develop appropriate medical diagnostic
-methods for identifying FASD; and
-``(B) develop effective culturally and
-linguistically appropriate evidence-based or evidence-
-informed interventions and appropriate supports for
-preventing prenatal alcohol exposure, which may co-
-occur with exposure to other substances;
+``(A) develop appropriate medical diagnostic methods for
+identifying FASD; and
+``(B) develop effective culturally and linguistically
+appropriate evidence-based or evidence-informed interventions
+and appropriate supports for preventing prenatal alcohol
+exposure, which may co-occur with exposure to other substances;
``(3) building State and Tribal capacity for the
-identification, treatment, and support of individuals with FASD
-and their families, which may include--
-``(A) utilizing and adapting existing Federal,
-State, or Tribal programs to include FASD
-identification and FASD-informed support;
-``(B) developing and expanding screening and
-diagnostic capacity for FASD;
-``(C) developing, implementing, and evaluating
-targeted FASD-informed intervention programs for FASD;
+identification, treatment, and support of individuals with FASD and
+their families, which may include--
+``(A) utilizing and adapting existing Federal, State, or
+Tribal programs to include FASD identification and FASD-
+informed support;
+``(B) developing and expanding screening and diagnostic
+capacity for FASD;
+``(C) developing, implementing, and evaluating targeted
+FASD-informed intervention programs for FASD;
``(D) providing training with respect to FASD for
professionals across relevant sectors; and
-``(E) disseminating information about FASD and
-support services to affected individuals and their
-families; and
-``(4) an applied research program concerning intervention
-and prevention to support and conduct service demonstration
-projects, clinical studies and other research models providing
-advocacy, educational and vocational training, counseling,
-medical and mental health, and other supportive services, as
-well as models that integrate and coordinate such services,
-that are aimed at the unique challenges facing individuals with
-fetal alcohol spectrum disorder or fetal alcohol effect and
-their families.
+``(E) disseminating information about FASD and support
+services to affected individuals and their families; and
+``(4) an applied research program concerning intervention and
+prevention to support and conduct service demonstration projects,
+clinical studies and other research models providing advocacy,
+educational and vocational training, counseling, medical and mental
+health, and other supportive services, as well as models that
+integrate and coordinate such services, that are aimed at the
+unique challenges facing individuals with fetal alcohol spectrum
+disorder or fetal alcohol effect and their families.
``(b) Grants and Technical Assistance.--
-``(1) In general.--The Secretary may award grants,
-cooperative agreements and contracts and provide technical
-assistance to eligible entities to carry out subsection (a).
-``(2) Eligible entities.--To be eligible to receive a
-grant, or enter into a cooperative agreement or contract, under
-this section, an entity shall--
-``(A) be a State, Indian Tribe or Tribal
-organization, local government, scientific or academic
-institution, or nonprofit organization; and
-``(B) prepare and submit to the Secretary an
-application at such time, in such manner, and
-containing such information as the Secretary may
-require, including a description of the activities that
-the entity intends to carry out using amounts received
-under this section.
+``(1) In general.--The Secretary may award grants, cooperative
+agreements and contracts and provide technical assistance to
+eligible entities to carry out subsection (a).
+``(2) Eligible entities.--To be eligible to receive a grant, or
+enter into a cooperative agreement or contract, under this section,
+an entity shall--
+``(A) be a State, Indian Tribe or Tribal organization,
+local government, scientific or academic institution, or
+nonprofit organization; and
+``(B) prepare and submit to the Secretary an application at
+such time, in such manner, and containing such information as
+the Secretary may require, including a description of the
+activities that the entity intends to carry out using amounts
+received under this section.
``(3) Additional application contents.--The Secretary may
require that an eligible entity include in the application
submitted under paragraph (2)(B)--
-``(A) a designation of an individual to serve as a
-FASD State or Tribal coordinator of activities such
-eligible entity proposes to carry out through a grant,
-cooperative agreement, or contract under this section;
-and
-``(B) a description of an advisory committee the
-entity will establish to provide guidance for the
-entity on developing and implementing a statewide or
-Tribal strategic plan to prevent FASD and provide for
-the identification, treatment, and support of
-individuals with FASD and their families.
+``(A) a designation of an individual to serve as a FASD
+State or Tribal coordinator of activities such eligible entity
+proposes to carry out through a grant, cooperative agreement,
+or contract under this section; and
+``(B) a description of an advisory committee the entity
+will establish to provide guidance for the entity on developing
+and implementing a statewide or Tribal strategic plan to
+prevent FASD and provide for the identification, treatment, and
+support of individuals with FASD and their families.
``(c) Definition of FASD-Informed.--For purposes of this section,
the term `FASD-informed', with respect to support or an intervention
program, means that such support or intervention program uses
culturally and linguistically informed evidence-based or practice-based
interventions and appropriate resources to support an improved quality
of life for an individual with FASD and the family of such individual.
-
``SEC. 399I. STRENGTHENING CAPACITY AND EDUCATION FOR FETAL ALCOHOL
SPECTRUM DISORDERS.
-
``(a) In General.--The Secretary shall award grants, contracts, or
cooperative agreements, as the Secretary determines appropriate, to
public or nonprofit private entities with demonstrated expertise in the
@@ -264,22 +249,21 @@
FASD by carrying out the programs described in subsection (b).
``(b) Programs.--An entity receiving an award under subsection (a)
may use such award for the following purposes:
-``(1) Developing and supporting public education and
-outreach activities to raise public awareness of the risks
-associated with alcohol consumption during pregnancy.
-``(2) Acting as a clearinghouse for evidence-based
-resources on FASD prevention, identification, and culturally
-and linguistically appropriate best practices to help inform
-systems of care for individuals with FASD across their
-lifespan.
-``(3) Increasing awareness and understanding of
-efficacious, evidence-based screening tools and culturally and
-linguistically appropriate evidence-based intervention services
-and best practices, which may include improving the capacity
-for State, Tribal, and local affiliates.
-``(4) Providing technical assistance to recipients of
-grants, cooperative agreements, or contracts under section
-399H, as appropriate.
+``(1) Developing and supporting public education and outreach
+activities to raise public awareness of the risks associated with
+alcohol consumption during pregnancy.
+``(2) Acting as a clearinghouse for evidence-based resources on
+FASD prevention, identification, and culturally and linguistically
+appropriate best practices to help inform systems of care for
+individuals with FASD across their lifespan.
+``(3) Increasing awareness and understanding of efficacious,
+evidence-based screening tools and culturally and linguistically
+appropriate evidence-based intervention services and best
+practices, which may include improving the capacity for State,
+Tribal, and local affiliates.
+``(4) Providing technical assistance to recipients of grants,
+cooperative agreements, or contracts under section 399H, as
+appropriate.
``(c) Application.--To be eligible for a grant, contract, or
cooperative agreement under this section, an entity shall submit to the
Secretary an application at such time, in such manner, and containing
@@ -291,9 +275,7 @@
``(1) Resource development and dissemination.
``(2) Intervention services.
``(3) Training and technical assistance.
-
``SEC. 399J. AUTHORIZATION OF APPROPRIATIONS.
-
``There are authorized to be appropriated to carry out this part
$12,500,000 for each of fiscal years 2026 through 2030.''.
(b) Report.--Not later than 4 years after the date of enactment of
@@ -302,105 +284,91 @@
Education, Labor, and Pensions of the Senate and the Committee on
Energy and Commerce of the House of Representatives a report
containing--
-(1) a review of the activities carried out pursuant to
-sections 399H and 399I of the Public Health Service Act, as
-amended, to advance public education and awareness of fetal
-alcohol spectrum disorders (referred to in this section as
-``FASD'');
+(1) a review of the activities carried out pursuant to sections
+399H and 399I of the Public Health Service Act, as amended, to
+advance public education and awareness of fetal alcohol spectrum
+disorders (referred to in this section as ``FASD'');
(2) a description of--
-(A) the activities carried out pursuant to such
-sections 399H and 399I to identify, prevent, and treat
-FASD; and
+(A) the activities carried out pursuant to such sections
+399H and 399I to identify, prevent, and treat FASD; and
(B) methods used to evaluate the outcomes of such
activities; and
-(3) an assessment of activities carried out pursuant to
-such sections 399H and 399I to support individuals with FASD.
-
+(3) an assessment of activities carried out pursuant to such
+sections 399H and 399I to support individuals with FASD.
SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS.
-
Section 399O(h) of the Public Health Service Act (42 U.S.C. 280g-
3(h)) is amended by adding at the end the following:
-``(5) Promoting state choice.--Nothing in this section
-shall be construed to authorize the Secretary to require States
-to use a specific vendor or a specific interoperability
-connection other than to align with nationally recognized,
-consensus-based open standards, such as in accordance with
-sections 3001 and 3004.''.
-
+``(5) Promoting state choice.--Nothing in this section shall be
+construed to authorize the Secretary to require States to use a
+specific vendor or a specific interoperability connection other
+than to align with nationally recognized, consensus-based open
+standards, such as in accordance with sections 3001 and 3004.''.
SEC. 106. FIRST RESPONDER TRAINING PROGRAM.
-
Section 546 of the Public Health Service Act (42 U.S.C. 290ee-1) is
amended--
-(1) in subsection (a), by striking ``tribes and tribal''
-and inserting ``Tribes and Tribal'';
+(1) in subsection (a), by striking ``tribes and tribal'' and
+inserting ``Tribes and Tribal'';
(2) in subsections (a), (c), and (d)--
-(A) by striking ``approved or cleared'' each place
-it appears and inserting ``approved, cleared, or
-otherwise legally marketed''; and
+(A) by striking ``approved or cleared'' each place it
+appears and inserting ``approved, cleared, or otherwise legally
+marketed''; and
(B) by striking ``opioid'' each place it appears;
(3) in subsection (f)--
-(A) by striking ``approved or cleared'' each place
-it appears and inserting ``approved, cleared, or
-otherwise legally marketed'';
+(A) by striking ``approved or cleared'' each place it
+appears and inserting ``approved, cleared, or otherwise legally
+marketed'';
(B) in paragraph (1), by striking ``opioid'';
(C) in paragraph (2)--
-(i) by striking ``opioid and heroin'' and
-inserting ``opioid, heroin, and other drug'';
+(i) by striking ``opioid and heroin'' and inserting
+``opioid, heroin, and other drug''; and
+(ii) by striking ``opioid overdose'' and inserting
+``overdose''; and
+(D) in paragraph (3), by striking ``opioid and heroin'';
and
-(ii) by striking ``opioid overdose'' and
-inserting ``overdose''; and
-(D) in paragraph (3), by striking ``opioid and
-heroin''; and
-(4) in subsection (h), by striking ``$36,000,000 for each
-of fiscal years 2019 through 2023'' and inserting ``$57,000,000
-for each of fiscal years 2026 through 2030''.
-
-SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS INITIATIVE.
-
+(4) in subsection (h), by striking ``$36,000,000 for each of
+fiscal years 2019 through 2023'' and inserting ``$57,000,000 for
+each of fiscal years 2026 through 2030''.
+SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS
+INITIATIVE.
(a) Technical Amendment.--The second part G of title V of the
Public Health Service Act (42 U.S.C. 290kk et seq.), as added by
section 144 of the Community Renewal Tax Relief Act of 2000 (Public Law
106-554), is amended--
(1) by redesignating such part as part J; and
-(2) by redesignating sections 581 through 584 as sections
-596 through 596C, respectively.
+(2) by redesignating sections 581 through 584 as sections 596
+through 596C, respectively.
(b) In General.--Section 582 of the Public Health Service Act (42
U.S.C. 290hh-1) is amended--
(1) in the section heading, by striking ``violence related
stress'' and inserting ``traumatic events'';
(2) in subsection (a)--
-(A) in the matter preceding paragraph (1), by
-striking ``tribes and tribal'' and inserting ``Tribes
-and Tribal''; and
-(B) in paragraph (2), by inserting ``and
-dissemination'' after ``the development'';
-(3) in subsection (b), by inserting ``and dissemination''
+(A) in the matter preceding paragraph (1), by striking
+``tribes and tribal'' and inserting ``Tribes and Tribal''; and
+(B) in paragraph (2), by inserting ``and dissemination''
after ``the development'';
+(3) in subsection (b), by inserting ``and dissemination'' after
+``the development'';
(4) in subsection (d)--
-(A) by striking ``The NCTSI'' and inserting the
-following:
+(A) by striking ``The NCTSI'' and inserting the following:
``(1) Coordinating center.--The NCTSI''; and
(B) by adding at the end the following:
-``(2) NCTSI grantees.--In carrying out subsection (a)(2),
-NCTSI grantees shall develop trainings and other resources, as
-applicable and appropriate, to support implementation of the
-evidence-based practices developed and disseminated under such
-subsection.'';
+``(2) NCTSI grantees.--In carrying out subsection (a)(2), NCTSI
+grantees shall develop trainings and other resources, as applicable
+and appropriate, to support implementation of the evidence-based
+practices developed and disseminated under such subsection.'';
(5) in subsection (e)--
(A) by redesignating paragraphs (1) and (2) as
-subparagraphs (A) and (B), respectively, and adjusting
-the margins accordingly;
-(B) in subparagraph (A), as so redesignated, by
-inserting ``and implementation'' after ``the
-dissemination'';
-(C) by striking ``The NCTSI'' and inserting the
-following:
+subparagraphs (A) and (B), respectively, and adjusting the
+margins accordingly;
+(B) in subparagraph (A), as so redesignated, by inserting
+``and implementation'' after ``the dissemination'';
+(C) by striking ``The NCTSI'' and inserting the following:
``(1) Coordinating center.--The NCTSI''; and
(D) by adding at the end the following:
-``(2) NCTSI grantees.--NCTSI grantees shall, as
-appropriate, collaborate with other such grantees, the NCTSI
-coordinating center, and the Secretary in carrying out
-subsections (a)(2) and (d)(2).'';
+``(2) NCTSI grantees.--NCTSI grantees shall, as appropriate,
+collaborate with other such grantees, the NCTSI coordinating
+center, and the Secretary in carrying out subsections (a)(2) and
+(d)(2).'';
(6) by amending subsection (h) to read as follows:
``(h) Application and Evaluation.--To be eligible to receive a
grant, contract, or cooperative agreement under subsection (a), a
@@ -408,14 +376,14 @@
organization shall submit to the Secretary an application at such time,
in such manner, and containing such information and assurances as the
Secretary may require, including--
-``(1) a plan for the evaluation of the activities funded
-under the grant, contract, or agreement, including both process
-and outcomes evaluation, and the submission of an evaluation at
-the end of the project period; and
-``(2) a description of how such entity, Indian Tribe, or
-Tribal organization will support efforts led by the Secretary
-or the NCTSI coordinating center, as applicable, to evaluate
-activities carried out under this section.''; and
+``(1) a plan for the evaluation of the activities funded under
+the grant, contract, or agreement, including both process and
+outcomes evaluation, and the submission of an evaluation at the end
+of the project period; and
+``(2) a description of how such entity, Indian Tribe, or Tribal
+organization will support efforts led by the Secretary or the NCTSI
+coordinating center, as applicable, to evaluate activities carried
+out under this section.''; and
(7) by amending subsection (j) to read as follows:
``(j) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section--
@@ -424,10 +392,8 @@
``(3) $98,887,000 for fiscal year 2028;
``(4) $100,000,000 for fiscal year 2029; and
``(5) $100,000,000 for fiscal year 2030.''.
-
SEC. 108. PROTECTING SUICIDE PREVENTION LIFELINE FROM CYBERSECURITY
INCIDENTS.
-
(a) National Suicide Prevention Lifeline Program.--Section 520E-
3(b) of the Public Health Service Act (42 U.S.C. 290bb-36c(b)) is
amended--
@@ -437,185 +403,162 @@
(3) by adding at the end the following:
``(6) taking such steps as may be necessary to ensure the
suicide prevention hotline is protected from cybersecurity
-incidents and eliminates known cybersecurity
-vulnerabilities.''.
+incidents and eliminates known cybersecurity vulnerabilities.''.
(b) Reporting.--Section 520E-3 of the Public Health Service Act (42
U.S.C. 290bb-36c) is amended--
(1) by redesignating subsection (f) as subsection (g); and
(2) by inserting after subsection (e) the following:
``(f) Cybersecurity Reporting.--
``(1) Notification.--
-``(A) In general.--The program's network
-administrator receiving Federal funding pursuant to
-subsection (a) shall report to the Assistant Secretary,
-in a manner that protects personal privacy, consistent
-with applicable Federal and State privacy laws--
-``(i) any identified cybersecurity
-vulnerabilities to the program within a
-reasonable amount of time after identification
-of such a vulnerability; and
-``(ii) any identified cybersecurity
-incidents to the program within a reasonable
-amount of time after identification of such
-incident.
+``(A) In general.--The program's network administrator
+receiving Federal funding pursuant to subsection (a) shall
+report to the Assistant Secretary, in a manner that protects
+personal privacy, consistent with applicable Federal and State
+privacy laws--
+``(i) any identified cybersecurity vulnerabilities to
+the program within a reasonable amount of time after
+identification of such a vulnerability; and
+``(ii) any identified cybersecurity incidents to the
+program within a reasonable amount of time after
+identification of such incident.
``(B) Local and regional crisis centers.--Local and
-regional crisis centers participating in the program
-shall report to the program's network administrator
-identified under subparagraph (A), in a manner that
-protects personal privacy, consistent with applicable
-Federal and State privacy laws--
-``(i) any identified cybersecurity
-vulnerabilities to the program within a
-reasonable amount of time after identification
-of such vulnerability; and
-``(ii) any identified cybersecurity
-incidents to the program within a reasonable
-amount of time after identification of such
-incident.
+regional crisis centers participating in the program shall
+report to the program's network administrator identified under
+subparagraph (A), in a manner that protects personal privacy,
+consistent with applicable Federal and State privacy laws--
+``(i) any identified cybersecurity vulnerabilities to
+the program within a reasonable amount of time after
+identification of such vulnerability; and
+``(ii) any identified cybersecurity incidents to the
+program within a reasonable amount of time after
+identification of such incident.
``(2) Notification.--If the program's network administrator
receiving funding pursuant to subsection (a) discovers, or is
-informed by a local or regional crisis center pursuant to
-paragraph (1)(B) of, a cybersecurity vulnerability or incident,
-within a reasonable amount of time after such discovery or
-receipt of information, such entity shall report the
-vulnerability or incident to the Assistant Secretary.
+informed by a local or regional crisis center pursuant to paragraph
+(1)(B) of, a cybersecurity vulnerability or incident, within a
+reasonable amount of time after such discovery or receipt of
+information, such entity shall report the vulnerability or incident
+to the Assistant Secretary.
``(3) Clarification.--
``(A) Oversight.--
-``(i) Local and regional crisis centers.--
-Except as provided in clause (ii), local and
-regional crisis centers participating in the
-program shall oversee all technology each
-center employs in the provision of services as
-a participant in the program.
-``(ii) Network administrator.--The
-program's network administrator receiving
-Federal funding pursuant to subsection (a)
-shall oversee the technology each crisis center
-employs in the provision of services as a
+``(i) Local and regional crisis centers.--Except as
+provided in clause (ii), local and regional crisis centers
+participating in the program shall oversee all technology
+each center employs in the provision of services as a
+participant in the program.
+``(ii) Network administrator.--The program's network
+administrator receiving Federal funding pursuant to
+subsection (a) shall oversee the technology each crisis
+center employs in the provision of services as a
participant in the program if such oversight
-responsibilities are established in the
-applicable network participation agreement.
-``(B) Supplement, not supplant.--The cybersecurity
-incident reporting requirements under this subsection
-shall supplement, and not supplant, cybersecurity
-incident reporting requirements under other provisions
-of applicable Federal law that are in effect on the
-date of the enactment of the SUPPORT for Patients and
-Communities Reauthorization Act of 2025.''.
+responsibilities are established in the applicable network
+participation agreement.
+``(B) Supplement, not supplant.--The cybersecurity incident
+reporting requirements under this subsection shall supplement,
+and not supplant, cybersecurity incident reporting requirements
+under other provisions of applicable Federal law that are in
+effect on the date of the enactment of the SUPPORT for Patients
+and Communities Reauthorization Act of 2025.''.
(c) Study.--Not later than 180 days after the date of the enactment
of this Act, the Comptroller General of the United States shall--
-(1) conduct and complete a study that evaluates
-cybersecurity risks and vulnerabilities associated with the 9-
-8-8 National Suicide Prevention Lifeline; and
+(1) conduct and complete a study that evaluates cybersecurity
+risks and vulnerabilities associated with the 9-8-8 National
+Suicide Prevention Lifeline; and
(2) submit a report on the findings of such study to the
-Committee on Health, Education, Labor, and Pensions of the
-Senate and the Committee on Energy and Commerce of the House of
+Committee on Health, Education, Labor, and Pensions of the Senate
+and the Committee on Energy and Commerce of the House of
Representatives.
-
-SEC. 109. MONITORING AND REPORTING OF CHILD, YOUTH, AND ADULT TRAUMA.
-
+SEC. 109. MONITORING AND REPORTING OF CHILD, YOUTH, AND ADULT
+TRAUMA.
Section 7131(e) of the SUPPORT for Patients and Communities Act (42
U.S.C. 242t(e)) is amended by striking ``$2,000,000 for each of fiscal
years 2019 through 2023'' and inserting ``$9,000,000 for each of fiscal
years 2026 through 2030''.
-
SEC. 110. BRUCE'S LAW.
-
(a) Youth Prevention and Recovery.--Section 7102(c) of the SUPPORT
for Patients and Communities Act (42 U.S.C. 290bb-7a(c)) is amended--
-(1) in paragraph (3)(A)(i), by inserting ``, which may
-include strategies to increase education and awareness of the
-potency and dangers of synthetic opioids (including drugs
-contaminated with fentanyl) and, as appropriate, other emerging
-drug use or misuse issues'' before the semicolon; and
+(1) in paragraph (3)(A)(i), by inserting ``, which may include
+strategies to increase education and awareness of the potency and
+dangers of synthetic opioids (including drugs contaminated with
+fentanyl) and, as appropriate, other emerging drug use or misuse
+issues'' before the semicolon; and
(2) in paragraph (4)(A), by inserting ``and strategies to
increase education and awareness of the potency and dangers of
-synthetic opioids (including drugs contaminated with fentanyl)
-and, as appropriate, emerging drug use or misuse issues''
-before the semicolon.
+synthetic opioids (including drugs contaminated with fentanyl) and,
+as appropriate, emerging drug use or misuse issues'' before the
+semicolon.
(b) Interdepartmental Substance Use Disorders Coordinating
Committee.--Section 7022 of the SUPPORT for Patients and Communities
Act (42 U.S.C. 290aa note) is amended--
(1) by striking subsection (g) and inserting the following:
``(g) Working Groups.--
-``(1) In general.--The Committee may establish working
-groups for purposes of carrying out the duties described in
-subsection (e). Any such working group shall be composed of
-members of the Committee (or the designees of such members) and
-may hold such meetings as are necessary to carry out the duties
-delegated to the working group.
+``(1) In general.--The Committee may establish working groups
+for purposes of carrying out the duties described in subsection
+(e). Any such working group shall be composed of members of the
+Committee (or the designees of such members) and may hold such
+meetings as are necessary to carry out the duties delegated to the
+working group.
``(2) Additional federal interagency work group on fentanyl
contamination of illegal drugs.--
-``(A) Establishment.--The Secretary, acting through
-the Committee, shall establish a Federal Interagency
-Work Group on Fentanyl Contamination of Illegal Drugs
-(referred to in this paragraph as the `Work Group')
-consisting of representatives from relevant Federal
-departments and agencies on the Committee.
-``(B) Consultation.--The Work Group shall consult
-with relevant stakeholders and subject matter experts,
-including--
-``(i) State, Tribal, and local subject
-matter experts in reducing, preventing, and
-responding to drug overdose caused by fentanyl
-contamination of illicit drugs; and
-``(ii) family members of both adults and
-youth who have overdosed by fentanyl
-contaminated illicit drugs.
+``(A) Establishment.--The Secretary, acting through the
+Committee, shall establish a Federal Interagency Work Group on
+Fentanyl Contamination of Illegal Drugs (referred to in this
+paragraph as the `Work Group') consisting of representatives
+from relevant Federal departments and agencies on the
+Committee.
+``(B) Consultation.--The Work Group shall consult with
+relevant stakeholders and subject matter experts, including--
+``(i) State, Tribal, and local subject matter experts
+in reducing, preventing, and responding to drug overdose
+caused by fentanyl contamination of illicit drugs; and
+``(ii) family members of both adults and youth who have
+overdosed by fentanyl contaminated illicit drugs.
``(C) Duties.--The Work Group shall--
-``(i) examine Federal efforts to reduce and
-prevent drug overdose by fentanyl-contaminated
+``(i) examine Federal efforts to reduce and prevent
+drug overdose by fentanyl-contaminated illicit drugs;
+``(ii) identify strategies to improve State, Tribal,
+and local responses to overdose by fentanyl-contaminated
illicit drugs;
-``(ii) identify strategies to improve
-State, Tribal, and local responses to overdose
-by fentanyl-contaminated illicit drugs;
-``(iii) coordinate with the Secretary, as
-appropriate, in carrying out activities to
-raise public awareness of synthetic opioids and
-other emerging drug use and misuse issues;
-``(iv) make recommendations to Congress for
-improving Federal programs, including with
-respect to the coordination of efforts across
-such programs; and
-``(v) make recommendations for educating
-youth on the potency and dangers of drugs
-contaminated by fentanyl.
-``(D) Annual report to secretary.--The Work Group
-shall annually prepare and submit to the Secretary, the
-Committee on Health, Education, Labor, and Pensions of
-the Senate, and the Committee on Energy and Commerce
-and the Committee on Education and Workforce of the
-House of Representatives, a report on the activities
-carried out by the Work Group under subparagraph (C),
-including recommendations to reduce and prevent drug
-overdose by fentanyl contamination of illegal drugs, in
-all populations, and specifically among youth at risk
-for substance misuse.''; and
+``(iii) coordinate with the Secretary, as appropriate,
+in carrying out activities to raise public awareness of
+synthetic opioids and other emerging drug use and misuse
+issues;
+``(iv) make recommendations to Congress for improving
+Federal programs, including with respect to the
+coordination of efforts across such programs; and
+``(v) make recommendations for educating youth on the
+potency and dangers of drugs contaminated by fentanyl.
+``(D) Annual report to secretary.--The Work Group shall
+annually prepare and submit to the Secretary, the Committee on
+Health, Education, Labor, and Pensions of the Senate, and the
+Committee on Energy and Commerce and the Committee on Education
+and Workforce of the House of Representatives, a report on the
+activities carried out by the Work Group under subparagraph
+(C), including recommendations to reduce and prevent drug
+overdose by fentanyl contamination of illegal drugs, in all
+populations, and specifically among youth at risk for substance
+misuse.''; and
(2) by striking subsection (i) and inserting the following:
``(i) Sunset.--The Committee shall terminate on September 30,
2030.''.
-
SEC. 111. GUIDANCE ON AT-HOME DRUG DISPOSAL SYSTEMS.
-
(a) In General.--Not later than one year after the date of
enactment of this Act, the Secretary of Health and Human Services, in
consultation with the Administrator of the Drug Enforcement
Administration, shall publish guidance to facilitate the use of at-home
safe disposal systems for applicable drugs.
(b) Contents.--The guidance under subsection (a) shall include--
-(1) recommended standards for effective at-home drug
-disposal systems to meet applicable requirements enforced by
-the Food and Drug Administration;
-(2) recommended information to include as instructions for
-use to disseminate with at-home drug disposal systems;
-(3) best practices and educational tools to support the use
-of an at-home drug disposal system, as appropriate; and
+(1) recommended standards for effective at-home drug disposal
+systems to meet applicable requirements enforced by the Food and
+Drug Administration;
+(2) recommended information to include as instructions for use
+to disseminate with at-home drug disposal systems;
+(3) best practices and educational tools to support the use of
+an at-home drug disposal system, as appropriate; and
(4) recommended use of licensed health providers for the
-dissemination of education, instruction, and at-home drug
-disposal systems, as appropriate.
-
+dissemination of education, instruction, and at-home drug disposal
+systems, as appropriate.
SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.
-
(a) In General.--Not later than one year after the date of
enactment of this Act, the Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall publish on the
@@ -627,34 +570,31 @@
benefit-risk assessment and the activities of the FDA that relate to
facilitating the development of nonaddictive medical products intended
to treat pain or addiction. Such report shall include--
-(1) an update on the actions taken by the FDA to consider
-the effectiveness, safety, benefit-risk profile, and use of
-approved opioid analgesic drugs;
+(1) an update on the actions taken by the FDA to consider the
+effectiveness, safety, benefit-risk profile, and use of approved
+opioid analgesic drugs;
(2) a timeline for an assessment of the potential need, as
appropriate, for labeling changes, revised or additional
-postmarketing requirements, enforcement actions, or withdrawals
-for opioid analgesic drugs;
-(3) an overview of the steps that the FDA has taken to
-support the development and approval of nonaddictive medical
-products intended to treat pain or addiction, and actions
-planned to further support the development and approval of such
-products; and
+postmarketing requirements, enforcement actions, or withdrawals for
+opioid analgesic drugs;
+(3) an overview of the steps that the FDA has taken to support
+the development and approval of nonaddictive medical products
+intended to treat pain or addiction, and actions planned to further
+support the development and approval of such products; and
(4) an overview of the consideration by the FDA of clinical
trial methodologies for analgesic drugs, including the enriched
-enrollment randomized withdrawal methodology, and the benefits
-and drawbacks associated with different trial methodologies for
-such drugs, incorporating any public input received under
-subsection (b).
+enrollment randomized withdrawal methodology, and the benefits and
+drawbacks associated with different trial methodologies for such
+drugs, incorporating any public input received under subsection
+(b).
(b) Public Input.--In carrying out subsection (a), the Secretary
shall provide an opportunity for public input concerning the regulation
by the FDA of opioid analgesic drugs, including scientific evidence
that relates to conditions of use, safety, or benefit-risk assessment
(including consideration of the public health effects) of such opioid
analgesic drugs.
-
SEC. 113. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID USE
DISORDERS.
-
The activities carried out pursuant to section 1003(b)(4)(A) of the
21st Century Cures Act (42 U.S.C. 290ee-3a(b)(4)(A)) may include
facilitating access to products used to prevent overdose deaths by
@@ -666,80 +606,65 @@
SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND POSTPARTUM
WOMEN.
-
Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is
amended--
-(1) in subsection (d)(11)(C), by striking ``providing
-health services'' and inserting ``providing health care
-services'';
+(1) in subsection (d)(11)(C), by striking ``providing health
+services'' and inserting ``providing health care services'';
(2) in subsection (g)--
(A) by inserting ``a plan describing'' after ``will
provide''; and
-(B) by adding at the end the following: ``Such plan
-may include a description of how such applicant will
-target outreach to women disproportionately impacted by
-maternal substance use disorder.''; and
-(3) in subsection (s), by striking ``$29,931,000 for each
-of fiscal years 2019 through 2023'' and inserting ``$38,931,000
-for each of fiscal years 2026 through 2030''.
-
+(B) by adding at the end the following: ``Such plan may
+include a description of how such applicant will target
+outreach to women disproportionately impacted by maternal
+substance use disorder.''; and
+(3) in subsection (s), by striking ``$29,931,000 for each of
+fiscal years 2019 through 2023'' and inserting ``$38,931,000 for
+each of fiscal years 2026 through 2030''.
SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.
-
Section 597 of the Public Health Service Act (42 U.S.C. 290ll) is
amended--
(1) in subsection (a)(1), by inserting ``diagnosis,'' after
``related to''; and
(2) in subsection (b), by inserting ``addiction medicine,''
after ``psychiatry,''.
-
-SEC. 203. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.
-
+SEC. 203. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING
+GRANTS.
Section 756(f) of the Public Health Service Act (42 U.S.C. 294e-
1(f)) is amended by striking ``fiscal years 2023 through 2027'' and
inserting ``fiscal years 2026 through 2030''.
-
-SEC. 204. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT
-WORKFORCE.
-
+SEC. 204. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER
+TREATMENT WORKFORCE.
Section 781(j) of the Public Health Service Act (42 U.S.C. 295h(j))
is amended by striking ``$25,000,000 for each of fiscal years 2019
through 2023'' and inserting ``$40,000,000 for each of fiscal years
2026 through 2030''.
-
-SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR
-SUBSTANCE USE DISORDER PATIENT RECORDS.
-
+SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS
+FOR SUBSTANCE USE DISORDER PATIENT RECORDS.
Section 7053 of the SUPPORT for Patients and Communities Act (42
U.S.C. 290dd-2 note) is amended by striking subsection (e).
-
SEC. 206. TASK FORCE ON BEST PRACTICES FOR TRAUMA-INFORMED
IDENTIFICATION, REFERRAL, AND SUPPORT.
-
Section 7132 of the SUPPORT for Patients and Communities Act
(Public Law 115-271; 132 Stat. 4046) is amended--
(1) in subsection (b)(1)--
-(A) by redesignating subparagraph (CC) as
-subparagraph (DD); and
-(B) by inserting after subparagraph (BB) the
-following:
+(A) by redesignating subparagraph (CC) as subparagraph
+(DD); and
+(B) by inserting after subparagraph (BB) the following:
``(CC) The Administration for Community Living.'';
-(2) in subsection (d)(1), in the matter preceding
-subparagraph (A), by inserting ``, developmental disability
-service providers'' before ``, individuals who are''; and
+(2) in subsection (d)(1), in the matter preceding subparagraph
+(A), by inserting ``, developmental disability service providers''
+before ``, individuals who are''; and
(3) in subsection (i), by striking ``2023'' and inserting
``2030''.
-
-SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER TREATMENT.
-
+SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER
+TREATMENT.
Section 3203 of the SUPPORT for Patients and Communities Act (21
U.S.C. 823 note) is amended--
(1) by striking subsection (b); and
(2) by striking ``(a) In General.--The Secretary'' and
inserting the following: ``The Secretary''.
-
SEC. 208. STATE GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS MENTAL
ILLNESS AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE.
-
(a) Review of Use of Certain Funding.--Not later than 1 year after
the date of enactment of this Act, the Secretary of Health and Human
Services (referred to in this section as the ``Secretary''), acting
@@ -752,58 +677,51 @@
following:
(1) How States use funds for evidence-based treatments and
services according to the standard of care for individuals with
-early serious mental illness and children with a serious
-emotional disturbance.
-(2) The percentages of the State funding under the block
-grant program expended on early serious mental illness and
-first episode psychosis, and the number of individuals served
-under such funds.
+early serious mental illness and children with a serious emotional
+disturbance.
+(2) The percentages of the State funding under the block grant
+program expended on early serious mental illness and first episode
+psychosis, and the number of individuals served under such funds.
(b) Report and Guidance.--
-(1) Report.--Not later than 180 days after the completion
-of the review under subsection (a), the Secretary shall submit
-to the Committee on Health, Education, Labor, and Pensions and
-the Committee on Appropriations of the Senate and the Committee
-on Energy and Commerce and the Committee on Appropriations of
-the House of Representatives a report describing--
-(A) the findings of the review under subsection
-(a); and
-(B) any recommendations for changes to the block
-grant program that would facilitate improved outcomes
-for individuals with serious mental illness and
-children with serious emotional disturbance.
-(2) Guidance.--Not later than 1 year after the date on
-which the report is submitted under paragraph (1), the
-Secretary shall update the guidance provided to States under
-the block grant program on coordinated specialty care and other
-evidence-based mental health care services for individuals with
-serious mental illness and children with a serious emotional
-disturbance, based on the findings and recommendations of such
-report.
-
-SEC. 209. REVIEWING THE SCHEDULING OF APPROVED PRODUCTS CONTAINING A
-COMBINATION OF BUPRENORPHINE AND NALOXONE.
-
+(1) Report.--Not later than 180 days after the completion of
+the review under subsection (a), the Secretary shall submit to the
+Committee on Health, Education, Labor, and Pensions and the
+Committee on Appropriations of the Senate and the Committee on
+Energy and Commerce and the Committee on Appropriations of the
+House of Representatives a report describing--
+(A) the findings of the review under subsection (a); and
+(B) any recommendations for changes to the block grant
+program that would facilitate improved outcomes for individuals
+with serious mental illness and children with serious emotional
+disturbance.
+(2) Guidance.--Not later than 1 year after the date on which
+the report is submitted under paragraph (1), the Secretary shall
+update the guidance provided to States under the block grant
+program on coordinated specialty care and other evidence-based
+mental health care services for individuals with serious mental
+illness and children with a serious emotional disturbance, based on
+the findings and recommendations of such report.
+SEC. 209. REVIEWING THE SCHEDULING OF APPROVED PRODUCTS CONTAINING
+A COMBINATION OF BUPRENORPHINE AND NALOXONE.
(a) Secretary of HHS.--The Secretary of Health and Human Services
shall, consistent with the requirements and procedures set forth in
sections 201 and 202 of the Controlled Substances Act (21 U.S.C. 811,
812)--
-(1) review the relevant data pertaining to the scheduling
-of products containing a combination of buprenorphine and
-naloxone that have been approved under section 505 of the
-Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355); and
-(2) if appropriate, request that the Attorney General
-initiate rulemaking proceedings to revise the schedules
-accordingly with respect to such products.
+(1) review the relevant data pertaining to the scheduling of
+products containing a combination of buprenorphine and naloxone
+that have been approved under section 505 of the Federal Food,
+Drug, and Cosmetic Act (21 U.S.C. 355); and
+(2) if appropriate, request that the Attorney General initiate
+rulemaking proceedings to revise the schedules accordingly with
+respect to such products.
(b) Attorney General.--The Attorney General shall review any
request made by the Secretary of Health and Human Services under
subsection (a)(2) and determine whether to initiate proceedings to
revise the schedules in accordance with the criteria set forth in
sections 201 and 202 of the Controlled Substances Act (21 U.S.C. 811,
812).
-
-SEC. 210. REFERENCES TO OPIOID OVERDOSE REVERSAL AGENTS IN HHS GRANT
-PROGRAMS.
-
+SEC. 210. REFERENCES TO OPIOID OVERDOSE REVERSAL AGENTS IN HHS
+GRANT PROGRAMS.
(a) In General.--The Secretary of Health and Human Services shall
ensure that, as appropriate, whenever the Department of Health and
Human Services issues a regulation or guidance for any grant program
@@ -814,40 +732,36 @@
for emergency treatment of a known or suspected opioid overdose.
(b) Existing References.--
(1) Update.--Not later than one year after the date of
-enactment of this Act, the Secretary of Health and Human
-Services shall update all references described in paragraph (2)
-to be inclusive of any opioid overdose reversal drug that has
-been approved or otherwise authorized for use by the Food and
-Drug Administration.
-(2) References.--A reference described in this paragraph is
-any reference to an opioid overdose reversal drug (such as
-naloxone) in any regulation or guidance of the Department of
-Health and Human Services that--
-(A) was issued before the date of enactment of this
-Act; and
+enactment of this Act, the Secretary of Health and Human Services
+shall update all references described in paragraph (2) to be
+inclusive of any opioid overdose reversal drug that has been
+approved or otherwise authorized for use by the Food and Drug
+Administration.
+(2) References.--A reference described in this paragraph is any
+reference to an opioid overdose reversal drug (such as naloxone) in
+any regulation or guidance of the Department of Health and Human
+Services that--
+(A) was issued before the date of enactment of this Act;
+and
(B) is included in--
-(i) the grant program for State and Tribal
-response to opioid use disorders under section
-1003 of the 21st Century Cures Act (42 U.S.C.
-290ee-3 note) (commonly referred to as ``State
-Opioid Response Grants'' and ``Tribal Opioid
+(i) the grant program for State and Tribal response to
+opioid use disorders under section 1003 of the 21st Century
+Cures Act (42 U.S.C. 290ee-3 note) (commonly referred to as
+``State Opioid Response Grants'' and ``Tribal Opioid
Response Grants''); or
-(ii) the grant program for priority
-substance use disorder prevention needs of
-regional and national significance under
-section 516 of the Public Health Service Act
-(42 U.S.C. 290bb-22).
-
-SEC. 211. ROUNDTABLE ON USING HEALTH INFORMATION TECHNOLOGY TO IMPROVE
-MENTAL HEALTH AND SUBSTANCE USE CARE OUTCOMES.
-
+(ii) the grant program for priority substance use
+disorder prevention needs of regional and national
+significance under section 516 of the Public Health Service
+Act (42 U.S.C. 290bb-22).
+SEC. 211. ROUNDTABLE ON USING HEALTH INFORMATION TECHNOLOGY TO
+IMPROVE MENTAL HEALTH AND SUBSTANCE USE CARE OUTCOMES.
(a) Roundtable.--Not later than 180 days after the date of
enactment of this Act, the National Coordinator for Health Information
Technology shall convene a public roundtable to examine--
(1) how the expanded use of electronic health records among
mental health and substance use service providers can improve
-outcomes for patients in mental health and substance use
-settings; and
+outcomes for patients in mental health and substance use settings;
+and
(2) how best to increase electronic health record adoption
among such providers.
(b) Participants.--The National Coordinator for Health Information
@@ -866,185 +780,166 @@
report outlining information gathered from the roundtable under
subsection (a). Such report shall include an examination of--
(1) recommendations from the roundtable participants;
-(2) unique considerations for using electronic health
-record systems in mental health and substance use treatment
-settings;
-(3) unique considerations for developers of health
-information technology relating to certification of electronic
-health record systems for use in mental health and substance
-use treatment settings where the applicable health information
-technology is not subject to certification requirements;
-(4) current usage of electronic health record systems by
-mental health and substance use disorder service providers, and
-the scope and magnitude of such providers that do not use
-electronic health record systems;
+(2) unique considerations for using electronic health record
+systems in mental health and substance use treatment settings;
+(3) unique considerations for developers of health information
+technology relating to certification of electronic health record
+systems for use in mental health and substance use treatment
+settings where the applicable health information technology is not
+subject to certification requirements;
+(4) current usage of electronic health record systems by mental
+health and substance use disorder service providers, and the scope
+and magnitude of such providers that do not use electronic health
+record systems;
(5) examples of how electronic health record systems enable
coordinated care and care management;
-(6) how electronic health record systems advance
-appropriate patient and provider access to secure, usable
-electronic information exchange;
-(7) how electronic health record systems can be connected
-to or support existing systems, which may include the 9-8-8
-National Suicide Prevention Lifeline, mobile crisis response
-systems, and co-responder programs, to facilitate connectivity,
-response, and integrated care;
+(6) how electronic health record systems advance appropriate
+patient and provider access to secure, usable electronic
+information exchange;
+(7) how electronic health record systems can be connected to or
+support existing systems, which may include the 9-8-8 National
+Suicide Prevention Lifeline, mobile crisis response systems, and
+co-responder programs, to facilitate connectivity, response, and
+integrated care;
(8) any existing programs to support greater adoption of
-electronic health record systems among mental health and
-substance use service providers;
-(9) any limitations to greater adoption of electronic
-health record systems among mental health and substance use
-service providers;
-(10) the costs of adoption of electronic health record
-systems by mental health and substance use disorder service
-providers; and
-(11) best practices implemented by States and other
-entities to support adoption of use of electronic health
-records among mental health and substance use disorder service
-providers.
+electronic health record systems among mental health and substance
+use service providers;
+(9) any limitations to greater adoption of electronic health
+record systems among mental health and substance use service
+providers;
+(10) the costs of adoption of electronic health record systems
+by mental health and substance use disorder service providers; and
+(11) best practices implemented by States and other entities to
+support adoption of use of electronic health records among mental
+health and substance use disorder service providers.
TITLE III--RECOVERY
SEC. 301. BUILDING COMMUNITIES OF RECOVERY.
-
Section 547(f) of the Public Health Service Act (42 U.S.C. 290ee-
2(f)) is amended by striking ``$5,000,000 for each of fiscal years 2019
through 2023'' and inserting ``$17,000,000 for each of fiscal years
2026 through 2030''.
-
SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.
-
Section 547A of the Public Health Service Act (42 U.S.C. 290ee-2a)
is amended--
(1) in subsection (b)(4), by striking ``building; and'' and
inserting the following: ``building, such as--
-``(A) professional development of peer support
-specialists; and
+``(A) professional development of peer support specialists;
+and
``(B) making recovery support services available in
nonclinical settings; and'';
-(2) by redesignating subsections (d) and (e) as subsections
-(e) and (f), respectively;
+(2) by redesignating subsections (d) and (e) as subsections (e)
+and (f), respectively;
(3) by inserting after subsection (c) the following:
``(d) Regional Centers.--
``(1) In general.--The Secretary may establish one regional
-technical assistance center (referred to in this subsection as
-the `Regional Center'), with existing resources, to assist the
-Center in carrying out activities described in subsection (b)
-within the geographic region of such Regional Center in a
-manner that is tailored to the needs of such region.
+technical assistance center (referred to in this subsection as the
+`Regional Center'), with existing resources, to assist the Center
+in carrying out activities described in subsection (b) within the
+geographic region of such Regional Center in a manner that is
+tailored to the needs of such region.
``(2) Evaluation.--Not later than 4 years after the date of
enactment of the SUPPORT for Patients and Communities
Reauthorization Act of 2025, the Secretary shall evaluate the
-activities of the Regional Center and submit to the Committee
-on Health, Education, Labor, and Pensions of the Senate and the
-Committee on Energy and Commerce of the House of
-Representatives a report on the findings of such evaluation,
-including--
+activities of the Regional Center and submit to the Committee on
+Health, Education, Labor, and Pensions of the Senate and the
+Committee on Energy and Commerce of the House of Representatives a
+report on the findings of such evaluation, including--
``(A) a description of the distinct roles and
responsibilities of the Regional Center and the Center;
-``(B) available information relating to the
-outcomes of the Regional Center under this subsection,
-such as any impact on the operations and efficiency of
-the Center relating to requests for technical
-assistance and support within the region of such
-Regional Center;
-``(C) a description of any gaps or areas of
-duplication relating to the activities of the Regional
-Center and the Center within such region; and
+``(B) available information relating to the outcomes of the
+Regional Center under this subsection, such as any impact on
+the operations and efficiency of the Center relating to
+requests for technical assistance and support within the region
+of such Regional Center;
+``(C) a description of any gaps or areas of duplication
+relating to the activities of the Regional Center and the
+Center within such region; and
``(D) recommendations relating to the modification,
-expansion, or termination of the Regional Center under
-this subsection.
+expansion, or termination of the Regional Center under this
+subsection.
``(3) Termination.--This subsection shall terminate on
September 30, 2030.''; and
(4) in subsection (f), as so redesignated, by striking
``$1,000,000 for each of fiscal years 2019 through 2023'' and
inserting ``$2,000,000 for each of fiscal years 2026 through
2030''.
-
SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS.
-
Section 552 of the Public Health Service Act (42 U.S.C. 290ee-7) is
amended--
(1) in subsection (d)(2)--
-(A) in the matter preceding subparagraph (A), by
-striking ``and in such manner'' and inserting ``, in
-such manner, and containing such information and
-assurances, including relevant documentation,''; and
-(B) in subparagraph (A), by striking ``is capable
-of coordinating with other entities to carry out'' and
-inserting ``has the demonstrated capability to carry
-out, through referral or contractual arrangements'';
+(A) in the matter preceding subparagraph (A), by striking
+``and in such manner'' and inserting ``, in such manner, and
+containing such information and assurances, including relevant
+documentation,''; and
+(B) in subparagraph (A), by striking ``is capable of
+coordinating with other entities to carry out'' and inserting
+``has the demonstrated capability to carry out, through
+referral or contractual arrangements'';
(2) in subsection (h)--
(A) by redesignating paragraphs (1) through (4) as
-subparagraphs (A) through (D), respectively, and
-adjusting the margins accordingly;
-(B) by striking ``With respect to'' and inserting
-the following:
+subparagraphs (A) through (D), respectively, and adjusting the
+margins accordingly;
+(B) by striking ``With respect to'' and inserting the
+following:
``(1) In general.--With respect to''; and
(C) by adding at the end the following:
-``(2) Additional reporting for certain eligible entities.--
-An entity carrying out activities described in subsection (g)
-through referral or contractual arrangements shall include in
-the submissions required under paragraph (1) information
-related to the status of such referrals or contractual
-arrangements, including an assessment of whether such referrals
-or contractual arrangements are supporting the ability of such
-entity to carry out such activities.''; and
-(3) in subsection (j), by striking ``2019 through 2023''
-and inserting ``2026 through 2030''.
-
+``(2) Additional reporting for certain eligible entities.--An
+entity carrying out activities described in subsection (g) through
+referral or contractual arrangements shall include in the
+submissions required under paragraph (1) information related to the
+status of such referrals or contractual arrangements, including an
+assessment of whether such referrals or contractual arrangements
+are supporting the ability of such entity to carry out such
+activities.''; and
+(3) in subsection (j), by striking ``2019 through 2023'' and
+inserting ``2026 through 2030''.
SEC. 304. YOUTH PREVENTION AND RECOVERY.
-
Section 7102(c) of the SUPPORT for Patients and Communities Act (42
U.S.C. 290bb-7a(c)) (as amended by section 110(a)) is amended--
(1) in paragraph (2)--
(A) in subparagraph (A)--
(i) in clause (i)--
-(I) by inserting ``, or a
-consortium of local educational
-agencies,'' after ``a local educational
+
+(I) by inserting ``, or a consortium of local
+educational agencies,'' after ``a local educational
agency''; and
-(II) by striking ``high schools''
-and inserting ``secondary schools'';
+(II) by striking ``high schools'' and inserting
+``secondary schools''; and
+
+(ii) in clause (vi), by striking ``tribe, or tribal''
+and inserting ``Tribe, or Tribal'';
+(B) by amending subparagraph (E) to read as follows:
+``(E) Indian tribe; tribal organization.--The terms `Indian
+Tribe' and `Tribal organization' have the meanings given such
+terms in section 4 of the Indian Self-Determination and
+Education Assistance Act (25 U.S.C. 5304).'';
+(C) by redesignating subparagraph (K) as subparagraph (L);
and
-(ii) in clause (vi), by striking ``tribe,
-or tribal'' and inserting ``Tribe, or Tribal'';
-(B) by amending subparagraph (E) to read as
-follows:
-``(E) Indian tribe; tribal organization.--The terms
-`Indian Tribe' and `Tribal organization' have the
-meanings given such terms in section 4 of the Indian
-Self-Determination and Education Assistance Act (25
-U.S.C. 5304).'';
-(C) by redesignating subparagraph (K) as
-subparagraph (L); and
-(D) by inserting after subparagraph (J) the
-following:
-``(K) Secondary school.--The term `secondary
-school' has the meaning given such term in section 8101
-of the Elementary and Secondary Education Act of 1965
-(20 U.S.C. 7801).'';
-(2) in paragraph (3)(A), in the matter preceding clause
-(i)--
+(D) by inserting after subparagraph (J) the following:
+``(K) Secondary school.--The term `secondary school' has
+the meaning given such term in section 8101 of the Elementary
+and Secondary Education Act of 1965 (20 U.S.C. 7801).'';
+(2) in paragraph (3)(A), in the matter preceding clause (i)--
(A) by striking ``and abuse''; and
-(B) by inserting ``at increased risk for substance
-misuse'' after ``specific populations'';
+(B) by inserting ``at increased risk for substance misuse''
+after ``specific populations'';
(3) in paragraph (4)--
-(A) in the matter preceding subparagraph (A), by
-striking ``Indian tribes'' and inserting ``Indian
-Tribes'';
-(B) in subparagraph (A), by striking ``and abuse'';
-and
-(C) in subparagraph (B), by striking ``peer
-mentoring'' and inserting ``peer-to-peer support'';
+(A) in the matter preceding subparagraph (A), by striking
+``Indian tribes'' and inserting ``Indian Tribes'';
+(B) in subparagraph (A), by striking ``and abuse''; and
+(C) in subparagraph (B), by striking ``peer mentoring'' and
+inserting ``peer-to-peer support'';
(4) in paragraph (5), by striking ``tribal'' and inserting
``Tribal'';
(5) in paragraph (6)(A)--
-(A) in clause (iv), by striking ``; and'' and
-inserting a semicolon; and
+(A) in clause (iv), by striking ``; and'' and inserting a
+semicolon; and
(B) by adding at the end the following:
-``(vi) a plan to sustain the activities
-carried out under the grant program, after the
-grant program has ended; and'';
+``(vi) a plan to sustain the activities carried out
+under the grant program, after the grant program has ended;
+and'';
(6) in paragraph (8), by striking ``2022'' and inserting
``2028''; and
(7) by amending paragraph (9) to read as follows:
@@ -1055,9 +950,7 @@
``(C) $13,000,000 for fiscal year 2028;
``(D) $14,000,000 for fiscal year 2029; and
``(E) $15,000,000 for fiscal year 2030.''.
-
SEC. 305. CAREER ACT.
-
(a) In General.--Section 7183 of the SUPPORT for Patients and
Communities Act (42 U.S.C. 290ee-8) is amended--
(1) in the section heading, by inserting ``; treatment,
@@ -1065,150 +958,139 @@
(2) in subsection (b), by inserting ``each'' before ``for a
period'';
(3) in subsection (c)--
-(A) in paragraph (1), by striking ``the rates
-described in paragraph (2)'' and inserting ``the
-average rates for calendar years 2018 through 2022
-described in paragraph (2)''; and
+(A) in paragraph (1), by striking ``the rates described in
+paragraph (2)'' and inserting ``the average rates for calendar
+years 2018 through 2022 described in paragraph (2)''; and
(B) by amending paragraph (2) to read as follows:
``(2) Rates.--The rates described in this paragraph are the
following:
-``(A) The highest age-adjusted average rates of
+``(A) The highest age-adjusted average rates of drug
+overdose deaths for calendar years 2018 through 2022 based on
+data from the Centers for Disease Control and Prevention,
+including, if necessary, provisional data for calendar year
+2022.
+``(B) The highest average rates of unemployment for
+calendar years 2018 through 2022 based on data provided by the
+Bureau of Labor Statistics.
+``(C) The lowest average labor force participation rates
+for calendar years 2018 through 2022 based on data provided by
+the Bureau of Labor Statistics.'';
+(4) in subsection (g)--
+(A) in each of paragraphs (1) and (3), by redesignating
+subparagraphs (A) and (B) as clauses (i) and (ii),
+respectively, and adjusting the margins accordingly;
+(B) by redesignating paragraphs (1) through (3) as
+subparagraphs (A) through (C), respectively, and adjusting the
+margins accordingly;
+(C) in the matter preceding subparagraph (A) (as so
+redesignated), by striking ``An entity'' and inserting the
+following:
+``(1) In general.--An entity''; and
+(D) by adding at the end the following:
+``(2) Transportation services.--An entity receiving a grant
+under this section may use not more than 5 percent of the funds for
+providing transportation for individuals to participate in an
+activity supported by a grant under this section, which
+transportation shall be to or from a place of work or a place where
+the individual is receiving vocational education or job training
+services or receiving services directly linked to treatment of or
+recovery from a substance use disorder.
+``(3) Limitation.--The Secretary may not require an entity to,
+or give priority to an entity that plans to, use the funds of a
+grant under this section for activities that are not specified in
+this subsection.'';
+(5) in subsection (i)(2), by inserting ``, which shall include
+employment and earnings outcomes described in subclauses (I) and
+(III) of section 116(b)(2)(A)(i) of the Workforce Innovation and
+Opportunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with respect to the
+participation of such individuals with a substance use disorder in
+programs and activities funded by the grant under this section''
+after ``subsection (g)'';
+(6) in subsection (j)--
+(A) in paragraph (1), by inserting ``for grants awarded
+prior to the date of enactment of the SUPPORT for Patients and
+Communities Reauthorization Act of 2025'' after ``grant period
+under this section''; and
+(B) in paragraph (2)--
+(i) in the matter preceding subparagraph (A), by
+striking ``2 years after submitting the preliminary report
+required under paragraph (1)'' and inserting ``September
+30, 2030''; and
+(ii) in subparagraph (A), by striking ``(g)(3)'' and
+inserting ``(g)(1)(C)''; and
+(7) in subsection (k), by striking ``$5,000,000 for each of
+fiscal years 2019 through 2023'' and inserting ``$12,000,000 for
+each of fiscal years 2026 through 2030''.
+(b) Reauthorization of the CAREER Act; Recovery Housing Pilot
+Program.--
+(1) In general.--Section 8071 of the SUPPORT for Patients and
+Communities Act (42 U.S.C. 5301 note; Public Law 115-271) is
+amended--
+(A) by striking the section heading and inserting ``career
+act; recovery housing pilot program'';
+(B) in subsection (a), by striking ``through 2023'' and
+inserting ``through 2030'';
+(C) in subsection (b)--
+(i) in paragraph (1), by striking ``not later than 60
+days after the date of enactment of this Act'' and
+inserting ``not later than 60 days after the date of
+enactment of the SUPPORT for Patients and Communities
+Reauthorization Act of 2025''; and
+(ii) in paragraph (2)(B)(i)--
+
+(I) in subclause (I)--
+
+(aa) by striking ``for calendar years 2013
+through 2017''; and
+(bb) by inserting ``for calendar years 2018
+through 2022'' after ``rates of unemployment'';
+
+(II) in subclause (II)--
+
+(aa) by striking ``for calendar years 2013
+through 2017''; and
+(bb) by inserting ``for calendar years 2018
+through 2022'' after ``participation rates''; and
+
+(III) by striking subclause (III) and inserting the
+following:
+``(III) The highest age-adjusted average rates of
drug overdose deaths for calendar years 2018 through
2022 based on data from the Centers for Disease Control
and Prevention, including, if necessary, provisional
-data for calendar year 2022.
-``(B) The highest average rates of unemployment for
-calendar years 2018 through 2022 based on data provided
-by the Bureau of Labor Statistics.
-``(C) The lowest average labor force participation
-rates for calendar years 2018 through 2022 based on
-data provided by the Bureau of Labor Statistics.'';
-(4) in subsection (g)--
-(A) in each of paragraphs (1) and (3), by
-redesignating subparagraphs (A) and (B) as clauses (i)
-and (ii), respectively, and adjusting the margins
-accordingly;
-(B) by redesignating paragraphs (1) through (3) as
-subparagraphs (A) through (C), respectively, and
-adjusting the margins accordingly;
-(C) in the matter preceding subparagraph (A) (as so
-redesignated), by striking ``An entity'' and inserting
-the following:
-``(1) In general.--An entity''; and
-(D) by adding at the end the following:
-``(2) Transportation services.--An entity receiving a grant
-under this section may use not more than 5 percent of the funds
-for providing transportation for individuals to participate in
-an activity supported by a grant under this section, which
-transportation shall be to or from a place of work or a place
-where the individual is receiving vocational education or job
-training services or receiving services directly linked to
-treatment of or recovery from a substance use disorder.
-``(3) Limitation.--The Secretary may not require an entity
-to, or give priority to an entity that plans to, use the funds
-of a grant under this section for activities that are not
-specified in this subsection.'';
-(5) in subsection (i)(2), by inserting ``, which shall
-include employment and earnings outcomes described in
-subclauses (I) and (III) of section 116(b)(2)(A)(i) of the
-Workforce Innovation and Opportunity Act (29 U.S.C.
-3141(b)(2)(A)(i)) with respect to the participation of such
-individuals with a substance use disorder in programs and
-activities funded by the grant under this section'' after
-``subsection (g)'';
-(6) in subsection (j)--
-(A) in paragraph (1), by inserting ``for grants
-awarded prior to the date of enactment of the SUPPORT
-for Patients and Communities Reauthorization Act of
-2025'' after ``grant period under this section''; and
-(B) in paragraph (2)--
-(i) in the matter preceding subparagraph
-(A), by striking ``2 years after submitting the
-preliminary report required under paragraph
-(1)'' and inserting ``September 30, 2030''; and
-(ii) in subparagraph (A), by striking
-``(g)(3)'' and inserting ``(g)(1)(C)''; and
-(7) in subsection (k), by striking ``$5,000,000 for each of
-fiscal years 2019 through 2023'' and inserting ``$12,000,000
-for each of fiscal years 2026 through 2030''.
-(b) Reauthorization of the CAREER Act; Recovery Housing Pilot
-Program.--
-(1) In general.--Section 8071 of the SUPPORT for Patients
-and Communities Act (42 U.S.C. 5301 note; Public Law 115-271)
-is amended--
-(A) by striking the section heading and inserting
-``career act; recovery housing pilot program'';
-(B) in subsection (a), by striking ``through 2023''
-and inserting ``through 2030'';
-(C) in subsection (b)--
-(i) in paragraph (1), by striking ``not
-later than 60 days after the date of enactment
-of this Act'' and inserting ``not later than 60
-days after the date of enactment of the SUPPORT
-for Patients and Communities Reauthorization
-Act of 2025''; and
-(ii) in paragraph (2)(B)(i)--
-(I) in subclause (I)--
-(aa) by striking ``for
-calendar years 2013 through
-2017''; and
-(bb) by inserting ``for
-calendar years 2018 through
-2022'' after ``rates of
-unemployment'';
-(II) in subclause (II)--
-(aa) by striking ``for
-calendar years 2013 through
-2017''; and
-(bb) by inserting ``for
-calendar years 2018 through
-2022'' after ``participation
-rates''; and
-(III) by striking subclause (III)
-and inserting the following:
-``(III) The highest age-adjusted
-average rates of drug overdose deaths
-for calendar years 2018 through 2022
-based on data from the Centers for
-Disease Control and Prevention,
-including, if necessary, provisional
data for calendar year 2022.''; and
-(D) in subsection (f), by striking ``For the 2-year
-period following the date of enactment of this Act,
-the'' and inserting ``The''.
+
+(D) in subsection (f), by striking ``For the 2-year period
+following the date of enactment of this Act, the'' and
+inserting ``The''.
(2) Conforming amendment.--Subtitle F of title VIII of the
-SUPPORT for Patients and Communities Act (Public Law 115-271;
-132 Stat. 4095) is amended by striking the subtitle heading and
-inserting the following: ``Subtitle F--CAREER Act; Recovery
-Housing Pilot Program'' .
+SUPPORT for Patients and Communities Act (Public Law 115-271; 132
+Stat. 4095) is amended by striking the subtitle heading and
+inserting the following: ``Subtitle F--CAREER Act; Recovery Housing
+Pilot Program'' .
(c) Clerical Amendments.--The table of contents in section 1(b) of
the SUPPORT for Patients and Communities Act (Public Law 115-271; 132
Stat. 3894) is amended--
-(1) by striking the item relating to section 7183 and
-inserting the following:
-
+(1) by striking the item relating to section 7183 and inserting
+the following:
``Sec. 7183. CAREER Act; treatment, recovery, and workforce support
grants.'';
-(2) by striking the item relating to subtitle F of title
-VIII and inserting the following:
+
+(2) by striking the item relating to subtitle F of title VIII
+and inserting the following:
``Subtitle F--CAREER Act; Recovery Housing Pilot Program''; and
-(3) by striking the item relating to section 8071 and
-inserting the following:
-
+(3) by striking the item relating to section 8071 and inserting
+the following:
``Sec. 8071. CAREER Act; Recovery Housing Pilot Program.''.
-
SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF THE OPIOID
CRISIS.
-
Section 8041(g)(1) of the SUPPORT for Patients and Communities Act
(29 U.S.C. 3225a(g)(1)) is amended by striking ``2023'' and inserting
``2030''.
-
-SEC. 307. REVIEW OF INFORMATION RELATED TO FUNDING OPPORTUNITIES UNDER
-PROGRAMS ADMINISTERED BY SAMHSA.
-
+SEC. 307. REVIEW OF INFORMATION RELATED TO FUNDING OPPORTUNITIES
+UNDER PROGRAMS ADMINISTERED BY SAMHSA.
(a) In General.--Not later than one year after the date of
enactment of this Act, the Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall convene a
@@ -1219,16 +1101,16 @@
opportunities'').
(b) Topics.--The public meeting under subsection (a) shall
include--
-(1) opportunities to improve the utility and functionality
-of internet websites maintained by the Secretary that provide
+(1) opportunities to improve the utility and functionality of
+internet websites maintained by the Secretary that provide
information related to SAMHSA funding opportunities, such as
Grants.gov;
-(2) other models for displaying and disseminating
-information related to SAMHSA funding opportunities, such as
-interactive dashboards; and
-(3) strategies to improve the ability of entities to apply
-for SAMHSA funding opportunities, including entities that have
-not traditionally applied for SAMHSA funding opportunities.
+(2) other models for displaying and disseminating information
+related to SAMHSA funding opportunities, such as interactive
+dashboards; and
+(3) strategies to improve the ability of entities to apply for
+SAMHSA funding opportunities, including entities that have not
+traditionally applied for SAMHSA funding opportunities.
(c) Website Improvements.--The Secretary shall implement
improvements to Grants.gov related to SAMHSA funding opportunities
based on stakeholder feedback received at the public meeting under
@@ -1250,24 +1132,21 @@
SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A PHARMACY TO A
PRESCRIBING PRACTITIONER.
-
Section 309A(a) of the Controlled Substances Act (21 U.S.C.
829a(a)) is amended by striking paragraph (2) and inserting the
following:
-``(2) the controlled substance is a drug in schedule III,
-IV, or V to be administered--
-``(A) by injection or implantation for the purpose
-of maintenance or detoxification treatment; or
-``(B) subject to a risk evaluation and mitigation
-strategy pursuant to section 505-1 of the Federal Food,
-Drug, and Cosmetic Act (21 U.S.C. 355-1) that includes
-elements to assure safe use of the drug described in
-subsection (f)(3)(E) of such section, including a
-requirement for post-administration monitoring by a
-health care provider;''.
-
-SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED SUBSTANCES.
-
+``(2) the controlled substance is a drug in schedule III, IV,
+or V to be administered--
+``(A) by injection or implantation for the purpose of
+maintenance or detoxification treatment; or
+``(B) subject to a risk evaluation and mitigation strategy
+pursuant to section 505-1 of the Federal Food, Drug, and
+Cosmetic Act (21 U.S.C. 355-1) that includes elements to assure
+safe use of the drug described in subsection (f)(3)(E) of such
+section, including a requirement for post-administration
+monitoring by a health care provider;''.
+SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED
+SUBSTANCES.
(a) In General.--Section 303 of the Controlled Substances Act (21
U.S.C. 823) is amended--
(1) by redesignating the second subsection designated as
@@ -1275,75 +1154,58 @@
(2) in subsection (m)(1), as so redesignated--
(A) in subparagraph (A)--
(i) in clause (iv)--
+
(I) in subclause (I)--
-(aa) by inserting ``the
-American Academy of Family
-Physicians, the American
-Podiatric Medical Association,
-the Academy of General
-Dentistry, the American
-Optometric Association,''
-before ``or any other
-organization'';
-(bb) by striking ``or the
-Commission'' and inserting ``,
-the Commission''; and
-(cc) by inserting ``, or
-the Council on Podiatric
-Medical Education'' before the
-semicolon at the end; and
-(II) in subclause (III), by
-inserting ``or the American Academy of
-Family Physicians'' after
+
+(aa) by inserting ``the American Academy of
+Family Physicians, the American Podiatric Medical
+Association, the Academy of General Dentistry, the
+American Optometric Association,'' before ``or any
+other organization'';
+(bb) by striking ``or the Commission'' and
+inserting ``, the Commission''; and
+(cc) by inserting ``, or the Council on
+Podiatric Medical Education'' before the semicolon
+at the end; and
+
+(II) in subclause (III), by inserting ``or the
+American Academy of Family Physicians'' after
``Association''; and
-(ii) in clause (v), in the matter preceding
-subclause (I)--
-(I) by striking ``osteopathic
-medicine, dental surgery'' and
-inserting ``osteopathic medicine,
-podiatric medicine, dental surgery'';
-and
-(II) by striking ``or dental
-medicine curriculum'' and inserting
-``or dental or podiatric medicine
+
+(ii) in clause (v), in the matter preceding subclause
+(I)--
+
+(I) by striking ``osteopathic medicine, dental
+surgery'' and inserting ``osteopathic medicine,
+podiatric medicine, dental surgery''; and
+(II) by striking ``or dental medicine curriculum''
+and inserting ``or dental or podiatric medicine
curriculum''; and
+
(B) in subparagraph (B)--
(i) in clause (i)--
-(I) by inserting ``the American
-Pharmacists Association, the
-Accreditation Council on Pharmacy
-Education, the American Psychiatric
-Nurses Association, the American
-Academy of Nursing, the American
-Academy of Family Physicians,'' before
-``or any other organization''; and
-(II) by inserting ``, the American
-Academy of Family Physicians,'' before
-``or the Accreditation Council''; and
+
+(I) by inserting ``the American Pharmacists
+Association, the Accreditation Council on Pharmacy
+Education, the American Psychiatric Nurses Association,
+the American Academy of Nursing, the American Academy
+of Family Physicians,'' before ``or any other
+organization''; and
+(II) by inserting ``, the American Academy of
+Family Physicians,'' before ``or the Accreditation
+Council''; and
+
(ii) in clause (ii)--
-(I) by striking ``or accredited
-school'' and inserting ``, an
-accredited school''; and
-(II) by inserting ``, or an
-accredited school of pharmacy'' before
-``in the United States''.
+
+(I) by striking ``or accredited school'' and
+inserting ``, an accredited school''; and
+(II) by inserting ``, or an accredited school of
+pharmacy'' before ``in the United States''.
+
(b) Effective Date.--The amendment made by subsection (a) shall
take effect as if enacted on December 29, 2022.
-Passed the House of Representatives June 4, 2025.
-
-Attest:
-
-Clerk.
-119th CONGRESS
-
-1st Session
-
-H. R. 2483
-
-_______________________________________________________________________
-
-AN ACT
-
-To reauthorize certain programs that provide for opioid use disorder
-prevention, treatment, and recovery, and for other purposes.
+Speaker of the House of Representatives.
+
+Vice President of the United States and
+President of the Senate.

Lobbying activity

Organizations whose LDA filings reference this bill, ranked by filing count. Position not disclosed — LDA does not require lobbyists to report support / oppose / monitor. Bill-number references can be stale (lobbyists sometimes copy text year-over-year), so verify against the filing description.

NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (N.A.C.H.)
HCR
6
filings · 2026 Q3
AMERICAN OPTOMETRIC ASSOCIATION
HCR
5
filings · 2026 Q3
AMERICAN MEDICAL ASSOCIATION
BUDHCRMMM
5
filings · 2026 Q3
PHYSICIAN ASSISTANT EDUCATION ASSOCIATION
HCR
5
filings · 2026 Q3
NATIONAL ASSOCIATION OF BOARDS OF PHARMACY
HCRPHA
5
filings · 2026 Q3
THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC. (AOTA)
HCR
5
filings · 2025 Q3
NATIONAL COUNCIL FOR BEHAVIORAL HEALTH
HCR
5
filings · 2026 Q3
TRUST FOR AMERICA'S HEALTH
HCR
5
filings · 2026 Q3
MASSACHUSETTS MEDICAL SOCIETY
ALCHCRMMM
5
filings · 2026 Q3
NATIONAL ALLIANCE ON MENTAL ILLNESS
HCR
5
filings · 2026 Q3

via Senate LDA · self-reported quarterly. Filing count = filings mentioning this bill (no position required), not money spent on it. Click a client to see all bills they've filed on.

Cosponsors (2)

Members who signed on to support this bill.

Pettersen D
Pettersen D