WHAT THE LAW DOINCongress, in plain words

H.R. 2483 · 119th Congress · Public Law 119-44

SUPPORT for Patients and Communities Reauthorization Act of 2025

Became lawHealth
IntroducedMar 31, 2025
Passed HouseJun 4, 2025
Passed SenateSep 18, 2025
To PresidentNov 25, 2025
Became lawDec 1, 2025

How this bill changes the law

Sourced

H.R. 2483 changed 25 sections of existing law, and created 9 new provisions of its own. Read from the bill text in its final form, as sent to the President.

Also changed: 42 U.S.C. 295h, 42 U.S.C. 290dd-2, Public Law 115-271, 21 U.S.C. 823, 42 U.S.C. 290ee-2, 42 U.S.C. 290ee-2a, 42 U.S.C. 290ee-7, 42 U.S.C. 290ee-8, 42 U.S.C. 5301, 29 U.S.C. 3225a, 21 U.S.C. 829a.

42 U.S.C. 247b-13

42 U.S.C. 247b-15

42 U.S.C. 280b-1

42 U.S.C. 280f

  • The section as a whole rewritten · Sec. 104(a) · see the words

42 U.S.C. 280g-3

42 U.S.C. 290ee-1

42 U.S.C. 290kk

  • The section as a whole renumbered · Sec. 107(a) · see the words

42 U.S.C. 290hh-1

42 U.S.C. 290bb-36c National Suicide Prevention Lifeline program

  • (f) Authorization of appropriations moved to (g) · Sec. 108(b) · see the words
  • (f) new · Sec. 108(b) · see the words
  • (g) Authorization of appropriations (formerly (f)) renumbered · Sec. 108(b)

42 U.S.C. 242t CDC surveillance and data collection for child, youth, and adult trauma

  • (e) Authorization of appropriations changed · Sec. 109 · see the words

42 U.S.C. 290aa

42 U.S.C. 290bb-1

42 U.S.C. 290ll Fellowships

42 U.S.C. 294e-1 Mental and behavioral health education and training grants

  • (f) Authorization of appropriations changed · Sec. 203 · see the words

New provisions of the bill's own

  • Sec. 111 Guidance on at-home drug disposal systems
  • Sec. 112 Assessment of opioid drugs and actions
  • Sec. 113 Grant program for State and Tribal response to opioid use disorders
  • Sec. 208 State guidance related to individuals with serious mental 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
  • Sec. 304 Youth prevention and recovery
  • Sec. 307 Review of information related to funding opportunities under programs administered by SAMHSA
What the words changed: every change, in place (108)

Today's wording of each part of the law, with what was struck out and added. Each change also gives the bill's own instruction, word for word.

  1. 42 U.S.C. 247b-13(d)changedby H.R. 2483 Sec. 101

    The bill says: 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".

  2. 42 U.S.C. 247b-15(d)changedby H.R. 2483 Sec. 102

    The bill says: 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".

  3. 42 U.S.C. 280b-1(a)(2)(C)changedby H.R. 2483 Sec. 103(a)

    The bill says: in subparagraph (C), by inserting "and associated risks" before the period at the end; and

  4. 42 U.S.C. 280b-1(a)(2)(D)changedby H.R. 2483 Sec. 103(a)

    The bill says: in subparagraph (D), by striking "opioids" and inserting "substances causing overdose"; and

  5. 42 U.S.C. 280b-1(b)(2)(B)changedby H.R. 2483 Sec. 103(a)

    The bill says: in subparagraph (B), by inserting ", and associated risk factors," after "such overdoses";

  6. 42 U.S.C. 280b-1(b)(2)(C)changedby H.R. 2483 Sec. 103(a)

    The bill says: in subparagraph (C), by striking "coding" and inserting "monitoring and identifying";

  7. 42 U.S.C. 280b-1(b)(2)(E)changedby H.R. 2483 Sec. 103(a)

    The bill says: by inserting a comma after "public health laboratories"; and

  8. 42 U.S.C. 280b-1(b)(2)(E)changedby H.R. 2483 Sec. 103(a)

    The bill says: by inserting "and other emerging substances related" after "analogues"; and

  9. 42 U.S.C. 280b-1(b)(2)(F)changedby H.R. 2483 Sec. 103(a)

    The bill says: in subparagraph (F), by inserting "and associated risk factors" after "overdoses".

  10. 42 U.S.C. 280b-1(a)(3)changedby H.R. 2483 Sec. 103(b)

    The bill says: in the matter preceding subparagraph (A), by striking "and Indian Tribes—" and inserting "and Indian Tribes for the following purposes:";

  11. 42 U.S.C. 280b-1(a)(3)rewrittenby H.R. 2483 Sec. 103(b)

    The bill says: by amending subparagraph (A) to read as follows:

  12. 42 U.S.C. 280b-1(a)(3)(B)changedby H.R. 2483 Sec. 103(b)

    The bill says: in subparagraph (B), by striking "for any" and inserting "For any".

  13. 42 U.S.C. 280b-1(e)changedby H.R. 2483 Sec. 103(c)

    The bill says: 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".

  14. 42 U.S.C. 280frewrittenby H.R. 2483 Sec. 104(a)

    O Fetal alcohol spectrum disorder prevention and services program.—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, identification, intervention, and services delivery program, which may 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 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;(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;(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;(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.(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.(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.(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.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 field of fetal alcohol spectrum disorders (referred to in this section as "FASD"). Such awards shall be for the purposes of building local, Tribal, State, and nationwide capacities to prevent the occurrence of 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 prac

    The bill says: Part O of title III of the Public Health Service Act (42 U.S.C. 280f et seq.) is amended to read as follows:

  15. 42 U.S.C. 280g-3(h)added (5)by H.R. 2483 Sec. 105

    (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.

    The bill says: 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:

  16. 42 U.S.C. 290ee-1(a)changedby H.R. 2483 Sec. 106(1)

    The bill says: in subsection (a), by striking "tribes and tribal" and inserting "Tribes and Tribal";

  17. 42 U.S.C. 290ee-1changedby H.R. 2483 Sec. 106(2)

    The bill says: by striking "approved or cleared" each place it appears and inserting "approved, cleared, or otherwise legally marketed"; and

  18. 42 U.S.C. 290ee-1changedby H.R. 2483 Sec. 106(2)

    The bill says: by striking "opioid" each place it appears;

  19. 42 U.S.C. 290ee-1(f)changedby H.R. 2483 Sec. 106(3)

    The bill says: by striking "approved or cleared" each place it appears and inserting "approved, cleared, or otherwise legally marketed";

  20. 42 U.S.C. 290ee-1(f)(1)changedby H.R. 2483 Sec. 106(3)

    The bill says: in paragraph (1), by striking "opioid";

  21. 42 U.S.C. 290ee-1(f)(2)changedby H.R. 2483 Sec. 106(3)

    The bill says: by striking "opioid and heroin" and inserting "opioid, heroin, and other drug"; and

  22. 42 U.S.C. 290ee-1(f)(2)changedby H.R. 2483 Sec. 106(3)

    The bill says: by striking "opioid overdose" and inserting "overdose"; and

  23. 42 U.S.C. 290ee-1(f)(3)changedby H.R. 2483 Sec. 106(3)

    The bill says: in paragraph (3), by striking "opioid and heroin"; and

  24. 42 U.S.C. 290ee-1(h)changedby H.R. 2483 Sec. 106(4)

    The bill says: 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".

  25. 42 U.S.C. 290kkrenumberedby H.R. 2483 Sec. 107(a)

    The bill says: by redesignating such part as part J; and

  26. 42 U.S.C. 290kkrenumberedby H.R. 2483 Sec. 107(a)

    The bill says: by redesignating sections 581 through 584 as sections 596 through 596C, respectively.

  27. 42 U.S.C. 290hh-1changedby H.R. 2483 Sec. 107(b)

    The bill says: in the section heading, by striking "VIOLENCE RELATED STRESS" and inserting "TRAUMATIC EVENTS";

  28. 42 U.S.C. 290hh-1(a)changedby H.R. 2483 Sec. 107(b)

    The bill says: in the matter preceding paragraph (1), by striking "tribes and tribal" and inserting "Tribes and Tribal"; and

  29. 42 U.S.C. 290hh-1(a)(2)changedby H.R. 2483 Sec. 107(b)

    The bill says: in paragraph (2), by inserting "and dissemination" after "the development";

  30. 42 U.S.C. 290hh-1(b)changedby H.R. 2483 Sec. 107(b)

    The bill says: in subsection (b), by inserting "and dissemination" after "the development";

  31. 42 U.S.C. 290hh-1(d)changedby H.R. 2483 Sec. 107(b)

    The bill says: by striking "The NCTSI" and inserting the following:

  32. 42 U.S.C. 290hh-1(d)added (2)by H.R. 2483 Sec. 107(b)

    (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.

    The bill says: by adding at the end the following:

  33. 42 U.S.C. 290hh-1(e)renumberedby H.R. 2483 Sec. 107(b)

    The bill says: by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively, and adjusting the margins accordingly;

  34. 42 U.S.C. 290hh-1(e)(A)changedby H.R. 2483 Sec. 107(b)

    The bill says: in subparagraph (A), as so redesignated, by inserting "and implementation" after "the dissemination";

  35. 42 U.S.C. 290hh-1(e)changedby H.R. 2483 Sec. 107(b)

    The bill says: by striking "The NCTSI" and inserting the following:

  36. 42 U.S.C. 290hh-1(e)added (2)by H.R. 2483 Sec. 107(b)

    (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).

    The bill says: by adding at the end the following:

  37. 42 U.S.C. 290hh-1rewrittenby H.R. 2483 Sec. 107(b)

    (h) Application and evaluation.— To be eligible to receive a grant, contract, or cooperative agreement under subsection (a), a public or nonprofit private entity or an Indian Tribe or Tribal 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.

    The bill says: by amending subsection (h) to read as follows:

  38. 42 U.S.C. 290hh-1rewrittenby H.R. 2483 Sec. 107(b)

    (j) Authorization of appropriations.— There is authorized to be appropriated to carry out this section—(1) $98,887,000 for fiscal year 2026;(2) $98,887,000 for fiscal year 2027;(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.

    The bill says: by amending subsection (j) to read as follows:

  39. 42 U.S.C. 290bb-36crenumberedby H.R. 2483 Sec. 108(b)

    The bill says: by redesignating subsection (f) as subsection (g); and

  40. 42 U.S.C. 290bb-36cadded (f)by H.R. 2483 Sec. 108(b)

    (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.(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.(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.(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 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.

    The bill says: by inserting after subsection (e) the following:

  41. 42 U.S.C. 242t(e)changedby H.R. 2483 Sec. 109

    (e) Authorization of appropriations. To carry out this section, there is authorized to be appropriated $2,000,000 for each of fiscal years 2019 through 2023$9,000,000 for each of fiscal years 2026 through 2030.

    The bill says: 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".

  42. 42 U.S.C. 290aachangedby H.R. 2483 Sec. 110(b)

    (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.(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.(C) Duties.— The Work Group shall—(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;(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.

    The bill says: by striking subsection (g) and inserting the following:

  43. 42 U.S.C. 290aachangedby H.R. 2483 Sec. 110(b)

    The bill says: by striking subsection (i) and inserting the following:

  44. 42 U.S.C. 290bb-1(d)(11)(C)changedby H.R. 2483 Sec. 201(1)

    The bill says: in subsection (d)(11)(C), by striking "providing health services" and inserting "providing health care services";

  45. 42 U.S.C. 290bb-1(g)changedby H.R. 2483 Sec. 201(2)

    The bill says: by inserting "a plan describing" after "will provide"; and

  46. 42 U.S.C. 290bb-1(g)addedby H.R. 2483 Sec. 201(2)

    The bill says: 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

  47. 42 U.S.C. 290bb-1(s)changedby H.R. 2483 Sec. 201(3)

    The bill says: 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".

  48. 42 U.S.C. 290ll(a)(1)changedby H.R. 2483 Sec. 202(1)

    (1) increasing the knowledge of mental and substance use disorders practitioners on issues related to diagnosis, prevention, treatment, and recovery support for individuals who are from racial and ethnic minority populations and who have a mental or substance use disorder;

    The bill says: in subsection (a)(1), by inserting "diagnosis," after "related to"; and

  49. 42 U.S.C. 290ll(b)changedby H.R. 2483 Sec. 202(2)

    (b) Training covered. The fellowships awarded under subsection (a) shall be for postbaccalaureate training (including for master's and doctoral degrees) for mental and substance use disorder treatment professionals, including in the fields of psychiatry, addiction medicine, nursing, social work, psychology, marriage and family therapy, mental health counseling, and substance use disorder and addiction counseling.

    The bill says: in subsection (b), by inserting "addiction medicine," after "psychiatry,".

  50. 42 U.S.C. 294e-1(f)changedby H.R. 2483 Sec. 203

    (f) Authorization of appropriations. For each of fiscal years 2023 through 2027fiscal years 2026 through 2030, there are authorized to be appropriated to carry out this section $50,000,000, to be allocated as follows: (1) For grants described in subsection (a)(1), $15,000,000. (2) For grants described in subsection (a)(2), $15,000,000. (3) For grants described in subsection (a)(3), $10,000,000. (4) For grants described in subsection (a)(4), $10,000,000.

    The bill says: 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".

  51. 42 U.S.C. 295h(j)changedby H.R. 2483 Sec. 204

    The bill says: 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".

  52. 42 U.S.C. 290dd-2removedby H.R. 2483 Sec. 205

    The bill says: Section 7053 of the SUPPORT for Patients and Communities Act (42 U.S.C. 290dd–2 note) is amended by striking subsection (e).

  53. Public Law 115-271(b)(1)renumberedby H.R. 2483 Sec. 206(1)

    The bill says: by redesignating subparagraph (CC) as subparagraph (DD); and

  54. Public Law 115-271(b)(1)added (CC)by H.R. 2483 Sec. 206(1)

    (CC) The Administration for Community Living.

    The bill says: by inserting after subparagraph (BB) the following:

  55. Public Law 115-271(d)(1)changedby H.R. 2483 Sec. 206(2)

    The bill says: in subsection (d)(1), in the matter preceding subparagraph (A), by inserting ", developmental disability service providers" before ", individuals who are"; and

  56. Public Law 115-271(i)changedby H.R. 2483 Sec. 206(3)

    The bill says: in subsection (i), by striking "2023" and inserting "2030".

  57. 21 U.S.C. 823removedby H.R. 2483 Sec. 207(1)

    The bill says: by striking subsection (b); and

  58. 21 U.S.C. 823changedby H.R. 2483 Sec. 207(2)

    The bill says: by striking "(a) In general.—The Secretary" and inserting the following: "The Secretary".

  59. 42 U.S.C. 290ee-2(f)changedby H.R. 2483 Sec. 301

    The bill says: 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".

  60. 42 U.S.C. 290ee-2a(b)(4)changedby H.R. 2483 Sec. 302(1)

    building, such as—(A) professional development of peer support specialists; and(B) making recovery support services available in nonclinical settings; and

    The bill says: in subsection (b)(4), by striking "building; and" and inserting the following:

  61. 42 U.S.C. 290ee-2arenumberedby H.R. 2483 Sec. 302(2)

    The bill says: by redesignating subsections (d) and (e) as subsections (e) and (f), respectively;

  62. 42 U.S.C. 290ee-2aadded (d)by H.R. 2483 Sec. 302(3)

    (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.(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—(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(D) recommendations relating to the modification, expansion, or termination of the Regional Center under this subsection.(3) Termination.— This subsection shall terminate on September 30, 2030.

    The bill says: by inserting after subsection (c) the following:

  63. 42 U.S.C. 290ee-2a(f)changedby H.R. 2483 Sec. 302(4)

    The bill says: 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".

  64. 42 U.S.C. 290ee-7(d)(2)changedby H.R. 2483 Sec. 303(1)

    The bill says: 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

  65. 42 U.S.C. 290ee-7(d)(2)(A)changedby H.R. 2483 Sec. 303(1)

    The bill says: 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";

  66. 42 U.S.C. 290ee-7(h)renumberedby H.R. 2483 Sec. 303(2)

    The bill says: by redesignating paragraphs (1) through (4) as subparagraphs (A) through (D), respectively, and adjusting the margins accordingly;

  67. 42 U.S.C. 290ee-7(h)changedby H.R. 2483 Sec. 303(2)

    The bill says: by striking "With respect to" and inserting the following:

  68. 42 U.S.C. 290ee-7(h)added (2)by H.R. 2483 Sec. 303(2)

    (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.

    The bill says: by adding at the end the following:

  69. 42 U.S.C. 290ee-7(j)changedby H.R. 2483 Sec. 303(3)

    The bill says: in subsection (j), by striking "2019 through 2023" and inserting "2026 through 2030".

  70. 42 U.S.C. 290ee-8changedby H.R. 2483 Sec. 305(a)

    The bill says: in the section heading, by inserting "; TREATMENT, RECOVERY, AND WORKFORCE SUPPORT GRANTS" after "CAREER ACT";

  71. 42 U.S.C. 290ee-8(b)changedby H.R. 2483 Sec. 305(a)

    The bill says: in subsection (b), by inserting "each" before "for a period";

  72. 42 U.S.C. 290ee-8(c)(1)changedby H.R. 2483 Sec. 305(a)

    The bill says: 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

  73. 42 U.S.C. 290ee-8(c)rewrittenby H.R. 2483 Sec. 305(a)

    (2) Rates.— The rates described in this paragraph are the following:(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.

    The bill says: by amending paragraph (2) to read as follows:

  74. 42 U.S.C. 290ee-8(g)renumberedby H.R. 2483 Sec. 305(a)

    The bill says: in each of paragraphs (1) and (3), by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and adjusting the margins accordingly;

  75. 42 U.S.C. 290ee-8(g)renumberedby H.R. 2483 Sec. 305(a)

    The bill says: by redesignating paragraphs (1) through (3) as subparagraphs (A) through (C), respectively, and adjusting the margins accordingly;

  76. 42 U.S.C. 290ee-8(g)changedby H.R. 2483 Sec. 305(a)

    The bill says: in the matter preceding subparagraph (A) (as so redesignated), by striking "An entity" and inserting the following:

  77. 42 U.S.C. 290ee-8(g)added (2)by H.R. 2483 Sec. 305(a)

    (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.

    The bill says: by adding at the end the following:

  78. 42 U.S.C. 290ee-8(i)(2)changedby H.R. 2483 Sec. 305(a)

    The bill says: 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)";

  79. 42 U.S.C. 290ee-8(j)(1)changedby H.R. 2483 Sec. 305(a)

    The bill says: 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

  80. 42 U.S.C. 290ee-8(j)(2)changedby H.R. 2483 Sec. 305(a)

    The bill says: 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

  81. 42 U.S.C. 290ee-8(j)(2)(A)changedby H.R. 2483 Sec. 305(a)

    The bill says: in subparagraph (A), by striking "(g)(3)" and inserting "(g)(1)(C)"; and

  82. 42 U.S.C. 290ee-8(k)changedby H.R. 2483 Sec. 305(a)

    The bill says: 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".

  83. 42 U.S.C. 5301changedby H.R. 2483 Sec. 305(b)

    The bill says: by striking the section heading and inserting "CAREER Act; Recovery Housing Pilot Program";

  84. 42 U.S.C. 5301(a)changedby H.R. 2483 Sec. 305(b)

    The bill says: in subsection (a), by striking "through 2023" and inserting "through 2030";

  85. 42 U.S.C. 5301(b)(1)changedby H.R. 2483 Sec. 305(b)

    The bill says: 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

  86. 42 U.S.C. 5301(b)(2)(B)(i)(I)changedby H.R. 2483 Sec. 305(b)

    The bill says: by striking "for calendar years 2013 through 2017"; and

  87. 42 U.S.C. 5301(b)(2)(B)(i)(I)changedby H.R. 2483 Sec. 305(b)

    The bill says: by inserting "for calendar years 2018 through 2022" after "rates of unemployment";

  88. 42 U.S.C. 5301(b)(2)(B)(i)(II)changedby H.R. 2483 Sec. 305(b)

    The bill says: by striking "for calendar years 2013 through 2017"; and

  89. 42 U.S.C. 5301(b)(2)(B)(i)(II)changedby H.R. 2483 Sec. 305(b)

    The bill says: by inserting "for calendar years 2018 through 2022" after "participation rates"; and

  90. 42 U.S.C. 5301(b)(2)(B)(i)changedby H.R. 2483 Sec. 305(b)

    The bill says: by striking subclause (III) and inserting the following:

  91. 42 U.S.C. 5301(f)changedby H.R. 2483 Sec. 305(b)

    The bill says: in subsection (f), by striking "For the 2-year period following the date of enactment of this Act, the" and inserting "The".

  92. Public Law 115-271changedby H.R. 2483 Sec. 305(b)

    The bill says: 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".

  93. Public Law 115-271changedby H.R. 2483 Sec. 305(c)

    The bill says: by striking the item relating to section 7183 and inserting the following:

  94. Public Law 115-271changedby H.R. 2483 Sec. 305(c)

    The bill says: by striking the item relating to subtitle F of title VIII and inserting the following:

  95. Public Law 115-271changedby H.R. 2483 Sec. 305(c)

    The bill says: by striking the item relating to section 8071 and inserting the following:

  96. 29 U.S.C. 3225a(g)(1)changedby H.R. 2483 Sec. 306

    The bill says: 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".

  97. 21 U.S.C. 829a(a)changedby H.R. 2483 Sec. 401

    (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;

    The bill says: Section 309A(a) of the Controlled Substances Act (21 U.S.C. 829a(a)) is amended by striking paragraph (2) and inserting the following:

  98. 21 U.S.C. 823renumberedby H.R. 2483 Sec. 402(a)

    The bill says: by redesignating the second subsection designated as subsection (l) as subsection (m); and

  99. 21 U.S.C. 823(m)(1)(A)(iv)(I)changedby H.R. 2483 Sec. 402(a)

    The bill says: 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";

  100. 21 U.S.C. 823(m)(1)(A)(iv)(I)changedby H.R. 2483 Sec. 402(a)

    The bill says: by striking "or the Commission" and inserting ", the Commission"; and

  101. 21 U.S.C. 823(m)(1)(A)(iv)(I)changedby H.R. 2483 Sec. 402(a)

    The bill says: by inserting ", or the Council on Podiatric Medical Education" before the semicolon at the end; and

  102. 21 U.S.C. 823(m)(1)(A)(iv)(III)changedby H.R. 2483 Sec. 402(a)

    The bill says: in subclause (III), by inserting "or the American Academy of Family Physicians" after "Association"; and

  103. 21 U.S.C. 823(m)(1)(A)(v)changedby H.R. 2483 Sec. 402(a)

    The bill says: by striking "osteopathic medicine, dental surgery" and inserting "osteopathic medicine, podiatric medicine, dental surgery"; and

  104. 21 U.S.C. 823(m)(1)(A)(v)changedby H.R. 2483 Sec. 402(a)

    The bill says: by striking "or dental medicine curriculum" and inserting "or dental or podiatric medicine curriculum"; and

  105. 21 U.S.C. 823(m)(1)(B)(i)changedby H.R. 2483 Sec. 402(a)

    The bill says: 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

  106. 21 U.S.C. 823(m)(1)(B)(i)changedby H.R. 2483 Sec. 402(a)

    The bill says: by inserting ", the American Academy of Family Physicians," before "or the Accreditation Council"; and

  107. 21 U.S.C. 823(m)(1)(B)(ii)changedby H.R. 2483 Sec. 402(a)

    The bill says: by striking "or accredited school" and inserting ", an accredited school"; and

  108. 21 U.S.C. 823(m)(1)(B)(ii)changedby H.R. 2483 Sec. 402(a)

    The bill says: by inserting ", or an accredited school of pharmacy" before "in the United States".

From the bill's official text on GovInfo and the U.S. Code, 2024 edition, which may not yet show changes made since.

What it does

Sourced

SUPPORT for Patients and Communities Reauthorization Act of 2025

This act reauthorizes and revises programs and activities relating to addressing substance use disorders, overdoses, and mental health. (For additional information on each section of this act, see CRS Report R48864.)

TITLE I--PREVENTION

(Sec. 101) This section reauthorizes through FY2030 Centers for Disease Control and Prevention (CDC) programs that provide information, grants, and technical assistance relating to studying and preventing prenatal and postnatal substance use disorders.

(Sec. 102) This section reauthorizes through FY2030 CDC programs that carry out and provide grants for surveillance, treatment, and education relating to infections associated with illicit drug use.

(Sec. 103) This section reauthorizes through FY2030 and expands CDC programs that carry out activities and provide grants relating to monitoring drug use and overdoses (e.g., supporting state prescription drug monitoring programs), preventing and responding to substance use disorders, and raising awareness regarding opioids and other substances.

The section authorizes additional activities, including wastewater surveillance and collecting data on risk factors associated with overdoses.

(Sec. 104) This section reestablishes, expands, and provides statutory authority for Department of Health and Human Services (HHS) activities addressing fetal alcohol spectrum disorders (i.e., conditions caused by prenatal alcohol exposure), including carrying out and providing grants for research, education and public awareness, and intervention and support services for affected individuals.

(Sec. 105) This section specifies that, in providing grants to support state prescription drug monitoring programs, the CDC is not authorized to require states to use specific vendors or interoperability systems other than to align with general, consensus-based standards for interoperability.

(Sec. 106) This section reauthorizes through FY2030 and expands grants to government entities to provide first responders with opioid overdose reversal drugs (e.g., naloxone) and related training. The grant program is administered by the Substance Abuse and Mental Health Services Administration (SAMHSA).

The section expands the program to include (1) treatment and training for overdoses from other drugs besides opioids, and (2) treatment with drugs or devices that are legally marketed under applicable law. Current law limits the program to addressing opioid overdoses and to drugs or devices that are officially approved or cleared by the Food and Drug Administration (FDA).

(Sec. 107) This section reauthorizes through FY2030 and revises the National Child Traumatic Stress Initiative and related activities, which are administered by SAMHSA. Under the initiative, SAMHSA provides grants and other support to improve the quality of and increase access to services addressing psychological trauma in youth and families.

The section requires grant recipients to develop training and other resources for collaborative implementation of best practices.

(Sec. 108) This section requires SAMHSA to undertake efforts to protect the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats. (The lifeline is a three-digit number that connects callers in suicidal crisis or mental health distress to a national network of crisis centers.) The section includes requirements for the lifeline’s network administrator and participating local and regional crisis centers to report identified cybersecurity incidents and vulnerabilities.

The Government Accountability Office must conduct a study that evaluates cybersecurity risks and vulnerabilities associated with the lifeline and report the findings to Congress.

(Sec. 109) This section reauthorizes through FY2030 CDC activities to collect and report certain public health data relating to potentially traumatic childhood experiences.

(Sec. 110) This section reauthorizes through FY2030 an interdepartmental committee on substance use disorders, establishes an interagency work group on fentanyl contamination of illegal drugs, and expands certain SAMHSA activities to include supporting strategies to raise awareness about the dangers of synthetic opioids for youth.

(Sec. 111) This section requires HHS to publish guidance regarding at-home safe drug disposal systems.

(Sec. 112) This section requires HHS to publish a plan for assessing approved opioid analgesic drugs (i.e., opioid pain relievers) that addresses the public health effects of these drugs, including updates on actions by the FDA with respect to risk-benefit assessments and supporting development and approval of nonaddictive medical products. HHS must provide an opportunity for public input on the FDA’s regulation of opioid analgesic drugs.

(Sec. 113) This section provides statutory authority for SAMHSA’s State Opioid Response and Tribal Opioid Response Grants to be used for facilitating access to drug checking technologies, such as fentanyl and xylazine test strips, to the extent permitted by federal and state law.

TITLE II--TREATMENT

(Sec. 201) This section reauthorizes through FY2030 the Residential Treatment for Pregnant and Postpartum Women program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program awards grants to fund services for pregnant and postpartum women with substance use disorders, including services for treatment, recovery support, and case management.

The section also specifically allows grant recipients to conduct outreach that is targeted at women disproportionately impacted by maternal substance use disorders.

(Sec. 202) This section provides statutory authority for the Minority Fellowship Program to include fellowships for training in the field of addiction medicine. The Minority Fellowship Program, administered by SAMHSA, funds fellowships for individuals seeking graduate degrees and planning to work on addressing mental or substance use disorders in racial and ethnic minority populations.

(Sec. 203) This section reauthorizes through FY2030 the Behavioral Health Workforce Education and Training Program for Professionals, which is administered by the Health Resources and Services Administration (HRSA). This program provides grants to educational organizations and programs to recruit and educate students in mental and behavioral health.

(Sec. 204) This section reauthorizes through FY2030 the Substance Use Disorder Treatment and Recovery Loan Repayment Program, which is administered by HRSA. This program provides repayment of educational loans for health care practitioners who agree to provide direct treatment or recovery support for substance use disorders in certain areas with shortages of health professionals or high rates of overdose.

(Sec. 206) This section reauthorizes through FY2030 and expands an interagency task force that must develop recommendations relating to (1) best practices for preventing and mitigating trauma in youth and (2) coordinating the federal response to families impacted by substance use disorders and other trauma.

(Sec. 208) This section requires SAMHSA to conduct a review of how states use funds under the Community Mental Health Services Block Grant program to address first episode psychosis, including the use of evidence-based services for individuals with early serious mental illness and children with serious emotional disturbance. SAMHSA must report to Congress on the findings of the review and update the guidance for the block grant program based on such findings.

(Sec. 209) This section requires HHS to review relevant data and, if determined appropriate, request that the Drug Enforcement Administration (DEA) revise the scheduling of approved products containing a combination of buprenorphine and naloxone under the Controlled Substances Act. The DEA must review such requests and determine whether to revise the schedules.

(Sec. 210) This section requires that, when HHS issues new regulations or guidance on grant programs addressing opioid use disorders, references to an opioid overdose reversal drug (e.g., naloxone) must broadly include any opioid overdose reversal drug approved by the FDA.

Within one year after the act’s enactment, HHS must update all references accordingly in regulations or guidance issued prior to the act’s enactment that are applicable to State Opioid Response Grants, Tribal Opioid Response Grants, or certain other grants relating to substance use disorder prevention.

(Sec. 211) This section requires HHS to convene a public roundtable with public and private stakeholders on expanding the use of electronic health records among mental health and substance use disorder service providers. HHS must report to Congress on the results of the roundtable with respect to specified topics.

TITLE III--RECOVERY

(Sec. 301) This section reauthorizes through FY2030 the Building Communities of Recovery program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program provides grants to certain community nonprofit organizations for developing and delivering coordinated community and statewide recovery support services for individuals with substance use disorders.

(Sec. 302) This section reauthorizes through FY2030 and expands the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support, which is administered by SAMHSA. The center provides training and resources to public and private nonprofit entities relating to recovery support services for substance use disorders and co-occurring conditions (i.e., mental health conditions coexisting with substance use disorders).

The section expands the center's functions to include professional development of peer support specialists and recovery support services in nonclinical settings. It also authorizes through FY2030 a regional technical assistance center to support the ability of the center to meet a particular region's needs.

(Sec. 303) This section reauthorizes through FY2030 grants to nonprofits for establishing or operating opioid recovery centers providing comprehensive treatment and recovery support services. The grant program is administered by SAMHSA.

(Sec. 304) This section reauthorizes through FY2030 and revises the Preventing Youth Overdose: Treatment, Recovery, Education, Awareness, and Training (PYO-TREAT) program, which is administered by SAMHSA. The PYO-TREAT program provides grants and other support to educational and public entities for substance use disorder prevention, treatment, and recovery for children and young adults.

The section revises the program to provide statutory authority for (1) requiring applicants to submit plans for sustaining activities under the program after the grant has ended, and (2) expanding eligible grant recipients to include consortia of local educational agencies. SAMHSA must report to Congress on the PYO-TREAT program’s effectiveness.

(Sec. 305) This section reauthorizes through FY2030 and expands the Treatment, Recovery, and Workforce Support program, which is administered by SAMHSA. This program provides grants to public and private nonprofit entities to support individuals in treatment and recovery for substance use disorders and co-occurring conditions to live independently and participate in the workforce.

The section authorizes using 5% of such grant funds for transportation services and requires grant recipients to report on the employment and earnings outcomes of program participants.

Also, the section reauthorizes through FY2030 the Recovery Housing Pilot Program, which assists states in providing individuals in recovery from a substance use disorder with stable, temporary housing for up to two years. This program is administered by the Department of Housing and Urban Development.

(Sec. 306) This section reauthorizes through FY2030 the Support to Communities: Fostering Opioid Recovery through Workforce Development program, which is administered by the Department of Labor. This program provides grants to public entities to address the economic and workforce-related impacts of substance use disorders through activities such as screening and support services, training, and engaging with employers.

(Sec. 307) This section requires HHS to convene a public meeting relating to improving awareness of and access to grants provided by SAMHSA. Based on the stakeholder feedback received at the meeting, HHS must implement improvements to relevant websites and report to Congress.

TITLE IV--MISCELLANEOUS MATTERS

(Sec. 401) This section allows pharmacies to deliver to prescribing practitioners schedule III-V controlled substances that are not directly administered by the practitioner (i.e., self-administered), provided the controlled substances are subject to a risk evaluation and mitigation strategy to assure safe use by the patient, including post-administration monitoring by a health care provider.

(Sec. 402) This section expands the types of organizations that may provide training or education required for practitioners registering with the DEA to dispense (i.e., prescribe or administer) schedule II-V controlled substances. This section applies retroactively, taking effect as if enacted on December 29, 2022.

Official summary by the Congressional Research Service (Public Law, Dec 1, 2025).

Our plain-language breakdown, with what it means for you and the case for and against, is written once a bill starts to move.

What has happened

Sourced
  1. 2025-12-01Became Public Law No: 119-44.Library of Congress
  2. 2025-12-01Signed by President.Library of Congress
  3. 2025-11-25Presented to President.Library of Congress
  4. 2025-09-18Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.Library of Congress
  5. 2025-06-04Passed/agreed to in House: On passage Passed by the Yeas and Nays: 366 - 57 (Roll no. 151). Roll call recordLibrary of Congress
  6. 2025-05-29Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-114, Part I.Library of Congress
  7. 2025-03-31Introduced in HouseLibrary of Congress

Show all 51 recorded actions

After it became law

Sourced

Since it became law on Dec 1, 2025, the Federal Register, the government's daily record of rules and notices, has published 2 documents that name it: 1 final rule and 1 notice.

Named in the body of the document

The quote shows how each one uses the law: as the reason for a change, as background, or in passing.

  1. Final ruleJun 9, 2026Drug Enforcement Administration, Justice Department
    Implementation of the Substance Use-Disorder Prevention That Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018: Dispensing and Administering Controlled Substances for Medication-Assisted Treatment
    DEA notes that the SUPPORT for Patients and Communities Reauthorization Act of 2025 (Pub. L. 119-44) became law on December 1, 2025, which includes an additional flexibility to allow delivery of a controlled substance by a pharmacy to a practitioner.
    In effect since Jul 9, 2026 · Changes 21 CFR part 1300, 21 CFR part 1301, 21 CFR part 1306 · Significant rule
  2. NoticeMar 6, 2026Food and Drug Administration, Health and Human Services Department
    Developing Specifications for In-Home Disposal Systems for Opioid Analgesics Dispensed in an Outpatient Setting; Establishment of a Public Docket; Request for Comments
    Subsequently, in late 2025, Congress reauthorized the SUPPORT Act (the 2025 SUPPORT Act Reauthorization), which directs the Secretary of Health and Human Services, in consultation with the Drug Enforcement Administration, to publish guidance to facilitate the use of in-home safe disposal systems for applicable drugs (SUPPORT for Patients and Communities Reauthorization Act, 2025, Pub. L. 119-44).
    Comments closed Apr 6, 2026

Found by searching the Federal Register for Public Law 119-44 and the law's names, then reading each document: every one listed contains them, and the quote is its own words. An agency can carry out a law without naming it, so this list can miss some. Checked Oct 27, 2026. Every new law's rules

Recorded votes

Sourced

Jun 4, 2025 · House roll call 151 · needed 1/2

On Passage: Passed 366–57

R 188 yes, 27 no, 5 present or not votingD 178 yes, 30 no, 4 present or not voting

How each member voted · Official record

Cosponsors

  • Brittany Pettersen D-CO-7