I
119THCONGRESS
1
STSESSION H. R. 2483
To reauthorize certain programs that provide for opioid use disorder
prevention, treatment, and recovery, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MARCH31, 2025
Mr. G
UTHRIE(for himself and Ms. PETTERSEN) introduced the following bill;
which was referred to the Committee on Energy and Commerce, and in
addition to the Committees on Education and Workforce, the Judiciary,
and Financial Services, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall within
the jurisdiction of the committee concerned
A BILL
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 Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 3
(a) S
HORTTITLE.—This Act may be cited as the 4
‘‘SUPPORT for Patients and Communities Reauthoriza-5
tion Act of 2025’’. 6
(b) T
ABLE OFCONTENTS.—The table of contents for 7
this Act is as follows: 8
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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 spec-
trum 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.
Sec. 108. Protecting suicide prevention lifeline from cybersecurity incidents.
Sec. 109. Monitoring and reporting of child, youth, and adult trauma.
Sec. 110. Bruce’s law.
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.
TITLE II—TREATMENT
Sec. 201. Residential treatment program for pregnant and postpartum women.
Sec. 202. Improving access to addiction medicine providers.
Sec. 203. Mental and behavioral health education and training grants.
Sec. 204. Loan repayment program for substance use disorder treatment work-
force.
Sec. 205. Development and dissemination of model training programs for sub-
stance use disorder patient records.
Sec. 206. Task force on best practices for trauma-informed identification, refer-
ral, 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.
Sec. 209. Reviewing the scheduling of approved products containing a combina-
tion of buprenorphine and naloxone.
TITLE III—RECOVERY
Sec. 301. Building communities of recovery.
Sec. 302. Peer support technical assistance center.
Sec. 303. Comprehensive opioid recovery centers.
Sec. 304. Youth prevention and recovery.
Sec. 305. CAREER Act.
Sec. 306. Addressing economic and workforce impacts of the opioid crisis.
TITLE IV—MISCELLANEOUS MATTERS
Sec. 401. Delivery of a controlled substance by a pharmacy to a prescribing
practitioner.
Sec. 402. Required training for prescribers of controlled substances.
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TITLE I—PREVENTION 1
SEC. 101. PRENATAL AND POSTNATAL HEALTH. 2
Section 317L(d) of the Public Health Service Act (42 3
U.S.C. 247b–13(d)) is amended by striking ‘‘such sums 4
as may be necessary for each of the fiscal years 2019 5
through 2023’’ and inserting ‘‘$4,250,000 for each of fis-6
cal years 2026 through 2030’’. 7
SEC. 102. MONITORING AND EDUCATION REGARDING IN-8
FECTIONS ASSOCIATED WITH ILLICIT DRUG 9
USE AND OTHER RISK FACTORS. 10
Section 317N(d) of the Public Health Service Act (42 11
U.S.C. 247b–15(d)) is amended by striking ‘‘fiscal years 12
2019 through 2023’’ and inserting ‘‘fiscal years 2026 13
through 2030’’. 14
SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUB-15
STANCES. 16
(a) I
NGENERAL.—Section 392A of the Public 17
Health Service Act (42 U.S.C. 280b–1) is amended— 18
(1) in subsection (a)(2)— 19
(A) in subparagraph (C), by inserting ‘‘and 20
associated risks’’ before the period at the end; 21
and 22
(B) in subparagraph (D), by striking 23
‘‘opioids’’ and inserting ‘‘substances causing 24
overdose’’; and 25
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(2) in subsection (b)(2)— 1
(A) in subparagraph (B), by inserting ‘‘, 2
and associated risk factors,’’ after ‘‘such 3
overdoses’’; 4
(B) in subparagraph (C), by striking ‘‘cod-5
ing’’ and inserting ‘‘monitoring and identi-6
fying’’; 7
(C) in subparagraph (E)— 8
(i) by inserting a comma after ‘‘public 9
health laboratories’’; and 10
(ii) by inserting ‘‘and other emerging 11
substances related’’ after ‘‘analogues’’; and 12
(D) in subparagraph (F), by inserting 13
‘‘and associated risk factors’’ after ‘‘overdoses’’. 14
(b) A
DDITIONALGRANTS.—Section 392A(a)(3) of 15
the Public Health Service Act (42 U.S.C. 280b–1(a)(3)) 16
is amended— 17
(1) in the matter preceding subparagraph (A), 18
by striking ‘‘and Indian Tribes—’’ and inserting 19
‘‘and Indian Tribes for the following purposes:’’; 20
(2) by amending subparagraph (A) to read as 21
follows: 22
‘‘(A) To carry out innovative projects for 23
grantees to detect, identify, and rapidly respond 24
to controlled substance misuse, abuse, and 25
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overdoses, and associated risk factors, including 1
changes in patterns of such controlled sub-2
stance use. Such projects may include the use 3
of innovative, evidence-based strategies for de-4
tecting such patterns, such as wastewater sur-5
veillance, if proven to support actionable pre-6
vention strategies, in a manner consistent with 7
applicable Federal and State privacy laws.’’; 8
and 9
(3) in subparagraph (B), by striking ‘‘for any’’ 10
and inserting ‘‘For any’’. 11
(c) A
UTHORIZATION OF APPROPRIATIONS.—Section 12
392A(e) of the Public Health Service Act (42 U.S.C. 13
280b–1(e)) is amended by striking ‘‘$496,000,000 for 14
each of fiscal years 2019 through 2023’’ and inserting 15
‘‘$505,579,000 for each of fiscal years 2026 through 16
2030’’. 17
SEC. 104. SUPPORT FOR INDIVIDUALS AND FAMILIES IM-18
PACTED BY FETAL ALCOHOL SPECTRUM DIS-19
ORDER. 20
(a) I
NGENERAL.—Part O of title III of the Public 21
Health Service Act (42 U.S.C. 280f et seq.) is amended 22
to read as follows: 23
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‘‘PART O—FETAL ALCOHOL SPECTRUM DIS-1
ORDER PREVENTION AND SERVICES PRO-2
GRAM 3
‘‘SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PRE-4
VENTION, INTERVENTION, AND SERVICES DE-5
LIVERY PROGRAM. 6
‘‘(a) I
NGENERAL.—The Secretary shall establish or 7
continue activities to support a comprehensive fetal alcohol 8
spectrum disorders (referred to in this section as ‘FASD’) 9
education, prevention, identification, intervention, and 10
services delivery program, which may include— 11
‘‘(1) an education and public awareness pro-12
gram to support, conduct, and evaluate the effective-13
ness of— 14
‘‘(A) educational programs targeting 15
health professions schools, social and other sup-16
portive services, educators and counselors and 17
other service providers in all phases of child-18
hood development, and other relevant service 19
providers, concerning the prevention, identifica-20
tion, and provision of services for infants, chil-21
dren, adolescents and adults with FASD; 22
‘‘(B) strategies to educate school-age chil-23
dren, including pregnant and high-risk youth, 24
concerning FASD; 25
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‘‘(C) public and community awareness pro-1
grams concerning FASD; and 2
‘‘(D) strategies to coordinate information 3
and services across affected community agen-4
cies, including agencies providing social services 5
such as foster care, adoption, and social work, 6
agencies providing health services, and agencies 7
involved in education, vocational training and 8
civil and criminal justice; 9
‘‘(2) supporting and conducting research on 10
FASD, as appropriate, including to— 11
‘‘(A) develop appropriate medical diag-12
nostic methods for identifying FASD; and 13
‘‘(B) develop effective culturally and lin-14
guistically appropriate evidence-based or evi-15
dence-informed interventions and appropriate 16
supports for preventing prenatal alcohol expo-17
sure, which may co-occur with exposure to other 18
substances; 19
‘‘(3) building State and Tribal capacity for the 20
identification, treatment, and support of individuals 21
with FASD and their families, which may include— 22
‘‘(A) utilizing and adapting existing Fed-23
eral, State, or Tribal programs to include 24
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FASD identification and FASD-informed sup-1
port; 2
‘‘(B) developing and expanding screening 3
and diagnostic capacity for FASD; 4
‘‘(C) developing, implementing, and evalu-5
ating targeted FASD-informed intervention 6
programs for FASD; 7
‘‘(D) providing training with respect to 8
FASD for professionals across relevant sectors; 9
and 10
‘‘(E) disseminating information about 11
FASD and support services to affected individ-12
uals and their families; and 13
‘‘(4) an applied research program concerning 14
intervention and prevention to support and conduct 15
service demonstration projects, clinical studies and 16
other research models providing advocacy, edu-17
cational and vocational training, counseling, medical 18
and mental health, and other supportive services, as 19
well as models that integrate and coordinate such 20
services, that are aimed at the unique challenges fac-21
ing individuals with fetal alcohol spectrum disorder 22
or fetal alcohol effect and their families. 23
‘‘(b) G
RANTS ANDTECHNICALASSISTANCE.— 24
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‘‘(1) IN GENERAL.—The Secretary may award 1
grants, cooperative agreements and contracts and 2
provide technical assistance to eligible entities to 3
carry out subsection (a). 4
‘‘(2) E
LIGIBLE ENTITIES.—To be eligible to re-5
ceive a grant, or enter into a cooperative agreement 6
or contract, under this section, an entity shall— 7
‘‘(A) be a State, Indian Tribe or Tribal or-8
ganization, local government, scientific or aca-9
demic institution, or nonprofit organization; 10
and 11
‘‘(B) prepare and submit to the Secretary 12
an application at such time, in such manner, 13
and containing such information as the Sec-14
retary may require, including a description of 15
the activities that the entity intends to carry 16
out using amounts received under this section. 17
‘‘(3) A
DDITIONAL APPLICATION CONTENTS .— 18
The Secretary may require that an eligible entity in-19
clude in the application submitted under paragraph 20
(2)(B)— 21
‘‘(A) a designation of an individual to 22
serve as a FASD State or Tribal coordinator of 23
activities such eligible entity proposes to carry 24
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out through a grant, cooperative agreement, or 1
contract under this section; and 2
‘‘(B) a description of an advisory com-3
mittee the entity will establish to provide guid-4
ance for the entity on developing and imple-5
menting a statewide or Tribal strategic plan to 6
prevent FASD and provide for the identifica-7
tion, treatment, and support of individuals with 8
FASD and their families. 9
‘‘(c) D
EFINITION OFFASD-INFORMED.—For pur-10
poses of this section, the term ‘FASD-informed’, with re-11
spect to support or an intervention program, means that 12
such support or intervention program uses culturally and 13
linguistically informed evidence-based or practice-based 14
interventions and appropriate resources to support an im-15
proved quality of life for an individual with FASD and 16
the family of such individual. 17
‘‘SEC. 399I. STRENGTHENING CAPACITY AND EDUCATION 18
FOR FETAL ALCOHOL SPECTRUM DIS-19
ORDERS. 20
‘‘(a) I
NGENERAL.—The Secretary shall award 21
grants, contracts, or cooperative agreements, as the Sec-22
retary determines appropriate, to public or nonprofit pri-23
vate entities with demonstrated expertise in the field of 24
fetal alcohol spectrum disorders (referred to in this section 25
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as ‘FASD’). Such awards shall be for the purposes of 1
building local, Tribal, State, and nationwide capacities to 2
prevent the occurrence of FASD by carrying out the pro-3
grams described in subsection (b). 4
‘‘(b) P
ROGRAMS.—An entity receiving an award 5
under subsection (a) may use such award for the following 6
purposes: 7
‘‘(1) Developing and supporting public edu-8
cation and outreach activities to raise public aware-9
ness of the risks associated with alcohol consumption 10
during pregnancy. 11
‘‘(2) Acting as a clearinghouse for evidence- 12
based resources on FASD prevention, identification, 13
and culturally and linguistically appropriate best 14
practices to help inform systems of care for individ-15
uals with FASD across their lifespan. 16
‘‘(3) Increasing awareness and understanding 17
of efficacious, evidence-based screening tools and 18
culturally and linguistically appropriate evidence- 19
based intervention services and best practices, which 20
may include improving the capacity for State, Trib-21
al, and local affiliates. 22
‘‘(4) Providing technical assistance to recipients 23
of grants, cooperative agreements, or contracts 24
under section 399H, as appropriate. 25
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‘‘(c) APPLICATION.—To be eligible for a grant, con-1
tract, or cooperative agreement under this section, an enti-2
ty shall submit to the Secretary an application at such 3
time, in such manner, and containing such information as 4
the Secretary may require. 5
‘‘(d) S
UBCONTRACTING.—A public or private non-6
profit entity may carry out the following activities required 7
under this section through contracts or cooperative agree-8
ments with other public and private nonprofit entities with 9
demonstrated expertise in FASD: 10
‘‘(1) Resource development and dissemination. 11
‘‘(2) Intervention services. 12
‘‘(3) Training and technical assistance. 13
‘‘SEC. 399J. AUTHORIZATION OF APPROPRIATIONS. 14
‘‘There are authorized to be appropriated to carry out 15
this part $12,500,000 for each of fiscal years 2026 16
through 2030.’’. 17
(b) R
EPORT.—Not later than 4 years after the date 18
of enactment of this Act, and every year thereafter, the 19
Secretary of Health and Human Services shall prepare 20
and submit to the Committee on Health, Education, 21
Labor, and Pensions of the Senate and the Committee on 22
Energy and Commerce of the House of Representatives 23
a report containing— 24
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(1) a review of the activities carried out pursu-1
ant to sections 399H and 399I of the Public Health 2
Service Act, as amended, to advance public edu-3
cation and awareness of fetal alcohol spectrum dis-4
orders (referred to in this section as ‘‘FASD’’); 5
(2) a description of— 6
(A) the activities carried out pursuant to 7
such sections 399H and 399I to identify, pre-8
vent, and treat FASD; and 9
(B) methods used to evaluate the outcomes 10
of such activities; and 11
(3) an assessment of activities carried out pur-12
suant to such sections 399H and 399I to support in-13
dividuals with FASD. 14
SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS. 15
Section 399O(h) of the Public Health Service Act (42 16
U.S.C. 280g–3(h)) is amended by adding at the end the 17
following: 18
‘‘(5) P
ROMOTING STATE CHOICE .—Nothing in 19
this section shall be construed to authorize the Sec-20
retary to require States to use a specific vendor or 21
a specific interoperability connection other than to 22
align with nationally recognized, consensus-based 23
open standards, such as in accordance with sections 24
3001 and 3004.’’. 25
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SEC. 106. FIRST RESPONDER TRAINING PROGRAM. 1
Section 546 of the Public Health Service Act (42 2
U.S.C. 290ee–1) is amended— 3
(1) in subsection (a), by striking ‘‘tribes and 4
tribal’’ and inserting ‘‘Tribes and Tribal’’; 5
(2) in subsections (a), (c), and (d)— 6
(A) by striking ‘‘approved or cleared’’ each 7
place it appears and inserting ‘‘approved, 8
cleared, or otherwise legally marketed’’; and 9
(B) by striking ‘‘opioid’’ each place it ap-10
pears; 11
(3) in subsection (f)— 12
(A) by striking ‘‘approved or cleared’’ each 13
place it appears and inserting ‘‘approved, 14
cleared, or otherwise legally marketed’’; 15
(B) in paragraph (1), by striking ‘‘opioid’’; 16
(C) in paragraph (2)— 17
(i) by striking ‘‘opioid and heroin’’ 18
and inserting ‘‘opioid, heroin, and other 19
drug’’; and 20
(ii) by striking ‘‘opioid overdose’’ and 21
inserting ‘‘overdose’’; and 22
(D) in paragraph (3), by striking ‘‘opioid 23
and heroin’’; and 24
(4) in subsection (h), by striking ‘‘$36,000,000 25
for each of fiscal years 2019 through 2023’’ and in-26
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serting ‘‘$57,000,000 for each of fiscal years 2026 1
through 2030’’. 2
SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 3
STRESS INITIATIVE. 4
(a) T
ECHNICALAMENDMENT.—The second part G of 5
title V of the Public Health Service Act (42 U.S.C. 290kk 6
et seq.), as added by section 144 of the Community Re-7
newal Tax Relief Act (Public Law 106–554), is amend-8
ed— 9
(1) by redesignating such part as part J; and 10
(2) by redesignating sections 581 through 584 11
as sections 596 through 596C, respectively. 12
(b) I
NGENERAL.—Section 582 of the Public Health 13
Service Act (42 U.S.C. 290hh–1) is amended— 14
(1) in the section heading, by striking ‘‘
VIO-15
LENCE RELATED STRESS ’’ and inserting ‘‘TRAU-16
MATIC EVENTS ’’; 17
(2) in subsection (a)— 18
(A) in the matter preceding paragraph (1), 19
by striking ‘‘tribes and tribal’’ and inserting 20
‘‘Tribes and Tribal’’; and 21
(B) in paragraph (2), by inserting ‘‘and 22
dissemination’’ after ‘‘the development’’; 23
(3) in subsection (b), by inserting ‘‘and dissemi-24
nation’’ after ‘‘the development’’; 25
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(4) in subsection (d)— 1
(A) by striking ‘‘The NCTSI’’ and insert-2
ing the following: 3
‘‘(1) C
OORDINATING CENTER .—The NCTSI’’; 4
and 5
(B) by adding at the end the following: 6
‘‘(2) NCTSI
GRANTEES.—In carrying out sub-7
section (a)(2), NCTSI grantees shall develop 8
trainings and other resources, as applicable and ap-9
propriate, to support implementation of the evi-10
dence-based practices developed and disseminated 11
under such subsection.’’; 12
(5) in subsection (e)— 13
(A) by redesignating paragraphs (1) and 14
(2) as subparagraphs (A) and (B), respectively, 15
and adjusting the margins accordingly; 16
(B) in subparagraph (A), as so redesig-17
nated, by inserting ‘‘and implementation’’ after 18
‘‘the dissemination’’; 19
(C) by striking ‘‘The NCTSI’’ and insert-20
ing the following: 21
‘‘(1) C
OORDINATING CENTER .—The NCTSI’’; 22
and 23
(D) by adding at the end the following: 24
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‘‘(2) NCTSI GRANTEES.—NCTSI grantees 1
shall, as appropriate, collaborate with other such 2
grantees, the NCTSI coordinating center, and the 3
Secretary in carrying out subsections (a)(2) and 4
(d)(2).’’; 5
(6) by amending subsection (h) to read as fol-6
lows: 7
‘‘(h) A
PPLICATION ANDEVALUATION.—To be eligible 8
to receive a grant, contract, or cooperative agreement 9
under subsection (a), a public or nonprofit private entity 10
or an Indian Tribe or Tribal organization shall submit to 11
the Secretary an application at such time, in such manner, 12
and containing such information and assurances as the 13
Secretary may require, including— 14
‘‘(1) a plan for the evaluation of the activities 15
funded under the grant, contract, or agreement, in-16
cluding both process and outcomes evaluation, and 17
the submission of an evaluation at the end of the 18
project period; and 19
‘‘(2) a description of how such entity, Indian 20
Tribe, or Tribal organization will support efforts led 21
by the Secretary or the NCTSI coordinating center, 22
as applicable, to evaluate activities carried out under 23
this section.’’; and 24
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(7) by amending subsection (j) to read as fol-1
lows: 2
‘‘(j) A
UTHORIZATION OF APPROPRIATIONS.—There 3
is authorized to be appropriated to carry out this section— 4
‘‘(1) $98,887,000 for fiscal year 2026; 5
‘‘(2) $98,887,000 for fiscal year 2027; 6
‘‘(3) $98,887,000 for fiscal year 2028; 7
‘‘(4) $100,000,000 for fiscal year 2029; and 8
‘‘(5) $100,000,000 for fiscal year 2030.’’. 9
SEC. 108. PROTECTING SUICIDE PREVENTION LIFELINE 10
FROM CYBERSECURITY INCIDENTS. 11
(a) N
ATIONALSUICIDEPREVENTIONLIFELINEPRO-12
GRAM.—Section 520E–3(b) of the Public Health Service 13
Act (42 U.S.C. 290bb–36c(b)) is amended— 14
(1) in paragraph (4), by striking ‘‘and’’ at the 15
end; 16
(2) in paragraph (5), by striking the period at 17
the end and inserting ‘‘; and’’; and 18
(3) by adding at the end the following: 19
‘‘(6) taking such steps as may be necessary to 20
ensure the suicide prevention hotline is protected 21
from cybersecurity incidents and eliminates known 22
cybersecurity vulnerabilities.’’. 23
(b) R
EPORTING.—Section 520E–3 of the Public 24
Health Service Act (42 U.S.C. 290bb–36c) is amended— 25
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(1) by redesignating subsection (f) as sub-1
section (g); and 2
(2) by inserting after subsection (e) the fol-3
lowing: 4
‘‘(f) C
YBERSECURITYREPORTING.— 5
‘‘(1) N
OTIFICATION.— 6
‘‘(A) I
N GENERAL.—The program’s net-7
work administrator receiving Federal funding 8
pursuant to subsection (a) shall report to the 9
Assistant Secretary, in a manner that protects 10
personal privacy, consistent with applicable 11
Federal and State privacy laws— 12
‘‘(i) any identified cybersecurity 13
vulnerabilities to the program within a rea-14
sonable amount of time after identification 15
of such a vulnerability; and 16
‘‘(ii) any identified cybersecurity inci-17
dents to the program within a reasonable 18
amount of time after identification of such 19
incident. 20
‘‘(B) L
OCAL AND REGIONAL CRISIS CEN -21
TERS.—Local and regional crisis centers par-22
ticipating in the program shall report to the 23
program’s network administrator identified 24
under subparagraph (A), in a manner that pro-25
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tects personal privacy, consistent with applica-1
ble Federal and State privacy laws— 2
‘‘(i) any identified cybersecurity 3
vulnerabilities to the program within a rea-4
sonable amount of time after identification 5
of such vulnerability; and 6
‘‘(ii) any identified cybersecurity inci-7
dents to the program within a reasonable 8
amount of time after identification of such 9
incident. 10
‘‘(2) N
OTIFICATION.—If the program’s network 11
administrator receiving funding pursuant to sub-12
section (a) discovers, or is informed by a local or re-13
gional crisis center pursuant to paragraph (1)(B) of, 14
a cybersecurity vulnerability or incident, within a 15
reasonable amount of time after such discovery or 16
receipt of information, such entity shall report the 17
vulnerability or incident to the Assistant Secretary. 18
‘‘(3) C
LARIFICATION.— 19
‘‘(A) O
VERSIGHT.— 20
‘‘(i) L
OCAL AND REGIONAL CRISIS 21
CENTERS.—Except as provided in clause 22
(ii), local and regional crisis centers par-23
ticipating in the program shall oversee all 24
technology each center employs in the pro-25
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vision of services as a participant in the 1
program. 2
‘‘(ii) N
ETWORK ADMINISTRATOR .— 3
The program’s network administrator re-4
ceiving Federal funding pursuant to sub-5
section (a) shall oversee the technology 6
each crisis center employs in the provision 7
of services as a participant in the program 8
if such oversight responsibilities are estab-9
lished in the applicable network participa-10
tion agreement. 11
‘‘(B) S
UPPLEMENT, NOT SUPPLANT.—The 12
cybersecurity incident reporting requirements 13
under this subsection shall supplement, and not 14
supplant, cybersecurity incident reporting re-15
quirements under other provisions of applicable 16
Federal law that are in effect on the date of the 17
enactment of the SUPPORT for Patients and 18
Communities Reauthorization Act of 2025.’’. 19
(c) S
TUDY.—Not later than 180 days after the date 20
of the enactment of this Act, the Comptroller General of 21
the United States shall— 22
(1) conduct and complete a study that evaluates 23
cybersecurity risks and vulnerabilities associated 24
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with the 9–8–8 National Suicide Prevention Lifeline; 1
and 2
(2) submit a report on the findings of such 3
study to the Committee on Health, Education, 4
Labor, and Pensions of the Senate and the Com-5
mittee on Energy and Commerce of the House of 6
Representatives. 7
SEC. 109. MONITORING AND REPORTING OF CHILD, YOUTH, 8
AND ADULT TRAUMA. 9
Section 7131(e) of the SUPPORT for Patients and 10
Communities Act (42 U.S.C. 242t(e)) is amended by strik-11
ing ‘‘$2,000,000 for each of fiscal years 2019 through 12
2023’’ and inserting ‘‘$9,000,000 for each of fiscal years 13
2026 through 2030’’. 14
SEC. 110. BRUCE’S LAW. 15
(a) Y
OUTHPREVENTION AND RECOVERY.—Section 16
7102(c) of the SUPPORT for Patients and Communities 17
Act (42 U.S.C. 290bb–7a(c)) is amended— 18
(1) in paragraph (3)(A)(i), by inserting ‘‘, 19
which may include strategies to increase education 20
and awareness of the potency and dangers of syn-21
thetic opioids (including drugs contaminated with 22
fentanyl) and, as appropriate, other emerging drug 23
use or misuse issues’’ before the semicolon; and 24
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(2) in paragraph (4)(A), by inserting ‘‘and 1
strategies to increase education and awareness of 2
the potency and dangers of synthetic opioids (includ-3
ing drugs contaminated with fentanyl) and, as ap-4
propriate, emerging drug use or misuse issues’’ be-5
fore the semicolon. 6
(b) I
NTERDEPARTMENTAL SUBSTANCEUSEDIS-7
ORDERSCOORDINATINGCOMMITTEE.—Section 7022 of 8
the SUPPORT for Patients and Communities Act (42 9
U.S.C. 290aa note) is amended— 10
(1) by striking subsection (g) and inserting the 11
following: 12
‘‘(g) W
ORKINGGROUPS.— 13
‘‘(1) I
N GENERAL.—The Committee may estab-14
lish working groups for purposes of carrying out the 15
duties described in subsection (e). Any such working 16
group shall be composed of members of the Com-17
mittee (or the designees of such members) and may 18
hold such meetings as are necessary to carry out the 19
duties delegated to the working group. 20
‘‘(2) A
DDITIONAL FEDERAL INTERAGENCY 21
WORK GROUP ON FENTANYL CONTAMINATION OF IL -22
LEGAL DRUGS.— 23
‘‘(A) E
STABLISHMENT.—The Secretary, 24
acting through the Committee, shall establish a 25
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Federal Interagency Work Group on Fentanyl 1
Contamination of Illegal Drugs (referred to in 2
this paragraph as the ‘Work Group’) consisting 3
of representatives from relevant Federal depart-4
ments and agencies on the Committee. 5
‘‘(B) C
ONSULTATION.—The Work Group 6
shall consult with relevant stakeholders and 7
subject matter experts, including— 8
‘‘(i) State, Tribal, and local subject 9
matter experts in reducing, preventing, and 10
responding to drug overdose caused by 11
fentanyl contamination of illicit drugs; and 12
‘‘(ii) family members of both adults 13
and youth who have overdosed by fentanyl 14
contaminated illicit drugs. 15
‘‘(C) D
UTIES.—The Work Group shall— 16
‘‘(i) examine Federal efforts to reduce 17
and prevent drug overdose by fentanyl-con-18
taminated illicit drugs; 19
‘‘(ii) identify strategies to improve 20
State, Tribal, and local responses to over-21
dose by fentanyl-contaminated illicit drugs; 22
‘‘(iii) coordinate with the Secretary, as 23
appropriate, in carrying out activities to 24
raise public awareness of synthetic opioids 25
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and other emerging drug use and misuse 1
issues; 2
‘‘(iv) make recommendations to Con-3
gress for improving Federal programs, in-4
cluding with respect to the coordination of 5
efforts across such programs; and 6
‘‘(v) make recommendations for edu-7
cating youth on the potency and dangers of 8
drugs contaminated by fentanyl. 9
‘‘(D) A
NNUAL REPORT TO SECRETARY .— 10
The Work Group shall annually prepare and 11
submit to the Secretary, the Committee on 12
Health, Education, Labor, and Pensions of the 13
Senate, and the Committee on Energy and 14
Commerce and the Committee on Education 15
and Workforce of the House of Representatives, 16
a report on the activities carried out by the 17
Work Group under subparagraph (C), including 18
recommendations to reduce and prevent drug 19
overdose by fentanyl contamination of illegal 20
drugs, in all populations, and specifically among 21
youth at risk for substance misuse.’’; and 22
(2) by striking subsection (i) and inserting the 23
following: 24
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‘‘(i) SUNSET.—The Committee shall terminate on 1
September 30, 2030.’’. 2
SEC. 111. GUIDANCE ON AT-HOME DRUG DISPOSAL SYS-3
TEMS. 4
(a) I
NGENERAL.—Not later than one year after the 5
date of enactment of this Act, the Secretary of Health and 6
Human Services, in consultation with the Administrator 7
of the Drug Enforcement Administration, shall publish 8
guidance to facilitate the use of at-home safe disposal sys-9
tems for applicable drugs. 10
(b) C
ONTENTS.—The guidance under subsection (a) 11
shall include— 12
(1) recommended standards for effective at- 13
home drug disposal systems to meet applicable re-14
quirements enforced by the Food and Drug Adminis-15
tration; 16
(2) recommended information to include as in-17
structions for use to disseminate with at-home drug 18
disposal systems; 19
(3) best practices and educational tools to sup-20
port the use of an at-home drug disposal system, as 21
appropriate; and 22
(4) recommended use of licensed health pro-23
viders for the dissemination of education, instruc-24
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tion, and at-home drug disposal systems, as appro-1
priate. 2
SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS. 3
(a) I
NGENERAL.—Not later than one year after the 4
date of enactment of this Act, the Secretary of Health and 5
Human Services (referred to in this section as the ‘‘Sec-6
retary’’) shall publish on the website of the Food and 7
Drug Administration (referred to in this section as the 8
‘‘FDA’’) a report that outlines a plan for assessing opioid 9
analgesic drugs that are approved under section 505 of 10
the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 11
355) that addresses the public health effects of such opioid 12
analgesic drugs as part of the benefit-risk assessment and 13
the activities of the FDA that relate to facilitating the de-14
velopment of nonaddictive medical products intended to 15
treat pain or addiction. Such report shall include— 16
(1) an update on the actions taken by the FDA 17
to consider the effectiveness, safety, benefit-risk pro-18
file, and use of approved opioid analgesic drugs; 19
(2) a timeline for an assessment of the potential 20
need, as appropriate, for labeling changes, revised or 21
additional postmarketing requirements, enforcement 22
actions, or withdrawals for opioid analgesic drugs; 23
(3) an overview of the steps that the FDA has 24
taken to support the development and approval of 25
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nonaddictive medical products intended to treat pain 1
or addiction, and actions planned to further support 2
the development and approval of such products; and 3
(4) an overview of the consideration by the 4
FDA of clinical trial methodologies for analgesic 5
drugs, including the enriched enrollment randomized 6
withdrawal methodology, and the benefits and draw-7
backs associated with different trial methodologies 8
for such drugs, incorporating any public input re-9
ceived under subsection (b). 10
(b) P
UBLICINPUT.—In carrying out subsection (a), 11
the Secretary shall provide an opportunity for public input 12
concerning the regulation by the FDA of opioid analgesic 13
drugs, including scientific evidence that relates to condi-14
tions of use, safety, or benefit-risk assessment (including 15
consideration of the public health effects) of such opioid 16
analgesic drugs. 17
SEC. 113. GRANT PROGRAM FOR STATE AND TRIBAL RE-18
SPONSE TO OPIOID USE DISORDERS. 19
The activities carried out pursuant to section 20
1003(b)(4)(A) of the 21st Century Cures Act (42 U.S.C. 21
290ee–3a(b)(4)(A)) may include facilitating access to 22
products used to prevent overdose deaths by detecting the 23
presence of one or more substances, such as fentanyl and 24
xylazine test strips, to the extent the purchase and posses-25
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sion of such products is consistent with Federal and State 1
law. 2
TITLE II—TREATMENT 3
SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREG-4
NANT AND POSTPARTUM WOMEN. 5
Section 508 of the Public Health Service Act (42 6
U.S.C. 290bb–1) is amended— 7
(1) in subsection (d)(11)(C), by striking ‘‘pro-8
viding health services’’ and inserting ‘‘providing 9
health care services’’; 10
(2) in subsection (g)— 11
(A) by inserting ‘‘a plan describing’’ after 12
‘‘will provide’’; and 13
(B) by adding at the end the following: 14
‘‘Such plan may include a description of how 15
such applicant will target outreach to women 16
disproportionately impacted by maternal sub-17
stance use disorder.’’; and 18
(3) in subsection (s), by striking ‘‘$29,931,000 19
for each of fiscal years 2019 through 2023’’ and in-20
serting ‘‘$38,931,000 for each of fiscal years 2026 21
through 2030’’. 22
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SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE 1
PROVIDERS. 2
Section 597 of the Public Health Service Act (42 3
U.S.C. 290ll) is amended— 4
(1) in subsection (a)(1), by inserting ‘‘diag-5
nosis,’’ after ‘‘related to’’; and 6
(2) in subsection (b), by inserting ‘‘addiction 7
medicine,’’ after ‘‘psychiatry,’’. 8
SEC. 203. MENTAL AND BEHAVIORAL HEALTH EDUCATION 9
AND TRAINING GRANTS. 10
Section 756(f) of the Public Health Service Act (42 11
U.S.C. 294e–1(f)) is amended by striking ‘‘fiscal years 12
2023 through 2027’’ and inserting ‘‘fiscal years 2026 13
through 2030’’. 14
SEC. 204. LOAN REPAYMENT PROGRAM FOR SUBSTANCE 15
USE DISORDER TREATMENT WORKFORCE. 16
Section 781(j) of the Public Health Service Act (42 17
U.S.C. 295h(j)) is amended by striking ‘‘$25,000,000 for 18
each of fiscal years 2019 through 2023’’ and inserting 19
‘‘$40,000,000 for each of fiscal years 2026 through 20
2030’’. 21
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SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL 1
TRAINING PROGRAMS FOR SUBSTANCE USE 2
DISORDER PATIENT RECORDS. 3
Section 7053 of the SUPPORT for Patients and 4
Communities Act (42 U.S.C. 290dd–2 note) is amended 5
by striking subsection (e). 6
SEC. 206. TASK FORCE ON BEST PRACTICES FOR TRAUMA- 7
INFORMED IDENTIFICATION, REFERRAL, AND 8
SUPPORT. 9
Section 7132 of the SUPPORT for Patients and 10
Communities Act (Public Law 115–271; 132 Stat. 4046) 11
is amended— 12
(1) in subsection (b)(1)— 13
(A) by redesignating subparagraph (CC) as 14
subparagraph (DD); and 15
(B) by inserting after subparagraph (BB) 16
the following: 17
‘‘(CC) The Administration for Community 18
Living.’’; 19
(2) in subsection (d)(1), in the matter pre-20
ceding subparagraph (A), by inserting ‘‘, develop-21
mental disability service providers’’ before ‘‘, individ-22
uals who are’’; and 23
(3) in subsection (i), by striking ‘‘2023’’ and in-24
serting ‘‘2030’’. 25
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SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE 1
USE DISORDER TREATMENT. 2
Section 3203 of the SUPPORT for Patients and 3
Communities Act (21 U.S.C. 823 note) is amended— 4
(1) by striking subsection (b); and 5
(2) by striking ‘‘(a) I
NGENERAL.—The Sec-6
retary’’ and inserting the following: ‘‘The Sec-7
retary’’. 8
SEC. 208. STATE GUIDANCE RELATED TO INDIVIDUALS 9
WITH SERIOUS MENTAL ILLNESS AND CHIL-10
DREN WITH SERIOUS EMOTIONAL DISTURB-11
ANCE. 12
(a) R
EVIEW OFUSE OFCERTAINFUNDING.—Not 13
later than 1 year after the date of enactment of this Act, 14
the Secretary of Health and Human Services (referred to 15
in this section as the ‘‘Secretary’’), acting through the As-16
sistant Secretary for Mental Health and Substance Use, 17
shall conduct a review of State use of funds made available 18
under the Community Mental Health Services Block 19
Grant program under subpart I of part B of title XIX 20
of the Public Health Service Act (42 U.S.C. 300x et seq.) 21
(referred to in this section as the ‘‘block grant program’’) 22
for first episode psychosis activities. Such review shall con-23
sider the following: 24
(1) How States use funds for evidence-based 25
treatments and services according to the standard of 26
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care for individuals with early serious mental illness 1
and children with a serious emotional disturbance. 2
(2) The percentages of the State funding under 3
the block grant program expended on early serious 4
mental illness and first episode psychosis, and the 5
number of individuals served under such funds. 6
(b) R
EPORT ANDGUIDANCE.— 7
(1) R
EPORT.—Not later than 180 days after 8
the completion of the review under subsection (a), 9
the Secretary shall submit to the Committee on 10
Health, Education, Labor, and Pensions and the 11
Committee on Appropriations of the Senate and the 12
Committee on Energy and Commerce and the Com-13
mittee on Appropriations of the House of Represent-14
atives a report describing— 15
(A) the findings of the review under sub-16
section (a); and 17
(B) any recommendations for changes to 18
the block grant program that would facilitate 19
improved outcomes for individuals with serious 20
mental illness and children with serious emo-21
tional disturbance. 22
(2) G
UIDANCE.—Not later than 1 year after 23
the date on which the report is submitted under 24
paragraph (1), the Secretary shall update the guid-25
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ance provided to States under the block grant pro-1
gram on coordinated specialty care and other evi-2
dence-based mental health care services for individ-3
uals with serious mental illness and children with a 4
serious emotional disturbance, based on the findings 5
and recommendations of such report. 6
SEC. 209. REVIEWING THE SCHEDULING OF APPROVED 7
PRODUCTS CONTAINING A COMBINATION OF 8
BUPRENORPHINE AND NALOXONE. 9
(a) S
ECRETARY OFHHS.—The Secretary of Health 10
and Human Services shall, consistent with the require-11
ments and procedures set forth in sections 201 and 202 12
of the Controlled Substances Act (21 U.S.C. 811, 812)— 13
(1) review the relevant data pertaining to the 14
scheduling of products containing a combination of 15
buprenorphine and naloxone that have been ap-16
proved under section 505 of the Federal Food, 17
Drug, and Cosmetic Act (21 U.S.C. 355); and 18
(2) if appropriate, request that the Attorney 19
General initiate rulemaking proceedings to revise the 20
schedules accordingly with respect to such products. 21
(b) A
TTORNEYGENERAL.—The Attorney General 22
shall review any request made by the Secretary of Health 23
and Human Services under subsection (a)(2) and deter-24
mine whether to initiate proceedings to revise the sched-25
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ules in accordance with the criteria set forth in sections 1
201 and 202 of the Controlled Substances Act (21 U.S.C. 2
811, 812). 3
TITLE III—RECOVERY 4
SEC. 301. BUILDING COMMUNITIES OF RECOVERY. 5
Section 547(f) of the Public Health Service Act (42 6
U.S.C. 290ee–2(f)) is amended by striking ‘‘$5,000,000 7
for each of fiscal years 2019 through 2023’’ and inserting 8
‘‘$17,000,000 for each of fiscal years 2026 through 9
2030’’. 10
SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CEN-11
TER. 12
Section 547A of the Public Health Service Act (42 13
U.S.C. 290ee–2a) is amended— 14
(1) in subsection (b)(4), by striking ‘‘building; 15
and’’ and inserting the following: ‘‘building, such 16
as— 17
‘‘(A) professional development of peer sup-18
port specialists; and 19
‘‘(B) making recovery support services 20
available in nonclinical settings; and’’; 21
(2) by redesignating subsections (d) and (e) as 22
subsections (e) and (f), respectively; 23
(3) by inserting after subsection (c) the fol-24
lowing: 25
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‘‘(d) REGIONALCENTERS.— 1
‘‘(1) I
N GENERAL.—The Secretary may estab-2
lish one regional technical assistance center (referred 3
to in this subsection as the ‘Regional Center’), with 4
existing resources, to assist the Center in carrying 5
out activities described in subsection (b) within the 6
geographic region of such Regional Center in a man-7
ner that is tailored to the needs of such region. 8
‘‘(2) E
VALUATION.—Not later than 4 years 9
after the date of enactment of the SUPPORT for 10
Patients and Communities Reauthorization Act of 11
2025, the Secretary shall evaluate the activities of 12
the Regional Center and submit to the Committee 13
on Health, Education, Labor, and Pensions of the 14
Senate and the Committee on Energy and Com-15
merce of the House of Representatives a report on 16
the findings of such evaluation, including— 17
‘‘(A) a description of the distinct roles and 18
responsibilities of the Regional Center and the 19
Center; 20
‘‘(B) available information relating to the 21
outcomes of the Regional Center under this 22
subsection, such as any impact on the oper-23
ations and efficiency of the Center relating to 24
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requests for technical assistance and support 1
within the region of such Regional Center; 2
‘‘(C) a description of any gaps or areas of 3
duplication relating to the activities of the Re-4
gional Center and the Center within such re-5
gion; and 6
‘‘(D) recommendations relating to the 7
modification, expansion, or termination of the 8
Regional Center under this subsection. 9
‘‘(3) T
ERMINATION.—This subsection shall ter-10
minate on September 30, 2030.’’; and 11
(4) in subsection (f), as so redesignated, by 12
striking ‘‘$1,000,000 for each of fiscal years 2019 13
through 2023’’ and inserting ‘‘$2,000,000 for each 14
of fiscal years 2026 through 2030’’. 15
SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS. 16
Section 552 of the Public Health Service Act (42 17
U.S.C. 290ee–7) is amended— 18
(1) in subsection (d)(2)— 19
(A) in the matter preceding subparagraph 20
(A), by striking ‘‘and in such manner’’ and in-21
serting ‘‘, in such manner, and containing such 22
information and assurances, including relevant 23
documentation,’’; and 24
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(B) in subparagraph (A), by striking ‘‘is 1
capable of coordinating with other entities to 2
carry out’’ and inserting ‘‘has the demonstrated 3
capability to carry out, through referral or con-4
tractual arrangements’’; 5
(2) in subsection (h)— 6
(A) by redesignating paragraphs (1) 7
through (4) as subparagraphs (A) through (D), 8
respectively, and adjusting the margins accord-9
ingly; 10
(B) by striking ‘‘With respect to’’ and in-11
serting the following: 12
‘‘(1) I
N GENERAL.—With respect to’’; and 13
(C) by adding at the end the following: 14
‘‘(2) A
DDITIONAL REPORTING FOR CERTAIN EL -15
IGIBLE ENTITIES.—An entity carrying out activities 16
described in subsection (g) through referral or con-17
tractual arrangements shall include in the submis-18
sions required under paragraph (1) information re-19
lated to the status of such referrals or contractual 20
arrangements, including an assessment of whether 21
such referrals or contractual arrangements are sup-22
porting the ability of such entity to carry out such 23
activities.’’; and 24
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(3) in subsection (j), by striking ‘‘2019 through 1
2023’’ and inserting ‘‘2026 through 2030’’. 2
SEC. 304. YOUTH PREVENTION AND RECOVERY. 3
Section 7102(c) of the SUPPORT for Patients and 4
Communities Act (42 U.S.C. 290bb–7a(c)) (as amended 5
by section 110(a)) is amended— 6
(1) in paragraph (2)— 7
(A) in subparagraph (A)— 8
(i) in clause (i)— 9
(I) by inserting ‘‘, or a consor-10
tium of local educational agencies,’’ 11
after ‘‘a local educational agency’’; 12
and 13
(II) by striking ‘‘high schools’’ 14
and inserting ‘‘secondary schools’’; 15
and 16
(ii) in clause (vi), by striking ‘‘tribe, 17
or tribal’’ and inserting ‘‘Tribe, or Tribal’’; 18
(B) by amending subparagraph (E) to read 19
as follows: 20
‘‘(E) I
NDIAN TRIBE; TRIBAL ORGANIZA-21
TION.—The terms ‘Indian Tribe’ and ‘Tribal 22
organization’ have the meanings given such 23
terms in section 4 of the Indian Self-Deter-24
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mination and Education Assistance Act (25 1
U.S.C. 5304).’’; 2
(C) by redesignating subparagraph (K) as 3
subparagraph (L); and 4
(D) by inserting after subparagraph (J) 5
the following: 6
‘‘(K) S
ECONDARY SCHOOL .—The term 7
‘secondary school’ has the meaning given such 8
term in section 8101 of the Elementary and 9
Secondary Education Act of 1965 (20 U.S.C. 10
7801).’’; 11
(2) in paragraph (3)(A), in the matter pre-12
ceding clause (i)— 13
(A) by striking ‘‘and abuse’’; and 14
(B) by inserting ‘‘at increased risk for sub-15
stance misuse’’ after ‘‘specific populations’’; 16
(3) in paragraph (4)— 17
(A) in the matter preceding subparagraph 18
(A), by striking ‘‘Indian tribes’’ and inserting 19
‘‘Indian Tribes’’; 20
(B) in subparagraph (A), by striking ‘‘and 21
abuse’’; and 22
(C) in subparagraph (B), by striking ‘‘peer 23
mentoring’’ and inserting ‘‘peer-to-peer sup-24
port’’; 25
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(4) in paragraph (5), by striking ‘‘tribal’’ and 1
inserting ‘‘Tribal’’; 2
(5) in paragraph (6)(A)— 3
(A) in clause (iv), by striking ‘‘; and’’ and 4
inserting a semicolon; and 5
(B) by adding at the end the following: 6
‘‘(vi) a plan to sustain the activities 7
carried out under the grant program, after 8
the grant program has ended; and’’; 9
(6) in paragraph (8), by striking ‘‘2022’’ and 10
inserting ‘‘2028’’; and 11
(7) by amending paragraph (9) to read as fol-12
lows: 13
‘‘(9) A
UTHORIZATION OF APPROPRIATIONS .— 14
To carry out this subsection, there are authorized to 15
be appropriated— 16
‘‘(A) $10,000,000 for fiscal year 2026; 17
‘‘(B) $12,000,000 for fiscal year 2027; 18
‘‘(C) $13,000,000 for fiscal year 2028; 19
‘‘(D) $14,000,000 for fiscal year 2029; 20
and 21
‘‘(E) $15,000,000 for fiscal year 2030.’’. 22
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SEC. 305. CAREER ACT. 1
(a) I
NGENERAL.—Section 7183 of the SUPPORT 2
for Patients and Communities Act (42 U.S.C. 290ee–8) 3
is amended— 4
(1) in the section heading, by inserting ‘‘; 5
TREATMENT , RECOVERY, AND WORKFORCE 6
SUPPORT GRANTS ’’ after ‘‘CAREER ACT’’; 7
(2) in subsection (b), by inserting ‘‘each’’ before 8
‘‘for a period’’; 9
(3) in subsection (c)— 10
(A) in paragraph (1), by striking ‘‘the 11
rates described in paragraph (2)’’ and inserting 12
‘‘the average rates for calendar years 2018 13
through 2022 described in paragraph (2)’’; and 14
(B) by amending paragraph (2) to read as 15
follows: 16
‘‘(2) R
ATES.—The rates described in this para-17
graph are the following: 18
‘‘(A) The highest age-adjusted average 19
rates of drug overdose deaths for calendar years 20
2018 through 2022 based on data from the 21
Centers for Disease Control and Prevention, in-22
cluding, if necessary, provisional data for cal-23
endar year 2022. 24
‘‘(B) The highest average rates of unem-25
ployment for calendar years 2018 through 2022 26
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based on data provided by the Bureau of Labor 1
Statistics. 2
‘‘(C) The lowest average labor force par-3
ticipation rates for calendar years 2018 through 4
2022 based on data provided by the Bureau of 5
Labor Statistics.’’; 6
(4) in subsection (g)— 7
(A) in each of paragraphs (1) and (3), by 8
redesignating subparagraphs (A) and (B) as 9
clauses (i) and (ii), respectively, and adjusting 10
the margins accordingly; 11
(B) by redesignating paragraphs (1) 12
through (3) as subparagraphs (A) through (C), 13
respectively, and adjusting the margins accord-14
ingly; 15
(C) in the matter preceding subparagraph 16
(A) (as so redesignated), by striking ‘‘An enti-17
ty’’ and inserting the following: 18
‘‘(1) I
N GENERAL.—An entity’’; and 19
(D) by adding at the end the following: 20
‘‘(2) T
RANSPORTATION SERVICES .—An entity 21
receiving a grant under this section may use not 22
more than 5 percent of the funds for providing 23
transportation for individuals to participate in an ac-24
tivity supported by a grant under this section, which 25
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transportation shall be to or from a place of work 1
or a place where the individual is receiving voca-2
tional education or job training services or receiving 3
services directly linked to treatment of or recovery 4
from a substance use disorder. 5
‘‘(3) L
IMITATION.—The Secretary may not re-6
quire an entity to, or give priority to an entity that 7
plans to, use the funds of a grant under this section 8
for activities that are not specified in this sub-9
section.’’; 10
(5) in subsection (i)(2), by inserting ‘‘, which 11
shall include employment and earnings outcomes de-12
scribed in subclauses (I) and (III) of section 13
116(b)(2)(A)(i) of the Workforce Innovation and 14
Opportunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with 15
respect to the participation of such individuals with 16
a substance use disorder in programs and activities 17
funded by the grant under this section’’ after ‘‘sub-18
section (g)’’; 19
(6) in subsection (j)— 20
(A) in paragraph (1), by inserting ‘‘for 21
grants awarded prior to the date of enactment 22
of the SUPPORT for Patients and Commu-23
nities Reauthorization Act of 2025’’ after 24
‘‘grant period under this section’’; and 25
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(B) in paragraph (2)— 1
(i) in the matter preceding subpara-2
graph (A), by striking ‘‘2 years after sub-3
mitting the preliminary report required 4
under paragraph (1)’’ and inserting ‘‘Sep-5
tember 30, 2030’’; and 6
(ii) in subparagraph (A), by striking 7
‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 8
(7) in subsection (k), by striking ‘‘$5,000,000 9
for each of fiscal years 2019 through 2023’’ and in-10
serting ‘‘$12,000,000 for each of fiscal years 2026 11
through 2030’’. 12
(b) R
EAUTHORIZATION OF THE CAREER ACT; RE-13
COVERYHOUSINGPILOTPROGRAM.— 14
(1) I
N GENERAL.—Section 8071 of the SUP-15
PORT for Patients and Communities Act (42 16
U.S.C. 5301 note; Public Law 115–271) is amend-17
ed— 18
(A) by striking the section heading and in-19
serting ‘‘
CAREER ACT; RECOVERY HOUSING 20
PILOT PROGRAM ’’; 21
(B) in subsection (a), by striking ‘‘through 22
2023’’ and inserting ‘‘through 2030’’; 23
(C) in subsection (b)— 24
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(i) in paragraph (1), by striking ‘‘not 1
later than 60 days after the date of enact-2
ment of this Act’’ and inserting ‘‘not later 3
than 60 days after the date of enactment 4
of the SUPPORT for Patients and Com-5
munities Reauthorization Act of 2025’’; 6
and 7
(ii) in paragraph (2)(B)(i)— 8
(I) in subclause (I)— 9
(aa) by striking ‘‘for cal-10
endar years 2013 through 2017’’; 11
and 12
(bb) by inserting ‘‘for cal-13
endar years 2018 through 2022’’ 14
after ‘‘rates of unemployment’’; 15
(II) in subclause (II)— 16
(aa) by striking ‘‘for cal-17
endar years 2013 through 2017’’; 18
and 19
(bb) by inserting ‘‘for cal-20
endar years 2018 through 2022’’ 21
after ‘‘participation rates’’; and 22
(III) by striking subclause (III) 23
and inserting the following: 24
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‘‘(III) The highest age-adjusted 1
average rates of drug overdose deaths 2
for calendar years 2018 through 2022 3
based on data from the Centers for 4
Disease Control and Prevention, in-5
cluding, if necessary, provisional data 6
for calendar year 2022.’’; and 7
(D) in subsection (f), by striking ‘‘For the 8
2-year period following the date of enactment of 9
this Act, the’’ and inserting ‘‘The’’. 10
(2) C
ONFORMING AMENDMENT .—Subtitle F of 11
title VIII of the SUPPORT for Patients and Com-12
munities Act (Public Law 115–271; 132 Stat. 4095) 13
is amended by striking the subtitle heading and in-14
serting the following: ‘‘Subtitle F—CAREER 15
Act; Recovery Housing Pilot Program ’’ . 16
(c) C
LERICALAMENDMENTS.—The table of contents 17
in section 1(b) of the SUPPORT for Patients and Com-18
munities Act (Public Law 115–271; 132 Stat. 3894) is 19
amended— 20
(1) by striking the item relating to section 7183 21
and inserting the following: 22
‘‘Sec. 7183. CAREER Act; treatment, recovery, and workforce support
grants.’’;
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(2) by striking the item relating to subtitle F 1
of title VIII and inserting the following: 2
‘‘Subtitle F—CAREER Act; Recovery Housing Pilot Program’’; and
(3) by striking the item relating to section 8071 3
and inserting the following: 4
‘‘Sec. 8071. CAREER Act; Recovery Housing Pilot Program.’’.
SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IM-
5
PACTS OF THE OPIOID CRISIS. 6
Section 8041(g)(1) of the SUPPORT for Patients 7
and Communities Act (29 U.S.C. 3225a(g)(1)) is amended 8
by striking ‘‘2023’’ and inserting ‘‘2030’’. 9
TITLE IV—MISCELLANEOUS 10
MATTERS 11
SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A 12
PHARMACY TO A PRESCRIBING PRACTI-13
TIONER. 14
Section 309A(a) of the Controlled Substances Act 15
(21 U.S.C. 829a(a)) is amended by striking paragraph (2) 16
and inserting the following: 17
‘‘(2) the controlled substance is a drug in 18
schedule III, IV, or V to be administered— 19
‘‘(A) by injection or implantation for the 20
purpose of maintenance or detoxification treat-21
ment; or 22
‘‘(B) subject to a risk evaluation and miti-23
gation strategy pursuant to section 505–1 of 24
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the Federal Food, Drug, and Cosmetic Act (21 1
U.S.C. 355–1) that includes elements to assure 2
safe use of the drug described in subsection 3
(f)(3)(E) of such section, including a require-4
ment for post-administration monitoring by a 5
health care provider;’’. 6
SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CON-7
TROLLED SUBSTANCES. 8
(a) I
NGENERAL.—Section 303 of the Controlled 9
Substances Act (21 U.S.C. 823) is amended— 10
(1) by redesignating the second subsection des-11
ignated as subsection (l) as subsection (m); and 12
(2) in subsection (m)(1), as so redesignated— 13
(A) in subparagraph (A)— 14
(i) in clause (iv)— 15
(I) in subclause (I)— 16
(aa) by inserting ‘‘the Amer-17
ican Academy of Family Physi-18
cians, the American Podiatric 19
Medical Association, the Acad-20
emy of General Dentistry, the 21
American Optometric Associa-22
tion,’’ before ‘‘or any other orga-23
nization’’; 24
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(bb) by striking ‘‘or the 1
Commission’’ and inserting ‘‘, the 2
Commission’’; and 3
(cc) by inserting ‘‘, or the 4
Council on Podiatric Medical 5
Education’’ before the semicolon 6
at the end; and 7
(II) in subclause (III), by insert-8
ing ‘‘or the American Academy of 9
Family Physicians’’ after ‘‘Associa-10
tion’’; and 11
(ii) in clause (v), in the matter pre-12
ceding subclause (I)— 13
(I) by striking ‘‘osteopathic medi-14
cine, dental surgery’’ and inserting 15
‘‘osteopathic medicine, podiatric medi-16
cine, dental surgery’’; and 17
(II) by striking ‘‘or dental medi-18
cine curriculum’’ and inserting ‘‘or 19
dental or podiatric medicine cur-20
riculum’’; and 21
(B) in subparagraph (B)— 22
(i) in clause (i)— 23
(I) by inserting ‘‘the American 24
Pharmacists Association, the Accredi-25
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tation Council on Pharmacy Edu-1
cation, the American Psychiatric 2
Nurses Association, the American 3
Academy of Nursing, the American 4
Academy of Family Physicians,’’ be-5
fore ‘‘or any other organization’’; and 6
(II) by inserting ‘‘, the American 7
Academy of Family Physicians,’’ be-8
fore ‘‘or the Accreditation Council’’; 9
and 10
(ii) in clause (ii)— 11
(I) by striking ‘‘or accredited 12
school’’ and inserting ‘‘, an accredited 13
school’’; and 14
(II) by inserting ‘‘, or an accred-15
ited school of pharmacy’’ before ‘‘in 16
the United States’’. 17
(b) E
FFECTIVEDATE.—The amendment made by 18
subsection (a) shall take effect as if enacted on December 19
29, 2022. 20
Æ
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