HR 2483 — SUPPORT for Patients and Communities Reauthorization Act of 2025

(b) <<NOTE:

42 USC 280f note.>> Report.--Not later than 4 years after the date of enactment of this Act, and every year thereafter, the Secretary of Health and Human Services shall prepare 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 containing-- (1) a review of the activities carried out pursuant to sections 399H and 399I of the Public Health Service Act, as amended, to advance public education and awareness of fetal alcohol spectrum disorders (referred to in this section as ``FASD'');

and (B)[[Page methods139 usedSTAT. to evaluate the outcomes of such activities;

674]] (B) methods used to evaluate the outcomes of such activities;

and (4) in<<NOTE: 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''.

Time periods.>> 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''.

and (2) by<<NOTE: redesignating sections 581 through 584 as sections through 596C, respectively.

42 USC 290kk-- 290kk-3.>> by redesignating sections 581 through 584 as sections 596 through 596C, respectively.

and (B)[[Page in139 paragraphSTAT. (2), by inserting ``and dissemination'' after ``the development'';

675]] (B) in paragraph (2), by inserting ``and dissemination'' after ``the development'';

``(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<<NOTE: 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;

Plan.>> 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;

``(j) Authorization<<NOTE: of Appropriations.--There is authorized to be appropriated to carry out this section-- ``(1) $98,887,000 for fiscal year 2026;

Time periods.>> Authorization of Appropriations.-- There is authorized to be appropriated to carry out this section-- ``(1) $98,887,000 for fiscal year 2026;

(a) National Suicide Prevention Lifeline Program.--Section 520E-520E-3(b) 3(b) of the Public Health Service Act (42 U.S.C.

290bb-36c(b)) is amended-- (1)[[Page in139 paragraphSTAT. (4), by striking ``and'' at the end;

676]] (1) in paragraph (4), by striking ``and'' at the end;

``(B)[[Page Supplement,139 notSTAT. supplant.--The cybersecurity incident reporting requirements under this subsection shall supplement, and not supplant, cybersecurity incident reporting requirements under other provisions of applicable Federal law that are in effect on the date of the enactment of the SUPPORT for Patients and Communities Reauthorization Act of 2025.''.

(c)677]] Study.--Not``(B) laterSupplement, thannot 180supplant.--The dayscybersecurity afterincident thereporting daterequirements ofunder thethis enactmentsubsection ofshall thissupplement, Act,and thenot Comptrollersupplant, Generalcybersecurity ofincident thereporting Unitedrequirements Statesunder shall--other (1)provisions conductof andapplicable completeFederal alaw study that evaluatesare cybersecurityin riskseffect andon vulnerabilitiesthe associateddate withof the 9-enactment 8-8of Nationalthe SuicideSUPPORT Preventionfor Lifeline;Patients and Communities Reauthorization Act of 2025.''.

and(c) (2)<<NOTE: submit a report on the findings of such study to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives.

Deadline.>> Study.--Not later than 180 days after the date of the enactment of this Act, the Comptroller General of the United States shall-- (1) <<NOTE:

Evaluation.>> conduct and complete a study that evaluates cybersecurity risks and vulnerabilities associated with the 9-8-8 National Suicide Prevention Lifeline;

and (2) <<NOTE:

Reports.>> submit a report on the findings of such study to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives.

MONITORING<<NOTE: AND REPORTING OF CHILD, YOUTH, AND ADULT TRAUMA.

Time periods.>> MONITORING AND REPORTING OF CHILD, YOUTH, AND ADULT TRAUMA.

``(g) Working Groups.-- ``(1) In<<NOTE: general.--The Committee may establish working groups for purposes of carrying out the duties described in subsection (e).

Establishment.>> In general.--The Committee may establish working groups for purposes of carrying out the duties described in subsection (e).

``(B)[[Page Consultation.--The139 WorkSTAT. 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;

678]] ``(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;

GUIDANCE<<NOTE: ON AT-HOME DRUG DISPOSAL SYSTEMS.

(a)21 InUSC General.--Not822a laternote.>> thanGUIDANCE oneON yearAT-HOME afterDRUG theDISPOSAL dateSYSTEMS. of enactment of this Act, the Secretary of Health and Human Services, in consultation with the Administrator of the Drug Enforcement Administration, shall publish guidance to facilitate the use of at-home safe disposal systems for applicable drugs.

(b) Contents.--The guidance under subsection (a) shall<<NOTE: include-- (1) recommended standards for effective at-home drug disposal systems to meet applicable requirements enforced by the Food and Drug Administration;

Deadline.

Publication.>> In General.--Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services, in consultation with the Administrator of the Drug Enforcement Administration, shall publish guidance to facilitate the use of at-home safe disposal systems for applicable drugs.

(b) <<NOTE:

Recommenda- tions.

Standards.>> Contents.--The guidance under subsection (a) shall include-- (1) recommended standards for effective at-home drug disposal systems to meet applicable requirements enforced by the Food and Drug Administration;

and (4)[[Page recommended139 useSTAT. of licensed health providers for the dissemination of education, instruction, and at-home drug disposal systems, as appropriate.

679]] (4) recommended use of licensed health providers for the dissemination of education, instruction, and at-home drug disposal systems, as appropriate.

(a) In<<NOTE: General.--Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall publish on the website of the Food and Drug Administration (referred to in this section as the ``FDA'') a report that outlines a plan for assessing opioid analgesic drugs that are approved under section 505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.

Web posting.

Reports.>> In General.--Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall publish on the website of the Food and Drug Administration (referred to in this section as the ``FDA'') a report that outlines a plan for assessing opioid analgesic drugs that are approved under section 505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.

GRANT<<NOTE: PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID USE DISORDERS.

42 USC 290ee-3a note.>> GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID USE DISORDERS.

TITLE[[Page II--TREATMENT139 SEC.STAT.

680]] TITLE II--TREATMENT SEC.

and (3) in<<NOTE: 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''.

Time periods.>> 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''.

MENTAL<<NOTE: AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.

Time periods.>> MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.

LOAN<<NOTE: REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT WORKFORCE.

Time periods.>> LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT WORKFORCE.

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''.

(2)[[Page in139 subsectionSTAT. (d)(1), in the matter preceding subparagraph (A), by inserting ``, developmental disability service providers'' before ``, individuals who are'';

681]] (2) in subsection (d)(1), in the matter preceding subparagraph (A), by inserting ``, developmental disability service providers'' before ``, individuals who are'';

STATE<<NOTE: GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS MENTAL ILLNESS AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE.

(a)42 ReviewUSC of300x Usenote.>> ofSTATE CertainGUIDANCE Funding.--NotRELATED laterTO thanINDIVIDUALS 1WITH yearSERIOUS afterMENTAL theILLNESS dateAND ofCHILDREN enactmentWITH ofSERIOUS thisEMOTIONAL Act,DISTURBANCE. the Secretary of Health and Human Services (referred to in this section as the ``Secretary''), acting through the Assistant Secretary for Mental Health and Substance Use, shall conduct a review of State use of funds made available under the Community Mental Health Services Block Grant program under subpart I of part B of title XIX of the Public Health Service Act (42 U.S.C.

(a) <<NOTE:

Deadline.>> Review of Use of Certain Funding.--Not later than 1 year after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the ``Secretary''), acting through the Assistant Secretary for Mental Health and Substance Use, shall conduct a review of State use of funds made available under the Community Mental Health Services Block Grant program under subpart I of part B of title XIX of the Public Health Service Act (42 U.S.C.

SEC.[[Page 139 STAT.

682]] SEC.

REVIEWING<<NOTE: THE SCHEDULING OF APPROVED PRODUCTS CONTAINING A COMBINATION OF BUPRENORPHINE AND NALOXONE.

21 USC 812 note.>> REVIEWING THE SCHEDULING OF APPROVED PRODUCTS CONTAINING A COMBINATION OF BUPRENORPHINE AND NALOXONE.

and (2) if<<NOTE: appropriate, request that the Attorney General initiate rulemaking proceedings to revise the schedules accordingly with respect to such products.

(b)Regulations.>> Attorneyif General.--Theappropriate, Attorney General shall review any request madethat by the SecretaryAttorney ofGeneral Health and Human Services under subsection (a)(2) and determine whether to initiate rulemaking proceedings to revise the schedules inaccordingly accordance with therespect criteriato setsuch forthproducts. in sections 201 and 202 of the Controlled Substances Act (21 U.S.C.

(b) Attorney General.--The Attorney General shall review any request made by the Secretary of Health and Human Services under subsection (a)(2) and determine whether to initiate proceedings to revise the schedules in accordance with the criteria set forth in sections 201 and of the Controlled Substances Act (21 U.S.C.

REFERENCES<<NOTE: TO OPIOID OVERDOSE REVERSAL AGENTS IN HHS GRANT PROGRAMS.

(a)42 InUSC General.--The290ee Secretarynote.>> ofREFERENCES HealthTO andOPIOID HumanOVERDOSE ServicesREVERSAL shallAGENTS ensureIN that,HHS asGRANT appropriate,PROGRAMS. whenever the Department of Health and Human Services issues a regulation or guidance for any grant program addressing opioid misuse and use disorders, any reference to an opioid overdose reversal drug (such as a reference to naloxone) is inclusive of any opioid overdose reversal drug that has been approved under section 505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.

(a) In General.--The Secretary of Health and Human Services shall ensure that, as appropriate, whenever the Department of Health and Human Services issues a regulation or guidance for any grant program addressing opioid misuse and use disorders, any reference to an opioid overdose reversal drug (such as a reference to naloxone) is inclusive of any opioid overdose reversal drug that has been approved under section of the Federal Food, Drug, and Cosmetic Act (21 U.S.C.

(b) Existing References.-- (1) Update.--Not<<NOTE: later than one year after the date of enactment of this Act, the Secretary of Health and Human Services shall update all references described in paragraph (2) to be inclusive of any opioid overdose reversal drug that has been approved or otherwise authorized for use by the Food and Drug Administration.

Deadline.>> Update.--Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services shall update all references described in paragraph (2) to be inclusive of any opioid overdose reversal drug that has been approved or otherwise authorized for use by the Food and Drug Administration.

SEC.[[Page 139 STAT.

683]] SEC.

(a) Roundtable.--Not<<NOTE: later than 180 days after the date of enactment of this Act, the National Coordinator for Health Information Technology shall convene a public roundtable to examine-- (1) how the expanded use of electronic health records among mental health and substance use service providers can improve outcomes for patients in mental health and substance use settings;

Deadline.

Public information.

Examination.>> Roundtable.--Not later than 180 days after the date of enactment of this Act, the National Coordinator for Health Information Technology shall convene a public roundtable to examine-- (1) how the expanded use of electronic health records among mental health and substance use service providers can improve outcomes for patients in mental health and substance use settings;

(10)[[Page the139 costsSTAT. of adoption of electronic health record systems by mental health and substance use disorder service providers;

684]] (10) the costs of adoption of electronic health record systems by mental health and substance use disorder service providers;

BUILDING<<NOTE: COMMUNITIES OF RECOVERY.

Time periods.>> BUILDING COMMUNITIES OF RECOVERY.

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''.

``(d) Regional Centers.-- ``(1) In<<NOTE: 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)Establishment.>> Evaluation.--NotIn latergeneral.--The thanSecretary 4may yearsestablish afterone theregional datetechnical ofassistance enactmentcenter of(referred theto SUPPORTin forthis Patientssubsection andas Communitiesthe Reauthorization`Regional ActCenter'), ofwith 2025,existing theresources, Secretaryto shallassist evaluate the activities of the Regional Center andin submitcarrying toout theactivities Committeedescribed onin Health,subsection Education,(b) Labor,within and Pensions of the Senategeographic andregion the Committee on Energy and Commerce of thesuch HouseRegional ofCenter Representativesin a reportmanner onthat theis findingstailored ofto such evaluation, including-- ``(A) a description of the distinctneeds roles and responsibilities of thesuch Regionalregion. Center and the Center;

``(2) <<NOTE:

Reports.>> 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;

``(3)[[Page Termination.--This139 subsectionSTAT. shall terminate on September 30, 2030.'';

and685]] (4)``(3) inTermination.--This subsection (f),shall asterminate soon redesignated,September by30, striking2030.''; ``$1,000,000 for each of fiscal years 2019 through 2023'' and inserting ``$2,000,000 for each of fiscal years 2026 through 2030''.

and (4) <<NOTE:

Time periods.>> in subsection (f), as so redesignated, by striking ``$1,000,000 for each of fiscal years through 2023'' and inserting ``$2,000,000 for each of fiscal years 2026 through 2030''.

(C)[[Page by139 redesignatingSTAT. subparagraph (K) as subparagraph (L);

686]] (C) by redesignating subparagraph (K) as subparagraph (L);

``(9) Authorization<<NOTE: of appropriations.--To carry out this subsection, there are authorized to be appropriated-- ``(A) $10,000,000 for fiscal year 2026;

Time periods.>> Authorization of appropriations.--To carry out this subsection, there are authorized to be appropriated-- ``(A) $10,000,000 for fiscal year 2026;

(3) in<<NOTE: subsection (c)-- (A) in paragraph (1), by striking ``the rates described in paragraph (2)'' and inserting ``the average rates for calendar years 2018 through 2022 described in paragraph (2)'';

Time periods.>> in subsection (c)-- (A) in paragraph (1), by striking ``the rates described in paragraph (2)'' and inserting ``the average rates for calendar years 2018 through 2022 described in paragraph (2)'';

``(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,[[Page including,139 ifSTAT. necessary, provisional data for calendar year 2022.

687]] Prevention, including, if necessary, provisional data for calendar year 2022.

and (7) in<<NOTE: 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''.

Time periods.>> 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''.

Recovery Housing Pilot Program.-- (1)[[Page In139 general.--SectionSTAT. 8071 of the SUPPORT for Patients and Communities Act (42 U.S.C.

688]] (1) In general.--Section 8071 of the SUPPORT for Patients and Communities Act (42 U.S.C.

(C) in subsection (b)-- (i) in<<NOTE: 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'';

Deadline.>> 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'';

SEC.[[Page 139 STAT.

689]] SEC.

(a) In<<NOTE: General.--Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall convene a public meeting for purposes of improving awareness of, and access to, information related to current and future funding opportunities under programs administered by the Substance Abuse and Mental Health Services Administration (in this section referred to as ``SAMHSA funding opportunities'').

Deadline.

Public information.>> In General.--Not later than one year after the date of enactment of this Act, the Secretary of Health and Human Services (referred to in this section as the ``Secretary'') shall convene a public meeting for purposes of improving awareness of, and access to, information related to current and future funding opportunities under programs administered by the Substance Abuse and Mental Health Services Administration (in this section referred to as ``SAMHSA funding opportunities'').

and (3) strategies<<NOTE: to improve the ability of entities to apply for SAMHSA funding opportunities, including entities that have not traditionally applied for SAMHSA funding opportunities.

(c)Strategies.>> Websitestrategies Improvements.--Theto Secretaryimprove shallthe implementability improvementsof entities to Grants.govapply relatedfor to SAMHSA funding opportunitiesopportunities, basedincluding onentities stakeholderthat feedbackhave receivednot attraditionally theapplied publicfor meetingSAMHSA underfunding subsectionopportunities. (a), as appropriate, to the maximum extent feasible.

(c) <<NOTE:

42 USC 290aa note.>> Website Improvements.--The Secretary shall implement improvements to Grants.gov related to SAMHSA funding opportunities based on stakeholder feedback received at the public meeting under subsection (a), as appropriate, to the maximum extent feasible.

``(2)[[Page the139 controlledSTAT. 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;

690]] ``(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;

and (II)[[Page by139 insertingSTAT. ``, or an accredited school of pharmacy'' before ``in the United States''.

(b)691]] Effective(II) Date.--The amendment made by subsectioninserting (a)``, shallor takean effectaccredited asschool ifof enactedpharmacy'' onbefore December``in 29,the 2022.United States''.

Passed(b) the<<NOTE: House of Representatives June 4, 2025.

Attest:21 USC 823 note.>> Effective Date.--The amendment made by subsection (a) shall take effect as if enacted on December 29, 2022.

KEVINApproved F.December 1, 2025.

MCCUMBER,LEGISLATIVE Clerk.HISTORY--H.R.

2483:

--------------------------------------------------------------------------- HOUSE REPORTS:

No.

119-114, Pt.

1 (Comm.

on Energy and Commerce).

CONGRESSIONAL RECORD, Vol.

171 (2025):

June 4, considered and passed House.

Sept.

18, considered and passed Senate.

<all>