United States 119th Congress Status: In Committee Bipartisan · 5 R · 3 D · 1 I cosponsors

S 2121 — SUPPORT for Patients and Communities Reauthorization Act of 2025

Last action — Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

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  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the Senate. Introduced June 18, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 9 sponsors

    1 primary, 8 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 3 parties (5 R · 3 D · 1 I) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

SUPPORT for Patients and Communities Reauthorization Act of 2025This bill reauthorizes and revises Department of Health and Human Services (HHS) programs that address substance use disorders, overdoses, and mental health.For example, the bill reauthorizes for FY2026-FY2030 grant and other programs relating to• addressing substance use disorders with respect to pregnant and postpartum women,• prevention and recovery from substance use disorders for youth, • housing for individuals in recovery from substance use disorders,• community organizations facilitating recovery from substance use disorders,• loan repayment for certain health care providers treating substance use disorders, • prevention of overdoses of controlled substances,• treatment of children experiencing psychological trauma, and• mental and behavioral health education and training for medical and allied health students.Also, the bill revises several programs, including by (1) expanding a program that supports resources for first responders to include the purchase of drugs or devices to treat non-opioid overdoses, (2) expanding a program that supports employment services for individuals in recovery so as to allow for the provision of related transportation services, and (3) temporarily authorizing a regional technical assistance center to assist the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support.Additionally, the bill establishes new requirements for HHS, including requirements relating to• protecting the National Suicide Prevention Lifeline program from cybersecurity threats,• establishing a Federal Interagency Work Group on Fentanyl Contamination of Illegal Drugs, and• reviewing and potentially revising the scheduling of approved products containing a combination of buprenorphine and naloxone under the Controlled Substances Act.

Bill Text

How this bill changes current law

6 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill reauthorizes and amends funding and provisions for programs related to opioid use disorder prevention, treatment, and recovery, including support for individuals and families impacted by fetal alcohol spectrum disorder.

  • 42 U.S.C. 247b-13(d)

    such sums as may be necessary for each of the fiscal years 2019 through 2023 → $4,250,000 for each of fiscal years 2026 through 2030

    This change sets a specific appropriation amount for prenatal and postnatal health for fiscal years 2026 to 2030.

  • 42 U.S.C. 247b-15(d)

    fiscal years 2019 through 2023 → fiscal years 2026 through 2030

    This amendment updates the authorization period for monitoring and education regarding infections associated with illicit drug use to the 2026-2030 timeframe.

  • 42 U.S.C. 280b-1

    opioids → substances causing overdose

    This change broadens the scope of the program to include all substances causing overdose, not just opioids.

  • 42 U.S.C. 280b-1(a)(3)

    and Indian Tribes-- → and Indian Tribes for the following purposes:

    The amendment clarifies the intentions of the funding for projects related to substance misuse among grantees.

  • 42 U.S.C. 280b-1(e)

    $496,000,000 for each of fiscal years 2019 through 2023 → $505,579,000 for each of fiscal years 2026 through 2030

    This change increases the authorized appropriations for preventing overdoses of controlled substances for the upcoming fiscal years.

  • 42 U.S.C. 280f et seq.

    Part O--Fetal Alcohol Spectrum Disorder Prevention and Services Program → PART O--FETAL ALCOHOL SPECTRUM DISORDER PREVENTION AND SERVICES PROGRAM

    This change reaffirms the establishment of the FASD prevention and services program under a newly structured part.

Action History

  1. Introduced in Senate

  2. Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Sponsors

Sponsorship breakdown

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1 sponsors · 8 co-sponsors · 538 not signed on

Sponsors (1)

Co-sponsors (8)

Not signed on (538)

538 members have not signed on to this bill.

Show all 538 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety housing healthcare labor health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does S 2121 do?
SUPPORT for Patients and Communities Reauthorization Act of 2025This bill reauthorizes and revises Department of Health and Human Services (HHS) programs that address substance use disorders, overdoses, and mental health.For example, the bill reauthorizes for FY2026-FY2030 grant and other programs relating to• addressing substance use disorders with respect to pregnant and postpartum women,• prevention and recovery from substance use disorders for youth, • housing for individuals in recovery from substance use disorders,• community organizations facilitating recovery from substance use disorders,• loan repayment for certain health care providers treating substance use disorders, • prevention of overdoses of controlled substances,• treatment of children experiencing psychological trauma, and• mental and behavioral health education and training for medical and allied health students.Also, the bill revises several programs, including by (1) expanding a program that supports resources for first responders to include the purchase of drugs or devices to treat non-opioid overdoses, (2) expanding a program that supports employment services for individuals in recovery so as to allow for the provision of related transportation services, and (3) temporarily authorizing a regional technical assistance center to assist the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support.Additionally, the bill establishes new requirements for HHS, including requirements relating to• protecting the National Suicide Prevention Lifeline program from cybersecurity threats,• establishing a Federal Interagency Work Group on Fentanyl Contamination of Illegal Drugs, and• reviewing and potentially revising the scheduling of approved products containing a combination of buprenorphine and naloxone under the Controlled Substances Act.
Who sponsors S 2121?
S 2121 is sponsored by Sanders, Bernard (Independent), Murkowski, Lisa (Republican), Baldwin, Tammy (Democratic), Mullin, Markwayne (Republican), Hassan, Margaret Wood (Democratic), Tuberville, Tommy (Republican), Hickenlooper, John W. (Democratic), Husted, Jon (Republican), and Cassidy, Bill (Republican).
What is the current status of S 2121?
This bill is in committee in the Senate. Introduced June 18, 2025. It must pass committee before a floor vote.
Where can I track S 2121?
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