Reported in House

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2483 Reported in House (RH)]

<DOC>

                                                  Union Calendar No. 84
119th CONGRESS
  1st Session
                                H. R. 2483

                      [Report No. 119-114, Part I]

 To reauthorize certain programs that provide for opioid use disorder
      prevention, treatment, and recovery, and for other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             March 31, 2025

 Mr. Guthrie (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

                              May 29, 2025

  Reported from the Committee on Energy and Commerce with an amendment
 [Strike out all after the enacting clause and insert the part printed
                               in italic]

                              May 29, 2025

  Committees on Education and Workforce, the Judiciary, and Financial
 Services discharged; committed to the Committee of the Whole House on
            the State of the Union and ordered to be printed
 [For text of introduced bill, see copy of bill as introduced on March
                               31, 2025]

_______________________________________________________________________

                                 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 Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``SUPPORT for
Patients and Communities Reauthorization Act of 2025''.
    (b) Table of Contents.--The table of contents for this Act is as
follows:

Sec. 1. Short title; table of contents.

Sec. 1. Short title; table of contents.

                          TITLE I--PREVENTION

Sec. 101. Prenatal and postnatal health.

Sec. 101. Prenatal and postnatal health.

Sec. 102. Monitoring and education regarding infections associated with

Sec. 102. Monitoring and education regarding infections associated with
                            illicit drug use and other risk factors.

Sec. 103. Preventing overdoses of controlled substances.

Sec. 103. Preventing overdoses of controlled substances.

Sec. 104. Support for individuals and families impacted by fetal

Sec. 104. Support for individuals and families impacted by fetal
                            alcohol spectrum disorder.

Sec. 105. Promoting state choice in PDMP systems.

Sec. 105. Promoting state choice in PDMP systems.

Sec. 106. First responder training program.

Sec. 106. First responder training program.

Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative.

Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative.

Sec. 108. Protecting suicide prevention lifeline from cybersecurity

Sec. 108. Protecting suicide prevention lifeline from cybersecurity
                            incidents.

Sec. 109. Monitoring and reporting of child, youth, and adult trauma.

Sec. 109. Monitoring and reporting of child, youth, and adult trauma.

Sec. 110. Bruce's law.

Sec. 110. Bruce's law.

Sec. 111. Guidance on at-home drug disposal systems.

Sec. 111. Guidance on at-home drug disposal systems.

Sec. 112. Assessment of opioid drugs and actions.

Sec. 112. Assessment of opioid drugs and actions.

Sec. 113. Grant program for State and Tribal response to opioid use

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

Sec. 201. Residential treatment program for pregnant and postpartum
                            women.

Sec. 202. Improving access to addiction medicine providers.

Sec. 202. Improving access to addiction medicine providers.

Sec. 203. Mental and behavioral health education and training grants.

Sec. 203. Mental and behavioral health education and training grants.

Sec. 204. Loan repayment program for substance use disorder treatment

Sec. 204. Loan repayment program for substance use disorder treatment
                            workforce.

Sec. 205. Development and dissemination of model training programs for

Sec. 205. Development and dissemination of model training programs for
                            substance use disorder patient records.

Sec. 206. Task force on best practices for trauma-informed

Sec. 206. Task force on best practices for trauma-informed
                            identification, referral, and support.

Sec. 207. Grants to enhance access to substance use disorder treatment.

Sec. 207. Grants to enhance access to substance use disorder treatment.

Sec. 208. State guidance related to individuals with serious mental

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

Sec. 209. Reviewing the scheduling of approved products containing a
                            combination of buprenorphine and naloxone.

                          TITLE III--RECOVERY

Sec. 301. Building communities of recovery.

Sec. 301. Building communities of recovery.

Sec. 302. Peer support technical assistance center.

Sec. 302. Peer support technical assistance center.

Sec. 303. Comprehensive opioid recovery centers.

Sec. 303. Comprehensive opioid recovery centers.

Sec. 304. Youth prevention and recovery.

Sec. 304. Youth prevention and recovery.

Sec. 305. CAREER Act.

Sec. 305. CAREER Act.

Sec. 306. Addressing economic and workforce impacts of the opioid

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

Sec. 401. Delivery of a controlled substance by a pharmacy to a
                            prescribing practitioner.

Sec. 402. Required training for prescribers of controlled substances.

Sec. 402. Required training for prescribers of controlled substances.

                          TITLE I--PREVENTION

SEC. 101. PRENATAL AND POSTNATAL HEALTH.

SEC. 101. PRENATAL AND POSTNATAL HEALTH.

Section 317L(d) of the Public Health Service Act (42 U.S.C. 247b-

Section 317L(d) of the Public Health Service Act (42 U.S.C. 247b-
13(d)) is amended by striking ``such sums as may be necessary for each
of the fiscal years 2019 through 2023'' and inserting ``$4,250,000 for
each of fiscal years 2026 through 2030''.

SEC. 102. MONITORING AND EDUCATION REGARDING INFECTIONS ASSOCIATED WITH

SEC. 102. MONITORING AND EDUCATION REGARDING INFECTIONS ASSOCIATED WITH
              ILLICIT DRUG USE AND OTHER RISK FACTORS.

Section 317N(d) of the Public Health Service Act (42 U.S.C. 247b-

Section 317N(d) of the Public Health Service Act (42 U.S.C. 247b-
15(d)) is amended by striking ``fiscal years 2019 through 2023'' and
inserting ``fiscal years 2026 through 2030''.

SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUBSTANCES.

SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUBSTANCES.

    (a) In General.--Section 392A of the Public Health Service Act (42
U.S.C. 280b-1) is amended--
            (1) in subsection (a)(2)--
                    (A) in subparagraph (C), by inserting ``and
                associated risks'' before the period at the end; and
                    (B) in subparagraph (D), by striking ``opioids''
                and inserting ``substances causing overdose''; and
            (2) in subsection (b)(2)--
                    (A) in subparagraph (B), by inserting ``, and
                associated risk factors,'' after ``such overdoses'';
                    (B) in subparagraph (C), by striking ``coding'' and
                inserting ``monitoring and identifying'';
                    (C) in subparagraph (E)--
                            (i) by inserting a comma after ``public
                        health laboratories''; and
                            (ii) by inserting ``and other emerging
                        substances related'' after ``analogues''; and
                    (D) in subparagraph (F), by inserting ``and
                associated risk factors'' after ``overdoses''.
    (b) Additional Grants.--Section 392A(a)(3) of the Public Health
Service Act (42 U.S.C. 280b-1(a)(3)) is amended--
            (1) in the matter preceding subparagraph (A), by striking
        ``and Indian Tribes--'' and inserting ``and Indian Tribes for
        the following purposes:'';
            (2) by amending subparagraph (A) to read as follows:
                    ``(A) To carry out innovative projects for grantees
                to detect, identify, and rapidly respond to controlled
                substance misuse, abuse, and overdoses, and associated
                risk factors, including changes in patterns of such
                controlled substance use. Such projects may include the
                use of innovative, evidence-based strategies for
                detecting such patterns, such as wastewater
                surveillance, if proven to support actionable
                prevention strategies, in a manner consistent with
                applicable Federal and State privacy laws.''; and
            (3) in subparagraph (B), by striking ``for any'' and
        inserting ``For any''.
    (c) Authorization of Appropriations.--Section 392A(e) of the Public
Health Service Act (42 U.S.C. 280b-1(e)) is amended by striking
``$496,000,000 for each of fiscal years 2019 through 2023'' and
inserting ``$505,579,000 for each of fiscal years 2026 through 2030''.

SEC. 104. SUPPORT FOR INDIVIDUALS AND FAMILIES IMPACTED BY FETAL

SEC. 104. SUPPORT FOR INDIVIDUALS AND FAMILIES IMPACTED BY FETAL
              ALCOHOL SPECTRUM DISORDER.

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

   ``PART O--FETAL ALCOHOL SPECTRUM DISORDER PREVENTION AND SERVICES
                                PROGRAM

``SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PREVENTION, INTERVENTION,
              AND SERVICES DELIVERY PROGRAM.

    ``(a) In General.--The Secretary shall establish or continue
activities to support a comprehensive fetal alcohol spectrum disorders
(referred to in this section as `FASD') education, prevention,
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.

``SEC. 399I. STRENGTHENING CAPACITY AND EDUCATION FOR FETAL ALCOHOL
              SPECTRUM DISORDERS.

    ``(a) In General.--The Secretary shall award grants, contracts, or
cooperative agreements, as the Secretary determines appropriate, to
public or nonprofit private entities with demonstrated expertise in the
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 practices, which may include improving the capacity
        for State, Tribal, and local affiliates.
            ``(4) Providing technical assistance to recipients of
        grants, cooperative agreements, or contracts under section
        399H, as appropriate.
    ``(c) Application.--To be eligible for a grant, contract, or
cooperative agreement under this section, an entity shall submit to the
Secretary an application at such time, in such manner, and containing
such information as the Secretary may require.
    ``(d) Subcontracting.--A public or private nonprofit entity may
carry out the following activities required under this section through
contracts or cooperative agreements with other public and private
nonprofit entities with demonstrated expertise in FASD:
            ``(1) Resource development and dissemination.
            ``(2) Intervention services.
            ``(3) Training and technical assistance.

``SEC. 399J. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this part
$12,500,000 for each of fiscal years 2026 through 2030.''.
    (b) Report.--Not later than 4 years after the date of enactment of
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'');
            (2) a description of--
                    (A) the activities carried out pursuant to such
                sections 399H and 399I to identify, prevent, and treat
                FASD; and
                    (B) methods used to evaluate the outcomes of such
                activities; and
            (3) an assessment of activities carried out pursuant to
        such sections 399H and 399I to support individuals with FASD.

SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS.

SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS.

Section 399O(h) of the Public Health Service Act (42 U.S.C. 280g-

Section 399O(h) of the Public Health Service Act (42 U.S.C. 280g-
3(h)) is amended by adding at the end the following:
            ``(5) Promoting state choice.--Nothing in this section
        shall be construed to authorize the Secretary to require States
        to use a specific vendor or a specific interoperability
        connection other than to align with nationally recognized,
        consensus-based open standards, such as in accordance with
        sections 3001 and 3004.''.

SEC. 106. FIRST RESPONDER TRAINING PROGRAM.

SEC. 106. FIRST RESPONDER TRAINING PROGRAM.

Section 546 of the Public Health Service Act (42 U.S.C. 290ee-1) is

Section 546 of the Public Health Service Act (42 U.S.C. 290ee-1) is
amended--
            (1) in subsection (a), by striking ``tribes and tribal''
        and inserting ``Tribes and Tribal'';
            (2) in subsections (a), (c), and (d)--
                    (A) by striking ``approved or cleared'' each place
                it appears and inserting ``approved, cleared, or
                otherwise legally marketed''; and
                    (B) by striking ``opioid'' each place it appears;
            (3) in subsection (f)--
                    (A) by striking ``approved or cleared'' each place
                it appears and inserting ``approved, cleared, or
                otherwise legally marketed'';
                    (B) in paragraph (1), by striking ``opioid'';
                    (C) in paragraph (2)--
                            (i) by striking ``opioid and heroin'' and
                        inserting ``opioid, heroin, and other drug'';
                        and
                            (ii) by striking ``opioid overdose'' and
                        inserting ``overdose''; and
                    (D) in paragraph (3), by striking ``opioid and
                heroin''; and
            (4) in subsection (h), by striking ``$36,000,000 for each
        of fiscal years 2019 through 2023'' and inserting ``$57,000,000
        for each of fiscal years 2026 through 2030''.

SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS INITIATIVE.

SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS INITIATIVE.

    (a) Technical Amendment.--The second part G of title V of the
Public Health Service Act (42 U.S.C. 290kk et seq.), as added by

section 144 of the Community Renewal Tax Relief Act of 2000 (Public Law

section 144 of the Community Renewal Tax Relief Act of 2000 (Public Law
106-554), is amended--
            (1) by redesignating such part as part J; and
            (2) by redesignating sections 581 through 584 as sections
        596 through 596C, respectively.
    (b) In General.--Section 582 of the Public Health Service Act (42
U.S.C. 290hh-1) is amended--
            (1) in the section heading, by striking ``violence related
        stress'' and inserting ``traumatic events'';
            (2) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by
                striking ``tribes and tribal'' and inserting ``Tribes
                and Tribal''; and
                    (B) in paragraph (2), by inserting ``and
                dissemination'' after ``the development'';
            (3) in subsection (b), by inserting ``and dissemination''
        after ``the development'';
            (4) in subsection (d)--
                    (A) by striking ``The NCTSI'' and inserting the
                following:
            ``(1) Coordinating center.--The NCTSI''; and
                    (B) by adding at the end the following:
            ``(2) NCTSI grantees.--In carrying out subsection (a)(2),
        NCTSI grantees shall develop trainings and other resources, as
        applicable and appropriate, to support implementation of the
        evidence-based practices developed and disseminated under such
        subsection.'';
            (5) in subsection (e)--
                    (A) by redesignating paragraphs (1) and (2) as
                subparagraphs (A) and (B), respectively, and adjusting
                the margins accordingly;
                    (B) in subparagraph (A), as so redesignated, by
                inserting ``and implementation'' after ``the
                dissemination'';
                    (C) by striking ``The NCTSI'' and inserting the
                following:
            ``(1) Coordinating center.--The NCTSI''; and
                    (D) by adding at the end the following:
            ``(2) NCTSI grantees.--NCTSI grantees shall, as
        appropriate, collaborate with other such grantees, the NCTSI
        coordinating center, and the Secretary in carrying out
        subsections (a)(2) and (d)(2).'';
            (6) by amending subsection (h) to read as follows:
    ``(h) Application and Evaluation.--To be eligible to receive a
grant, contract, or cooperative agreement under subsection (a), a
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.''; and
            (7) by amending subsection (j) to read as follows:
    ``(j) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section--
            ``(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.''.

SEC. 108. PROTECTING SUICIDE PREVENTION LIFELINE FROM CYBERSECURITY

SEC. 108. PROTECTING SUICIDE PREVENTION LIFELINE FROM CYBERSECURITY
              INCIDENTS.

    (a) National Suicide Prevention Lifeline Program.--Section 520E-
3(b) of the Public Health Service Act (42 U.S.C. 290bb-36c(b)) is
amended--
            (1) in paragraph (4), by striking ``and'' at the end;
            (2) in paragraph (5), by striking the period at the end and
        inserting ``; and''; and
            (3) by adding at the end the following:
            ``(6) taking such steps as may be necessary to ensure the
        suicide prevention hotline is protected from cybersecurity
        incidents and eliminates known cybersecurity
        vulnerabilities.''.
    (b) Reporting.--Section 520E-3 of the Public Health Service Act (42
U.S.C. 290bb-36c) is amended--
            (1) by redesignating subsection (f) as subsection (g); and
            (2) by inserting after subsection (e) the following:
    ``(f) Cybersecurity Reporting.--
            ``(1) Notification.--
                    ``(A) In general.--The program's network
                administrator receiving Federal funding pursuant to
                subsection (a) shall report to the Assistant Secretary,
                in a manner that protects personal privacy, consistent
                with applicable Federal and State privacy laws--
                            ``(i) any identified cybersecurity
                        vulnerabilities to the program within a
                        reasonable amount of time after identification
                        of such a vulnerability; and
                            ``(ii) any identified cybersecurity
                        incidents to the program within a reasonable
                        amount of time after identification of such
                        incident.
                    ``(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.''.
    (c) Study.--Not later than 180 days after the date of the enactment
of this Act, the Comptroller General of the United States shall--
            (1) conduct and complete a study that evaluates
        cybersecurity risks and vulnerabilities associated with the 9-
        8-8 National Suicide Prevention Lifeline; and
            (2) submit a report on the findings of such study to the

Committee on Health, Education, Labor, and Pensions of the
        Senate and the Committee on Energy and Commerce of the House of
        Representatives.

SEC. 109. MONITORING AND REPORTING OF CHILD, YOUTH, AND ADULT TRAUMA.

SEC. 109. MONITORING AND REPORTING OF CHILD, YOUTH, AND ADULT TRAUMA.

Section 7131(e) of the SUPPORT for Patients and Communities Act (42

Section 7131(e) of the SUPPORT for Patients and Communities Act (42
U.S.C. 242t(e)) is amended by striking ``$2,000,000 for each of fiscal
years 2019 through 2023'' and inserting ``$9,000,000 for each of fiscal
years 2026 through 2030''.

SEC. 110. BRUCE'S LAW.

SEC. 110. BRUCE'S LAW.

    (a) Youth Prevention and Recovery.--Section 7102(c) of the SUPPORT
for Patients and Communities Act (42 U.S.C. 290bb-7a(c)) is amended--
            (1) in paragraph (3)(A)(i), by inserting ``, which may
        include strategies to increase education and awareness of the
        potency and dangers of synthetic opioids (including drugs
        contaminated with fentanyl) and, as appropriate, other emerging
        drug use or misuse issues'' before the semicolon; and
            (2) in paragraph (4)(A), by inserting ``and strategies to
        increase education and awareness of the potency and dangers of
        synthetic opioids (including drugs contaminated with fentanyl)
        and, as appropriate, emerging drug use or misuse issues''
        before the semicolon.
    (b) Interdepartmental Substance Use Disorders Coordinating
Committee.--Section 7022 of the SUPPORT for Patients and Communities
Act (42 U.S.C. 290aa note) is amended--
            (1) by striking subsection (g) and inserting the following:
    ``(g) Working Groups.--
            ``(1) In general.--The Committee may establish working
        groups for purposes of carrying out the duties described in
        subsection (e). Any such working group shall be composed of
        members of the Committee (or the designees of such members) and
        may hold such meetings as are necessary to carry out the duties
        delegated to the working group.
            ``(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.''; and
            (2) by striking subsection (i) and inserting the following:
    ``(i) Sunset.--The Committee shall terminate on September 30,
2030.''.

SEC. 111. GUIDANCE ON AT-HOME DRUG DISPOSAL SYSTEMS.

SEC. 111. GUIDANCE ON AT-HOME DRUG DISPOSAL SYSTEMS.

    (a) In General.--Not later than one year after the date of
enactment of this Act, the Secretary of Health and Human Services, in
consultation with the Administrator of the Drug Enforcement
Administration, shall publish guidance to facilitate the use of at-home
safe disposal systems for applicable drugs.
    (b) Contents.--The guidance under subsection (a) shall include--
            (1) recommended standards for effective at-home drug
        disposal systems to meet applicable requirements enforced by
        the Food and Drug Administration;
            (2) recommended information to include as instructions for
        use to disseminate with at-home drug disposal systems;
            (3) best practices and educational tools to support the use
        of an at-home drug disposal system, as appropriate; and
            (4) recommended use of licensed health providers for the
        dissemination of education, instruction, and at-home drug
        disposal systems, as appropriate.

SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.

SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.

    (a) In General.--Not later than one year after the date of
enactment of this Act, the Secretary of Health and Human Services
(referred to in this section as the ``Secretary'') shall publish on the
website of the Food and Drug Administration (referred to in this

section as the ``FDA'') a report that outlines a plan for assessing

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. 355) that addresses the
public health effects of such opioid analgesic drugs as part of the
benefit-risk assessment and the activities of the FDA that relate to
facilitating the development of nonaddictive medical products intended
to treat pain or addiction. Such report shall include--
            (1) an update on the actions taken by the FDA to consider
        the effectiveness, safety, benefit-risk profile, and use of
        approved opioid analgesic drugs;
            (2) a timeline for an assessment of the potential need, as
        appropriate, for labeling changes, revised or additional
        postmarketing requirements, enforcement actions, or withdrawals
        for opioid analgesic drugs;
            (3) an overview of the steps that the FDA has taken to
        support the development and approval of nonaddictive medical
        products intended to treat pain or addiction, and actions
        planned to further support the development and approval of such
        products; and
            (4) an overview of the consideration by the FDA of clinical
        trial methodologies for analgesic drugs, including the enriched
        enrollment randomized withdrawal methodology, and the benefits
        and drawbacks associated with different trial methodologies for
        such drugs, incorporating any public input received under
        subsection (b).
    (b) Public Input.--In carrying out subsection (a), the Secretary
shall provide an opportunity for public input concerning the regulation
by the FDA of opioid analgesic drugs, including scientific evidence
that relates to conditions of use, safety, or benefit-risk assessment
(including consideration of the public health effects) of such opioid
analgesic drugs.

SEC. 113. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID USE

SEC. 113. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID USE
              DISORDERS.

    The activities carried out pursuant to section 1003(b)(4)(A) of the
21st Century Cures Act (42 U.S.C. 290ee-3a(b)(4)(A)) may include
facilitating access to products used to prevent overdose deaths by
detecting the presence of one or more substances, such as fentanyl and
xylazine test strips, to the extent the purchase and possession of such
products is consistent with Federal and State law.

                          TITLE II--TREATMENT

SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND POSTPARTUM

SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND POSTPARTUM
              WOMEN.

Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is

Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is
amended--
            (1) in subsection (d)(11)(C), by striking ``providing
        health services'' and inserting ``providing health care
        services'';
            (2) in subsection (g)--
                    (A) by inserting ``a plan describing'' after ``will
                provide''; and
                    (B) by adding at the end the following: ``Such plan
                may include a description of how such applicant will
                target outreach to women disproportionately impacted by
                maternal substance use disorder.''; and
            (3) in subsection (s), by striking ``$29,931,000 for each
        of fiscal years 2019 through 2023'' and inserting ``$38,931,000
        for each of fiscal years 2026 through 2030''.

SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.

SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.

Section 597 of the Public Health Service Act (42 U.S.C. 290ll) is

Section 597 of the Public Health Service Act (42 U.S.C. 290ll) is
amended--
            (1) in subsection (a)(1), by inserting ``diagnosis,'' after
        ``related to''; and
            (2) in subsection (b), by inserting ``addiction medicine,''
        after ``psychiatry,''.

SEC. 203. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.

SEC. 203. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.

Section 756(f) of the Public Health Service Act (42 U.S.C. 294e-

Section 756(f) of the Public Health Service Act (42 U.S.C. 294e-
1(f)) is amended by striking ``fiscal years 2023 through 2027'' and
inserting ``fiscal years 2026 through 2030''.

SEC. 204. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT

SEC. 204. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT
              WORKFORCE.

Section 781(j) of the Public Health Service Act (42 U.S.C. 295h(j))

Section 781(j) of the Public Health Service Act (42 U.S.C. 295h(j))
is amended by striking ``$25,000,000 for each of fiscal years 2019
through 2023'' and inserting ``$40,000,000 for each of fiscal years
2026 through 2030''.

SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR

SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR
              SUBSTANCE USE DISORDER PATIENT RECORDS.

Section 7053 of the SUPPORT for Patients and Communities Act (42

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

SEC. 206. TASK FORCE ON BEST PRACTICES FOR TRAUMA-INFORMED

SEC. 206. TASK FORCE ON BEST PRACTICES FOR TRAUMA-INFORMED
              IDENTIFICATION, REFERRAL, AND SUPPORT.

Section 7132 of the SUPPORT for Patients and Communities Act

Section 7132 of the SUPPORT for Patients and Communities Act
(Public Law 115-271; 132 Stat. 4046) is amended--
            (1) in subsection (b)(1)--
                    (A) by redesignating subparagraph (CC) as
                subparagraph (DD); and
                    (B) by inserting after subparagraph (BB) the
                following:
                    ``(CC) The Administration for Community Living.'';
            (2) in subsection (d)(1), in the matter preceding
        subparagraph (A), by inserting ``, developmental disability
        service providers'' before ``, individuals who are''; and
            (3) in subsection (i), by striking ``2023'' and inserting
        ``2030''.

SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER TREATMENT.

SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER TREATMENT.

Section 3203 of the SUPPORT for Patients and Communities Act (21

Section 3203 of the SUPPORT for Patients and Communities Act (21
U.S.C. 823 note) is amended--
            (1) by striking subsection (b); and
            (2) by striking ``(a) In General.--The Secretary'' and
        inserting the following: ``The Secretary''.

SEC. 208. STATE GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS MENTAL

SEC. 208. STATE GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS MENTAL
              ILLNESS AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE.

    (a) Review of Use of Certain Funding.--Not later than 1 year after
the date of enactment of this Act, the Secretary of Health and Human
Services (referred to in this section as the ``Secretary''), acting
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. 300x et
seq.) (referred to in this section as the ``block grant program'') for
first episode psychosis activities. Such review shall consider the
following:
            (1) How States use funds for evidence-based treatments and
        services according to the standard of care for individuals with
        early serious mental illness and children with a serious
        emotional disturbance.
            (2) The percentages of the State funding under the block
        grant program expended on early serious mental illness and
        first episode psychosis, and the number of individuals served
        under such funds.
    (b) Report and Guidance.--
            (1) Report.--Not later than 180 days after the completion
        of the review under subsection (a), the Secretary shall submit
        to the Committee on Health, Education, Labor, and Pensions and
        the Committee on Appropriations of the Senate and the Committee
        on Energy and Commerce and the Committee on Appropriations of
        the House of Representatives a report describing--
                    (A) the findings of the review under subsection
                (a); and
                    (B) any recommendations for changes to the block
                grant program that would facilitate improved outcomes
                for individuals with serious mental illness and
                children with serious emotional disturbance.
            (2) Guidance.--Not later than 1 year after the date on
        which the report is submitted under paragraph (1), the
        Secretary shall update the guidance provided to States under
        the block grant program on coordinated specialty care and other
        evidence-based mental health care services for individuals with
        serious mental illness and children with a serious emotional
        disturbance, based on the findings and recommendations of such
        report.

SEC. 209. REVIEWING THE SCHEDULING OF APPROVED PRODUCTS CONTAINING A

SEC. 209. REVIEWING THE SCHEDULING OF APPROVED PRODUCTS CONTAINING A
              COMBINATION OF BUPRENORPHINE AND NALOXONE.

    (a) Secretary of HHS.--The Secretary of Health and Human Services
shall, consistent with the requirements and procedures set forth in
sections 201 and 202 of the Controlled Substances Act (21 U.S.C. 811,
812)--
            (1) review the relevant data pertaining to the scheduling
        of products containing a combination of buprenorphine and
        naloxone that have been approved under section 505 of the
        Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355); and
            (2) if appropriate, request that the Attorney General
        initiate rulemaking proceedings to revise the schedules
        accordingly with respect to such products.
    (b) Attorney General.--The Attorney General shall review any
request made by the Secretary of Health and Human Services under
subsection (a)(2) and determine whether to initiate proceedings to
revise the schedules in accordance with the criteria set forth in
sections 201 and 202 of the Controlled Substances Act (21 U.S.C. 811,
812).

                          TITLE III--RECOVERY

SEC. 301. BUILDING COMMUNITIES OF RECOVERY.

SEC. 301. BUILDING COMMUNITIES OF RECOVERY.

Section 547(f) of the Public Health Service Act (42 U.S.C. 290ee-

Section 547(f) of the Public Health Service Act (42 U.S.C. 290ee-
2(f)) is amended by striking ``$5,000,000 for each of fiscal years 2019
through 2023'' and inserting ``$17,000,000 for each of fiscal years
2026 through 2030''.

SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.

SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.

Section 547A of the Public Health Service Act (42 U.S.C. 290ee-2a)

Section 547A of the Public Health Service Act (42 U.S.C. 290ee-2a)
is amended--
            (1) in subsection (b)(4), by striking ``building; and'' and
        inserting the following: ``building, such as--
                    ``(A) professional development of peer support
                specialists; and
                    ``(B) making recovery support services available in
                nonclinical settings; and'';
            (2) by redesignating subsections (d) and (e) as subsections
        (e) and (f), respectively;
            (3) by inserting after subsection (c) the following:
    ``(d) Regional Centers.--
            ``(1) In general.--The Secretary may establish one regional
        technical assistance center (referred to in this subsection as
        the `Regional Center'), with existing resources, to assist the
        Center in carrying out activities described in subsection (b)
        within the geographic region of such Regional Center in a
        manner that is tailored to the needs of such region.
            ``(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.''; and
            (4) in subsection (f), as so redesignated, by striking
        ``$1,000,000 for each of fiscal years 2019 through 2023'' and
        inserting ``$2,000,000 for each of fiscal years 2026 through
        2030''.

SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS.

SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS.

Section 552 of the Public Health Service Act (42 U.S.C. 290ee-7) is

Section 552 of the Public Health Service Act (42 U.S.C. 290ee-7) is
amended--
            (1) in subsection (d)(2)--
                    (A) in the matter preceding subparagraph (A), by
                striking ``and in such manner'' and inserting ``, in
                such manner, and containing such information and
                assurances, including relevant documentation,''; and
                    (B) in subparagraph (A), by striking ``is capable
                of coordinating with other entities to carry out'' and
                inserting ``has the demonstrated capability to carry
                out, through referral or contractual arrangements'';
            (2) in subsection (h)--
                    (A) by redesignating paragraphs (1) through (4) as
                subparagraphs (A) through (D), respectively, and
                adjusting the margins accordingly;
                    (B) by striking ``With respect to'' and inserting
                the following:
            ``(1) In general.--With respect to''; and
                    (C) by adding at the end the following:
            ``(2) Additional reporting for certain eligible entities.--
        An entity carrying out activities described in subsection (g)
        through referral or contractual arrangements shall include in
        the submissions required under paragraph (1) information
        related to the status of such referrals or contractual
        arrangements, including an assessment of whether such referrals
        or contractual arrangements are supporting the ability of such
        entity to carry out such activities.''; and
            (3) in subsection (j), by striking ``2019 through 2023''
        and inserting ``2026 through 2030''.

SEC. 304. YOUTH PREVENTION AND RECOVERY.

SEC. 304. YOUTH PREVENTION AND RECOVERY.

Section 7102(c) of the SUPPORT for Patients and Communities Act (42

Section 7102(c) of the SUPPORT for Patients and Communities Act (42
U.S.C. 290bb-7a(c)) (as amended by section 110(a)) is amended--
            (1) in paragraph (2)--
                    (A) in subparagraph (A)--
                            (i) in clause (i)--
                                    (I) by inserting ``, or a
                                consortium of local educational
                                agencies,'' after ``a local educational
                                agency''; and
                                    (II) by striking ``high schools''
                                and inserting ``secondary schools'';
                                and
                            (ii) in clause (vi), by striking ``tribe,
                        or tribal'' and inserting ``Tribe, or Tribal'';
                    (B) by amending subparagraph (E) to read as
                follows:
                    ``(E) Indian tribe; tribal organization.--The terms
                `Indian Tribe' and `Tribal organization' have the
                meanings given such terms in section 4 of the Indian
                Self-Determination and Education Assistance Act (25
                U.S.C. 5304).'';
                    (C) by redesignating subparagraph (K) as
                subparagraph (L); and
                    (D) by inserting after subparagraph (J) the
                following:
                    ``(K) Secondary school.--The term `secondary
                school' has the meaning given such term in section 8101
                of the Elementary and Secondary Education Act of 1965
                (20 U.S.C. 7801).'';
            (2) in paragraph (3)(A), in the matter preceding clause
        (i)--
                    (A) by striking ``and abuse''; and
                    (B) by inserting ``at increased risk for substance
                misuse'' after ``specific populations'';
            (3) in paragraph (4)--
                    (A) in the matter preceding subparagraph (A), by
                striking ``Indian tribes'' and inserting ``Indian
                Tribes'';
                    (B) in subparagraph (A), by striking ``and abuse'';
                and
                    (C) in subparagraph (B), by striking ``peer
                mentoring'' and inserting ``peer-to-peer support'';
            (4) in paragraph (5), by striking ``tribal'' and inserting
        ``Tribal'';
            (5) in paragraph (6)(A)--
                    (A) in clause (iv), by striking ``; and'' and
                inserting a semicolon; and
                    (B) by adding at the end the following:
                            ``(vi) a plan to sustain the activities
                        carried out under the grant program, after the
                        grant program has ended; and'';
            (6) in paragraph (8), by striking ``2022'' and inserting
        ``2028''; and
            (7) by amending paragraph (9) to read as follows:
            ``(9) Authorization of appropriations.--To carry out this
        subsection, there are authorized to be appropriated--
                    ``(A) $10,000,000 for fiscal year 2026;
                    ``(B) $12,000,000 for fiscal year 2027;
                    ``(C) $13,000,000 for fiscal year 2028;
                    ``(D) $14,000,000 for fiscal year 2029; and
                    ``(E) $15,000,000 for fiscal year 2030.''.

SEC. 305. CAREER ACT.

SEC. 305. CAREER ACT.

    (a) In General.--Section 7183 of the SUPPORT for Patients and
Communities Act (42 U.S.C. 290ee-8) is amended--
            (1) in the section heading, by inserting ``; treatment,
        recovery, and workforce support grants'' after ``career act'';
            (2) in subsection (b), by inserting ``each'' before ``for a
        period'';
            (3) in subsection (c)--
                    (A) in paragraph (1), by striking ``the rates
                described in paragraph (2)'' and inserting ``the
                average rates for calendar years 2018 through 2022
                described in paragraph (2)''; and
                    (B) by amending paragraph (2) to read as follows:
            ``(2) Rates.--The rates described in this paragraph are the
        following:
                    ``(A) The highest age-adjusted average rates of
                drug overdose deaths for calendar years 2018 through
                2022 based on data from the Centers for Disease Control
                and Prevention, including, if necessary, provisional
                data for calendar year 2022.
                    ``(B) The highest average rates of unemployment for
                calendar years 2018 through 2022 based on data provided
                by the Bureau of Labor Statistics.
                    ``(C) The lowest average labor force participation
                rates for calendar years 2018 through 2022 based on
                data provided by the Bureau of Labor Statistics.'';
            (4) in subsection (g)--
                    (A) in each of paragraphs (1) and (3), by
                redesignating subparagraphs (A) and (B) as clauses (i)
                and (ii), respectively, and adjusting the margins
                accordingly;
                    (B) by redesignating paragraphs (1) through (3) as
                subparagraphs (A) through (C), respectively, and
                adjusting the margins accordingly;
                    (C) in the matter preceding subparagraph (A) (as so
                redesignated), by striking ``An entity'' and inserting
                the following:
            ``(1) In general.--An entity''; and
                    (D) by adding at the end the following:
            ``(2) Transportation services.--An entity receiving a grant
        under this section may use not more than 5 percent of the funds
        for providing transportation for individuals to participate in
        an activity supported by a grant under this section, which
        transportation shall be to or from a place of work or a place
        where the individual is receiving vocational education or job
        training services or receiving services directly linked to
        treatment of or recovery from a substance use disorder.
            ``(3) Limitation.--The Secretary may not require an entity
        to, or give priority to an entity that plans to, use the funds
        of a grant under this section for activities that are not
        specified in this subsection.'';
            (5) in subsection (i)(2), by inserting ``, which shall
        include employment and earnings outcomes described in
        subclauses (I) and (III) of section 116(b)(2)(A)(i) of the
        Workforce Innovation and Opportunity Act (29 U.S.C.
        3141(b)(2)(A)(i)) with respect to the participation of such
        individuals with a substance use disorder in programs and
        activities funded by the grant under this section'' after
        ``subsection (g)'';
            (6) in subsection (j)--
                    (A) in paragraph (1), by inserting ``for grants
                awarded prior to the date of enactment of the SUPPORT
                for Patients and Communities Reauthorization Act of
                2025'' after ``grant period under this section''; and
                    (B) in paragraph (2)--
                            (i) in the matter preceding subparagraph
                        (A), by striking ``2 years after submitting the
                        preliminary report required under paragraph
                        (1)'' and inserting ``September 30, 2030''; and
                            (ii) in subparagraph (A), by striking
                        ``(g)(3)'' and inserting ``(g)(1)(C)''; and
            (7) in subsection (k), by striking ``$5,000,000 for each of
        fiscal years 2019 through 2023'' and inserting ``$12,000,000
        for each of fiscal years 2026 through 2030''.
    (b) Reauthorization of the CAREER Act; Recovery Housing Pilot
Program.--
            (1) In general.--Section 8071 of the SUPPORT for Patients
        and Communities Act (42 U.S.C. 5301 note; Public Law 115-271)
        is amended--
                    (A) by striking the section heading and inserting
                ``career act; recovery housing pilot program'';
                    (B) in subsection (a), by striking ``through 2023''
                and inserting ``through 2030'';

(C) in subsection (b)--
                            (i) in paragraph (1), by striking ``not
                        later than 60 days after the date of enactment
                        of this Act'' and inserting ``not later than 60
                        days after the date of enactment of the SUPPORT
                        for Patients and Communities Reauthorization
                        Act of 2025''; and
                            (ii) in paragraph (2)(B)(i)--
                                    (I) in subclause (I)--
                                            (aa) by striking ``for
                                        calendar years 2013 through
                                        2017''; and
                                            (bb) by inserting ``for
                                        calendar years 2018 through
                                        2022'' after ``rates of
                                        unemployment'';
                                    (II) in subclause (II)--
                                            (aa) by striking ``for
                                        calendar years 2013 through
                                        2017''; and
                                            (bb) by inserting ``for
                                        calendar years 2018 through
                                        2022'' after ``participation
                                        rates''; and
                                    (III) by striking subclause (III)
                                and inserting the following:
                                    ``(III) The highest age-adjusted
                                average rates of drug overdose deaths
                                for calendar years 2018 through 2022
                                based on data from the Centers for
                                Disease Control and Prevention,
                                including, if necessary, provisional
                                data for calendar year 2022.''; and
                    (D) in subsection (f), by striking ``For the 2-year
                period following the date of enactment of this Act,
                the'' and inserting ``The''.
            (2) Conforming amendment.--Subtitle F of title VIII of the
        SUPPORT for Patients and Communities Act (Public Law 115-271;
        132 Stat. 4095) is amended by striking the subtitle heading and
        inserting the following: ``Subtitle F--CAREER Act; Recovery
        Housing Pilot Program'' .
    (c) Clerical Amendments.--The table of contents in section 1(b) of
the SUPPORT for Patients and Communities Act (Public Law 115-271; 132
Stat. 3894) is amended--
            (1) by striking the item relating to section 7183 and
        inserting the following:

``Sec. 7183. CAREER Act; treatment, recovery, and workforce support
                            grants.'';
            (2) by striking the item relating to subtitle F of title
        VIII and inserting the following:

    ``Subtitle F--CAREER Act; Recovery Housing Pilot Program''; and

            (3) by striking the item relating to section 8071 and
        inserting the following:

``Sec. 8071. CAREER Act; Recovery Housing Pilot Program.''.

SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF THE OPIOID

SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF THE OPIOID
              CRISIS.

Section 8041(g)(1) of the SUPPORT for Patients and Communities Act

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''.

                    TITLE IV--MISCELLANEOUS MATTERS

SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A PHARMACY TO A

SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A PHARMACY TO A
              PRESCRIBING PRACTITIONER.

Section 309A(a) of the Controlled Substances Act (21 U.S.C.

Section 309A(a) of the Controlled Substances Act (21 U.S.C.
829a(a)) is amended by striking paragraph (2) and inserting the
following:
            ``(2) the controlled substance is a drug in schedule III,
        IV, or V to be administered--
                    ``(A) by injection or implantation for the purpose
                of maintenance or detoxification treatment; or
                    ``(B) subject to a risk evaluation and mitigation
                strategy pursuant to section 505-1 of the Federal Food,
                Drug, and Cosmetic Act (21 U.S.C. 355-1) that includes
                elements to assure safe use of the drug described in
                subsection (f)(3)(E) of such section, including a
                requirement for post-administration monitoring by a
                health care provider;''.

SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED SUBSTANCES.

SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED SUBSTANCES.

    (a) In General.--Section 303 of the Controlled Substances Act (21
U.S.C. 823) is amended--
            (1) by redesignating the second subsection designated as
        subsection (l) as subsection (m); and
            (2) in subsection (m)(1), as so redesignated--
                    (A) in subparagraph (A)--
                            (i) in clause (iv)--
                                    (I) in subclause (I)--
                                            (aa) by inserting ``the
                                        American Academy of Family
                                        Physicians, the American
                                        Podiatric Medical Association,
                                        the Academy of General
                                        Dentistry, the American
                                        Optometric Association,''
                                        before ``or any other
                                        organization'';
                                            (bb) by striking ``or the
                                        Commission'' and inserting ``,
                                        the Commission''; and
                                            (cc) by inserting ``, or
                                        the Council on Podiatric
                                        Medical Education'' before the
                                        semicolon at the end; and
                                    (II) in subclause (III), by
                                inserting ``or the American Academy of
                                Family Physicians'' after
                                ``Association''; and
                            (ii) in clause (v), in the matter preceding
                        subclause (I)--
                                    (I) by striking ``osteopathic
                                medicine, dental surgery'' and
                                inserting ``osteopathic medicine,
                                podiatric medicine, dental surgery'';
                                and
                                    (II) by striking ``or dental
                                medicine curriculum'' and inserting
                                ``or dental or podiatric medicine
                                curriculum''; and
                    (B) in subparagraph (B)--
                            (i) in clause (i)--
                                    (I) by inserting ``the American
                                Pharmacists Association, the
                                Accreditation Council on Pharmacy
                                Education, the American Psychiatric
                                Nurses Association, the American
                                Academy of Nursing, the American
                                Academy of Family Physicians,'' before
                                ``or any other organization''; and
                                    (II) by inserting ``, the American
                                Academy of Family Physicians,'' before
                                ``or the Accreditation Council''; and
                            (ii) in clause (ii)--
                                    (I) by striking ``or accredited
                                school'' and inserting ``, an
                                accredited school''; and
                                    (II) by inserting ``, or an
                                accredited school of pharmacy'' before
                                ``in the United States''.
    (b) Effective Date.--The amendment made by subsection (a) shall
take effect as if enacted on December 29, 2022.
                                                  Union Calendar No. 84

119th CONGRESS

  1st Session

                               H. R. 2483

                      [Report No. 119-114, Part I]

_______________________________________________________________________

                                 A BILL

 To reauthorize certain programs that provide for opioid use disorder
      prevention, treatment, and recovery, and for other purposes.

_______________________________________________________________________

                              May 29, 2025

  Reported from the Committee on Energy and Commerce with an amendment

                              May 29, 2025

  Committees on Education and Workforce, the Judiciary, and Financial
 Services discharged; committed to the Committee of the Whole House on
            the State of the Union and ordered to be printed