[119th Congress Public Law 44]
[From the U.S. Government Publishing Office]
[[Page 139 STAT. 669]]
Public Law 119-44
119th Congress
An Act
To reauthorize certain programs that provide for opioid use disorder
prevention, treatment, and recovery, and for other
purposes. <<NOTE: Dec. 1, 2025 - [H.R. 2483]>>
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled, <<NOTE: SUPPORT for
Patients and Communities Reauthorization Act of 2025.>>HR 2483 - 119
Public Law
SUPPORT for Patients and Communities Reauthorization Act of 2025
93
Sections
28
Dollar amounts
22
Deadlines and effective dates
Dec 2, 2025
Text version date
Largest fiscal amounts
505579000 USD 1
496000000 USD 1
100000000 USD 2
98887000 USD 3
57000000 USD 1
40000000 USD 1
38931000 USD 1
36000000 USD 1
Top affected agencies
Secretary of Health 3
Administrator of the Drug 1
Secretary of Health and Human Services 1
Secretary of Health and Human Services shall 1
Secretary of Health and Human Services shall prepare and submit to the 1
Secretary of Health and Human Services under subsection 1
Secretary of HHS 1
Top statutory references
21 U.S.C. 355 3
Public Law 115-271 3
21
U.S.C. 823 2
21 U.S.C. 811 2
42 U.S.C. 247b 2
42 U.S.C. 280b-1 2
20
U.S.C. 7801 1
21 U.S.C. 355-1 1
Deadline phrases
Not later than 11
Deadline 7
Effective Date 1
not later than 1
shall take effect 1
Sunset 1
Official PDF
Open official PDFStructured text
Sec. 1.
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) <<NOTE: 42 USC 201 note.>> 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.
Sec. 1. Short title; table of contents.
Sec. 1. Short title; table of contents.
TITLE I--PREVENTIONSec. 101.
Sec. 101. Prenatal and postnatal health.
Sec. 101. Prenatal and postnatal health.
Sec. 102.
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.
Sec. 103. Preventing overdoses of controlled substances.
Sec. 103. Preventing overdoses of controlled substances.
Sec. 104.
Sec. 104. Support for individuals and families impacted by fetal alcohol
Sec. 104. Support for individuals and families impacted by fetal alcohol
spectrum disorder.Sec. 105.
Sec. 105. Promoting state choice in PDMP systems.
Sec. 105. Promoting state choice in PDMP systems.
Sec. 106.
Sec. 106. First responder training program.
Sec. 106. First responder training program.
Sec. 107.
Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative.
Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative.
Sec. 108.
Sec. 108. Protecting suicide prevention lifeline from cybersecurity
Sec. 108. Protecting suicide prevention lifeline from cybersecurity
incidents.Sec. 109.
Sec. 109. Monitoring and reporting of child, youth, and adult trauma.
Sec. 109. Monitoring and reporting of child, youth, and adult trauma.
Sec. 110.
Sec. 110. Bruce's law.
Sec. 110. Bruce's law.
Sec. 111.
Sec. 111. Guidance on at-home drug disposal systems.
Sec. 111. Guidance on at-home drug disposal systems.
Sec. 112.
Sec. 112. Assessment of opioid drugs and actions.
Sec. 112. Assessment of opioid drugs and actions.
Sec. 113.
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--TREATMENTSec. 201.
Sec. 201. Residential treatment program for pregnant and postpartum
Sec. 201. Residential treatment program for pregnant and postpartum
women.Sec. 202.
Sec. 202. Improving access to addiction medicine providers.
Sec. 202. Improving access to addiction medicine providers.
Sec. 203.
Sec. 203. Mental and behavioral health education and training grants.
Sec. 203. Mental and behavioral health education and training grants.
Sec. 204.
Sec. 204. Loan repayment program for substance use disorder treatment
Sec. 204. Loan repayment program for substance use disorder treatment
workforce.Sec. 205.
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.
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.
Sec. 207. Grants to enhance access to substance use disorder treatment.
Sec. 207. Grants to enhance access to substance use disorder treatment.
Sec. 208.
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.
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.Sec. 210.
Sec. 210. References to opioid overdose reversal agents in HHS grant
Sec. 210. References to opioid overdose reversal agents in HHS grant
programs.Sec. 211.
Sec. 211. Roundtable on using health information technology to improve
Sec. 211. Roundtable on using health information technology to improve
mental health and substance use care outcomes.
TITLE III--RECOVERYSec. 301.
Sec. 301. Building communities of recovery.
Sec. 301. Building communities of recovery.
Sec. 302.
Sec. 302. Peer support technical assistance center.
Sec. 302. Peer support technical assistance center.
Sec. 303.
Sec. 303. Comprehensive opioid recovery centers.
Sec. 303. Comprehensive opioid recovery centers. [[Page 139 STAT. 670]]
Sec. 304.
Sec. 304. Youth prevention and recovery.
Sec. 304. Youth prevention and recovery.
Sec. 305.
Sec. 305. CAREER Act.
Sec. 305. CAREER Act.
Sec. 306.
Sec. 306. Addressing economic and workforce impacts of the opioid
Sec. 306. Addressing economic and workforce impacts of the opioid
crisis.Sec. 307.
Sec. 307. Review of information related to funding opportunities under
Sec. 307. Review of information related to funding opportunities under
programs administered by SAMHSA.
TITLE IV--MISCELLANEOUS MATTERSSec. 401.
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.
Sec. 402. Required training for prescribers of controlled substances.
Sec. 402. Required training for prescribers of controlled substances.
TITLE I--PREVENTIONSec. 101.
SEC. 101. > PRENATAL AND POSTNATAL HEALTH.
SEC. 101. <<NOTE: Time periods.>> PRENATAL AND POSTNATAL HEALTH.
Sec. 317L
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.
SEC. 102. > MONITORING AND EDUCATION
SEC. 102. <<NOTE: Time periods.>> MONITORING AND EDUCATION
REGARDING INFECTIONS ASSOCIATED WITH
ILLICIT DRUG USE AND OTHER RISK FACTORS.Sec. 317N
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.
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
[[Page 139 STAT. 671]]
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) <<NOTE: Time periods.>> Authorization of Appropriations.--Sec. 392A
Section 392A(e) of the Public Health Service Act (42 U.S.C. 280b-1(e))
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.
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) <<NOTE: Evaluations.>> 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;
[[Page 139 STAT. 672]]
``(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) <<NOTE: Contracts.>> 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 intendsto 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
[[Page 139 STAT. 673]]
improved quality of life for an individual with FASD and the family of
such individual.
``SEC. 399I. <<NOTE: 42 USC 280f-1.>> STRENGTHENING CAPACITY AND
EDUCATION FOR FETAL ALCOHOL SPECTRUM
DISORDERS.
``(a) <<NOTE: Grants.>> 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) <<NOTE: Clearinghouse.>> 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. <<NOTE: 42 USC 280f-2.>> AUTHORIZATION OF
APPROPRIATIONS.
``There <<NOTE: Time periods.>> are authorized to be appropriated
to carry out this part $12,500,000 for each of fiscal years 2026 through
2030.''.
(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'');
(2) a description of--
(A) the activities carried out pursuant to such
sections 399H and 399I to identify, prevent, and treat
FASD; and
[[Page 139 STAT. 674]]
(B) methods used to evaluate the outcomes of suchactivities; and
(3) an assessment of activities carried out pursuant to such
sections 399H and 399I to support individuals with FASD.Sec. 105.
SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS.
SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS.
Sec. 399O
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.
SEC. 106. FIRST RESPONDER TRAINING PROGRAM.
SEC. 106. FIRST RESPONDER TRAINING PROGRAM.
Sec. 546
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) <<NOTE: 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''.Sec. 107.
SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS
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 106-554), is
amended--
(1) by redesignating such part as part J; and
(2) <<NOTE: 42 USC 290kk-- 290kk-3.>> 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
[[Page 139 STAT. 675]]
(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) <<NOTE: 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;
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) <<NOTE: Time periods.>> 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.
SEC. 108. PROTECTING SUICIDE PREVENTION LIFELINE FROM
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--
[[Page 139 STAT. 676]]
(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.
[[Page 139 STAT. 677]]
``(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) <<NOTE: 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 ofsuch 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.
SEC. 109. > MONITORING AND REPORTING OF
SEC. 109. <<NOTE: Time periods.>> MONITORING AND REPORTING OF
CHILD, YOUTH, AND ADULT TRAUMA.Sec. 7131
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.
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) <<NOTE: Establishment.>> 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.
[[Page 139 STAT. 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; 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.
SEC. 111. > GUIDANCE ON AT-HOME DRUG
SEC. 111. <<NOTE: 21 USC 822a note.>> GUIDANCE ON AT-HOME DRUG
DISPOSAL SYSTEMS.
(a) <<NOTE: 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;
(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
[[Page 139 STAT. 679]]
(4) recommended use of licensed health providers for the
dissemination of education, instruction, and at-home drug
disposal systems, as appropriate.Sec. 112.
SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.
SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.
(a) <<NOTE: 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 underSec. 505
section 505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355)
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.
SEC. 113. > GRANT PROGRAM FOR STATE
SEC. 113. <<NOTE: 42 USC 290ee-3a note.>> 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.
[[Page 139 STAT. 680]]
TITLE II--TREATMENTSec. 201.
SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND
SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND
POSTPARTUM WOMEN.Sec. 508
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) <<NOTE: 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''.Sec. 202.
SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.
SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.
Sec. 597
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.
SEC. 203. > MENTAL AND BEHAVIORAL HEALTH
SEC. 203. <<NOTE: Time periods.>> MENTAL AND BEHAVIORAL HEALTH
EDUCATION AND TRAINING GRANTS.Sec. 756
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.
SEC. 204. > LOAN REPAYMENT PROGRAM FOR
SEC. 204. <<NOTE: Time periods.>> LOAN REPAYMENT PROGRAM FOR
SUBSTANCE USE DISORDER TREATMENT
WORKFORCE.Sec. 781
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.
SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS
SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS
FOR SUBSTANCE USE DISORDER PATIENT
RECORDS.Sec. 7053
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.
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. 7132
Section 7132 of the SUPPORT for Patients and Communities Act (Public
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.'';
[[Page 139 STAT. 681]]
(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.
SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER
SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER
TREATMENT.Sec. 3203
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.
SEC. 208. > STATE GUIDANCE RELATED TO
SEC. 208. <<NOTE: 42 USC 300x note.>> STATE GUIDANCE RELATED TO
INDIVIDUALS WITH SERIOUS MENTAL ILLNESS
AND CHILDREN WITH SERIOUS EMOTIONAL
DISTURBANCE.
(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. 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.
[[Page 139 STAT. 682]]Sec. 209.
SEC. 209. > REVIEWING THE SCHEDULING OF
SEC. 209. <<NOTE: 21 USC 812 note.>> 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) <<NOTE: Regulations.>> 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).Sec. 210.
SEC. 210. > REFERENCES TO OPIOID
SEC. 210. <<NOTE: 42 USC 290ee note.>> REFERENCES TO OPIOID
OVERDOSE REVERSAL AGENTS IN HHS GRANT
PROGRAMS.
(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
505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355) for
emergency treatment of a known or suspected opioid overdose.
(b) Existing References.--
(1) <<NOTE: 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.
(2) References.--A reference described in this paragraph is
any reference to an opioid overdose reversal drug (such as
naloxone) in any regulation or guidance of the Department of
Health and Human Services that--
(A) was issued before the date of enactment of this
Act; and
(B) is included in--
(i) the grant program for State and Tribal
response to opioid use disorders under section
1003 of the 21st Century Cures Act (42 U.S.C.
290ee-3 note) (commonly referred to as ``State
Opioid Response Grants'' and ``Tribal Opioid
Response Grants''); or
(ii) the grant program for priority substance
use disorder prevention needs of regional and
national significance under section 516 of the
Public Health Service Act (42 U.S.C. 290bb-22).
[[Page 139 STAT. 683]]Sec. 211.
SEC. 211. ROUNDTABLE ON USING HEALTH INFORMATION TECHNOLOGY TO
SEC. 211. ROUNDTABLE ON USING HEALTH INFORMATION TECHNOLOGY TO
IMPROVE MENTAL HEALTH AND SUBSTANCE USE
CARE OUTCOMES.
(a) <<NOTE: 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; and
(2) how best to increase electronic health record adoption
among such providers.
(b) Participants.--The National Coordinator for Health Information
Technology shall ensure that the participants in the roundtable under
subsection (a) include private and public sector stakeholders, including
patients, providers (including providers of inpatient services and
providers of outpatient services), and representatives of payors, health
information exchanges, professional associations, health information
technology vendors, health information technology certification
organizations, and State and Federal agencies.
(c) Report.--Not later than 180 days after the conclusion of the
public stakeholder roundtable under subsection (a), the National
Coordinator for Health Information Technology shall 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 outlining information gathered from the roundtable under
subsection (a). Such report shall include an examination of--
(1) recommendations from the roundtable participants;
(2) unique considerations for using electronic health record
systems in mental health and substance use treatment settings;
(3) unique considerations for developers of health
information technology relating to certification of electronic
health record systems for use in mental health and substance use
treatment settings where the applicable health information
technology is not subject to certification requirements;
(4) current usage of electronic health record systems by
mental health and substance use disorder service providers, and
the scope and magnitude of such providers that do not use
electronic health record systems;
(5) examples of how electronic health record systems enable
coordinated care and care management;
(6) how electronic health record systems advance appropriate
patient and provider access to secure, usable electronic
information exchange;
(7) how electronic health record systems can be connected to
or support existing systems, which may include the 9-8-8
National Suicide Prevention Lifeline, mobile crisis response
systems, and co-responder programs, to facilitate connectivity,
response, and integrated care;
(8) any existing programs to support greater adoption of
electronic health record systems among mental health and
substance use service providers;
(9) any limitations to greater adoption of electronic health
record systems among mental health and substance use service
providers;
[[Page 139 STAT. 684]]
(10) the costs of adoption of electronic health record
systems by mental health and substance use disorder service
providers; and
(11) best practices implemented by States and other entities
to support adoption of use of electronic health records among
mental health and substance use disorder service providers.
TITLE III--RECOVERYSec. 301.
SEC. 301. > BUILDING COMMUNITIES OF
SEC. 301. <<NOTE: Time periods.>> BUILDING COMMUNITIES OF
RECOVERY.Sec. 547
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.
SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.
SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.
Sec. 547A
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) <<NOTE: Establishment.>> 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) <<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;
``(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.
[[Page 139 STAT. 685]]
``(3) Termination.--This subsection shall terminate on
September 30, 2030.''; and
(4) <<NOTE: Time periods.>> 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.
SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS.
SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS.
Sec. 552
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.
SEC. 304. YOUTH PREVENTION AND RECOVERY.
SEC. 304. YOUTH PREVENTION AND RECOVERY.
Sec. 7102
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).'';
[[Page 139 STAT. 686]]
(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) <<NOTE: Time periods.>> 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.
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) <<NOTE: 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)''; 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
[[Page 139 STAT. 687]]
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) <<NOTE: 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''.
(b) Reauthorization of the CAREER Act; Recovery Housing Pilot
Program.--
[[Page 139 STAT. 688]]
(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) <<NOTE: 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''; 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.''.
[[Page 139 STAT. 689]]Sec. 306.
SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF THE OPIOID
SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF THE OPIOID
CRISIS.Sec. 8041
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''.
Sec. 307.
SEC. 307. REVIEW OF INFORMATION RELATED TO FUNDING OPPORTUNITIES
SEC. 307. REVIEW OF INFORMATION RELATED TO FUNDING OPPORTUNITIES
UNDER PROGRAMS ADMINISTERED BY SAMHSA.
(a) <<NOTE: 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'').
(b) Topics.--The public meeting under subsection (a) shall include--
(1) opportunities to improve the utility and functionality
of internet websites maintained by the Secretary that provide
information related to SAMHSA funding opportunities, such as
Grants.gov;
(2) other models for displaying and disseminating
information related to SAMHSA funding opportunities, such as
interactive dashboards; and
(3) <<NOTE: Strategies.>> strategies to improve the ability
of entities to apply for SAMHSA funding opportunities, including
entities that have not traditionally applied for SAMHSA funding
opportunities.
(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.
(d) Report.--Not later than one year after the date on which the
public meeting under subsection (a) is convened, the Secretary shall
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 summarizing the findings of such meeting,
including how the Secretary has taken into account the feedback received
through such meeting and implemented--
(1) improvements to internet websites maintained by the
Secretary that provide information related to SAMHSA funding
opportunities; and
(2) strategies to improve awareness of SAMHSA funding
opportunities.
TITLE IV--MISCELLANEOUS MATTERSSec. 401.
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. 309A
Section 309A(a) of the Controlled Substances Act (21 U.S.C. 829a(a))
Section 309A(a) of the Controlled Substances Act (21 U.S.C. 829a(a))
is amended by striking paragraph (2) and inserting the following:
[[Page 139 STAT. 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; 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.
SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED
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
[[Page 139 STAT. 691]]
(II) by inserting ``, or an
accredited school of pharmacy'' before
``in the United States''.
(b) <<NOTE: 21 USC 823 note.>> Effective Date.--The amendment made
by subsection (a) shall take effect as if enacted on December 29, 2022.
Approved December 1, 2025.
LEGISLATIVE 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.
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