SUPPORT for Patients and Communities Reauthorization Act of 2025
This legislation reauthorizes and increases federal funding through 2030 for nationwide addiction treatment, overdose prevention, mental health services, and recovery programs. It equips emergency responders with overdose-reversal medications, allows federal grant funds to cover drug-testing supplies like fentanyl strips where state law permits, and supports housing and job training for people in recovery. The bill also broadens who can provide required addiction training to prescribers, enables doctors to receive certain injectable addiction treatments directly from pharmacies, and mandates stronger cybersecurity safeguards for the 988 Suicide & Crisis Lifeline.
What this bill touches.
Who it helps · who it burdens.
Who it helps
- Substance use disorder treatment healthcare workersAuthorizes $40 million annually from fiscal years 2026 through 2030 for student loan repayments for clinicians and healthcare professionals providing substance use disorder care under Sec. 204.
- State and Tribal health agenciesPermits states and tribes to spend federal grant money on drug-checking supplies like fentanyl and xylazine test strips, and authorizes expanded federal grants for overdose surveillance, rapid response, and fetal alcohol spectrum disorders under Sec. 103, 104, and 113.
- First responders and emergency personnelExpands grant-funded training to cover medical responses to non-opioid drug overdoses in addition to opioid overdoses, authorizing $57 million each year through fiscal year 2030 under Sec. 106.
- Pharmacies and prescribing cliniciansAllows pharmacies to deliver schedule III, IV, or V controlled substances directly to prescribing clinicians for injection, implantation, or administration under certain safety monitoring programs under Sec. 401.
- State prescription drug monitoring program administratorsProtects state prescription drug monitoring programs from being required by federal health officials to use specific technology vendors or specific connection platforms beyond open standards under Sec. 105.
- Individuals in substance use disorder recoveryAuthorizes expanded funding for community recovery organizations, peer support networks, comprehensive recovery centers, transportation assistance for job training, and transitional recovery housing through fiscal year 2030 under Sec. 301, 302, 303, and 305.
- Pregnant and postpartum women with substance use disordersReauthorizes and increases funding to $38.93 million annually through fiscal year 2030 for residential treatment programs specifically tailored for pregnant and postpartum women under Sec. 201.
Who it burdens
- 988 Suicide and Crisis Lifeline network administrator and local crisis centersMust oversee technology, eliminate cybersecurity vulnerabilities, and report identified vulnerabilities and security incidents to federal regulators under Sec. 108.
The provisions, in plain language.
Show all 30 provisions
Broadens federal controlled substance overdose surveillance and rapid-response grants to cover non-opioid overdose substances and innovative detection methods like wastewater testing, authorizing $505.58 million annually for fiscal years 2026 through 2030.
Directs the Department of Health and Human Services to run grant and research programs supporting education, screening, and services for fetal alcohol spectrum disorders, authorizing $12.5 million annually for fiscal years 2026 through 2030.
Permits states and tribes to use federal opioid response grant funds to distribute drug checking supplies, including fentanyl and xylazine test strips, where allowed by law.
Authorizes $40 million annually for fiscal years 2026 through 2030 for student loan repayments for substance use disorder treatment healthcare workers.
Authorizes $12 million annually for fiscal years 2026 through 2030 for job training and recovery support grants, allowing up to 5 percent of grant funds to cover participant transportation.
Allows pharmacies to deliver schedule III, IV, or V controlled substances directly to clinicians for injection, implantation, or administration under drug safety monitoring programs.
Authorizes $4.25 million for each of fiscal years 2026 through 2030 for federal surveillance and research on prenatal and postnatal health and neonatal abstinence syndrome.
Reauthorizes funding through fiscal year 2030 for federal monitoring and education programs concerning infections linked to illicit drug use.
Prohibits the Department of Health and Human Services from mandating specific vendors or interoperability connections for state prescription drug monitoring programs beyond open national standards.
Expands first responder training grants to cover responses to non-opioid drug overdoses, authorizing $57 million annually for fiscal years 2026 through 2030.
Reauthorizes the National Child Traumatic Stress Initiative grants and technical assistance, authorizing roughly $99 million to $100 million annually for fiscal years 2026 through 2030.
Requires the 988 Suicide and Crisis Lifeline administrator and local crisis centers to monitor, eliminate, and promptly report cybersecurity vulnerabilities and incidents to federal authorities.
Authorizes $9 million for each of fiscal years 2026 through 2030 to monitor and report child, youth, and adult trauma.
Directs youth substance use prevention and recovery grants to include education on the potency and dangers of fentanyl and synthetic opioids.
Establishes a Federal Interagency Work Group on Fentanyl Contamination of Illegal Drugs to study overdose prevention and advise Congress through fiscal year 2030.
Directs federal health regulators to publish guidance within one year establishing standards and best practices for at-home safe drug disposal systems.
Directs the Food and Drug Administration to publish an evaluation plan for approved opioid painkillers that weighs their public health risks and promotes non-addictive pain treatments.
Reauthorizes residential substance use treatment grants for pregnant and postpartum women at $38.93 million annually for fiscal years 2026 through 2030.
Expands eligibility for mental and behavioral health education grants to include training in addiction medicine diagnosis and treatment.
Reauthorizes mental and behavioral health education and training grants through fiscal year 2030.
Extends the interagency task force on trauma-informed care best practices through 2030 and adds representatives for community living and developmental disability services.
Directs the Department of Health and Human Services to evaluate how states use federal mental health block grants for early psychosis intervention and update state guidance.
Directs federal health officials to review evidence on the scheduling of buprenorphine-naloxone combination products and consider recommending reduced restrictions to the Attorney General.
Authorizes $17 million for each of fiscal years 2026 through 2030 for community recovery organization grants supporting individuals recovering from substance use disorders.
Authorizes $2 million annually through fiscal year 2030 for peer support technical assistance and permits the creation of a regional technical assistance center.
Reauthorizes comprehensive opioid recovery centers through fiscal year 2030 and allows grantees to provide required services through referral and contract networks.
Authorizes $10 million to $15 million annually for fiscal years 2026 through 2030 for youth substance use prevention, recovery, and peer support programs in schools and communities.
Extends the Recovery Housing Pilot Program through fiscal year 2030 to provide stable housing for individuals in substance use recovery.
Extends through fiscal year 2030 federal grants that address the economic and workforce impacts of the opioid crisis in high-impact communities.
Expands the list of recognized professional associations and training curricula that fulfill the mandatory controlled substance training requirements for prescribing clinicians.
Broadens federal controlled substance overdose surveillance and rapid-response grants to cover non-opioid overdose substances and innovative detection methods like wastewater testing, authorizing $505.58 million annually for fiscal years 2026 through 2030.
Directs the Department of Health and Human Services to run grant and research programs supporting education, screening, and services for fetal alcohol spectrum disorders, authorizing $12.5 million annually for fiscal years 2026 through 2030.
Permits states and tribes to use federal opioid response grant funds to distribute drug checking supplies, including fentanyl and xylazine test strips, where allowed by law.
Authorizes $40 million annually for fiscal years 2026 through 2030 for student loan repayments for substance use disorder treatment healthcare workers.
Authorizes $12 million annually for fiscal years 2026 through 2030 for job training and recovery support grants, allowing up to 5 percent of grant funds to cover participant transportation.
Allows pharmacies to deliver schedule III, IV, or V controlled substances directly to clinicians for injection, implantation, or administration under drug safety monitoring programs.
How your members of Congress line up
How members voted on SUPPORT for Patients and Communities Reauthorization Act of 2025.
Recorded roll calls on this bill, most recent first. Open one to see each member's position.
How it moved.
Show all 39 actions
- Became Public Law No: 119-44.
- Signed by President.
- Presented to President.
- Message on Senate action sent to the House.
- Passed Senate without amendment by Unanimous Consent. (consideration: CR S6712)
- Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
- Senate Committee on Health, Education, Labor, and Pensions discharged by Unanimous Consent.
- Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Motion to reconsider laid on the table Agreed to without objection.
- On passage Passed by the Yeas and Nays: 366 - 57 (Roll no. 151).
- Passed/agreed to in House: On passage Passed by the Yeas and Nays: 366 - 57 (Roll no. 151).
- The House adopted the amendments en gros as agreed to by the Committee of the Whole House on the state of the Union.
- The previous question was ordered pursuant to the rule.
- The House rose from the Committee of the Whole House on the state of the Union to report H.R. 2483.
- The House resolved into Committee of the Whole House on the state of the Union for further consideration.
- Considered as unfinished business. (consideration: CR H2456-2457)
- Committee of the Whole House on the state of the Union rises leaving H.R. 2483 as unfinished business.
- On motion that the committee rise Agreed to by voice vote.
- Mr. Wittman moved that the committee rise.
- DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Wittman amendment No. 4.
- POSTPONED PROCEEDINGS - At the conclusion of debate on the Pettersen amendment, the Chair put the question on agreeing to the amendment and by voice vote, announced the noes had prevailed. Ms. Pettersen demanded a recorded vote, and the Chair postponed further proceedings until a time to be announced.
- DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Pettersen amendment No. 3.
- DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Kiggans (VA) amendment No. 2.
- DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Bresnahan amendment No. 1.
- GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 2483.
- The Speaker designated the Honorable Scott DesJarlais to act as Chairman of the Committee.
- House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 458 and Rule XVIII.
- Rule provides for consideration of H.R. 2483, H.R. 2931, H.R. 2966 and H.R. 2987. The resolution provides for consideration of H.R. 2483 under a structured rule and for consideration of H.R. 2931, H.R. 2966, and H.R. 2987 under a closed rule. The resolution provides for one hour of debate and one motion to recommit on each bill.
- Considered under the provisions of rule H. Res. 458. (consideration: CR H2441-2456; text: CR H2447-2543)
- Rules Committee Resolution H. Res. 458 Reported to House. Rule provides for consideration of H.R. 2483, H.R. 2931, H.R. 2966 and H.R. 2987. The resolution provides for consideration of H.R. 2483 under a structured rule and for consideration of H.R. 2931, H.R. 2966, and H.R. 2987 under a closed rule. The resolution provides for one hour of debate and one motion to recommit on each bill.
- Placed on the Union Calendar, Calendar No. 84.
- Committee on Financial Services discharged.
- Committee on the Judiciary discharged.
- Committee on Education and Workforce discharged.
- Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-114, Part I.
- Ordered to be Reported (Amended) by the Yeas and Nays: 36 - 13.
- Committee Consideration and Mark-up Session Held
- 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.
- Introduced in House
- Became Public Law No: 119-44.
- Signed by President.
- Presented to President.
- Passed Senate without amendment by Unanimous Consent. (consideration: CR S6712)
- Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
- Motion to reconsider laid on the table Agreed to without objection.
- On passage Passed by the Yeas and Nays: 366 - 57 (Roll no. 151).
- Passed/agreed to in House: On passage Passed by the Yeas and Nays: 366 - 57 (Roll no. 151).
- The House adopted the amendments en gros as agreed to by the Committee of the Whole House on the state of the Union.
- On motion that the committee rise Agreed to by voice vote.
- Rules Committee Resolution H. Res. 458 Reported to House. Rule provides for consideration of H.R. 2483, H.R. 2931, H.R. 2966 and H.R. 2987. The resolution provides for consideration of H.R. 2483 under a structured rule and for consideration of H.R. 2931, H.R. 2966, and H.R. 2987 under a closed rule. The resolution provides for one hour of debate and one motion to recommit on each bill.
- Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-114, Part I.
- Ordered to be Reported (Amended) by the Yeas and Nays: 36 - 13.
- Introduced in House
Read it for yourself.
Sources & provenance
- Public Law 119-44
- primary source →
- primary source →
Cite this page
Civic Herald. “SUPPORT for Patients and Communities Reauthorization Act of 2025 (H.R. 2483, 119th Congress).” https://civicherald.app/bills/119-hr-2483. Congress.gov record as of Jul 30, 2026.