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CIVIC HERALD
HR 2591 · 119th Congress · HouseIn committee

Mental Health in Aviation Act of 2025

In plain language: This bill directs the Federal Aviation Administration (FAA) to update its medical rules so pilots and air traffic controllers can seek mental health care and report symptoms without risking their careers. The agency must regularly review and expand the list of approved psychiatric medications, streamline the medical waiver process, and implement recommendations from aviation safety panels. The bill also dedicates funding from 2026 through 2028 to hire specialized medical examiners, clear backlogs of pilot medical reviews, and run a campaign to reduce the stigma around mental healthcare in aviation.

Provisional: our plain-language summary, pending review.

Provisionalunreviewed: impact, issue tags, provisions, stakeholders, summary
People affectedNot determinable from the text provided; the bill applies broadly to aviation personnel (pilots, air traffic controllers, and aviation medical examiners) without specifying headcounts.
Fiscal magnitude$45.7Mprovisional · pending reviewSections 4 and 6 direct set-asides from existing FAA authorizations totaling $15,240,000 annually across FY2026–2028 ($13.74M/year for aviation medical examiner recruitment/backlog clearance and $1.5M/year for a public information campaign), amounting to $45,720,000 over three years.
Reach38provisional · pending reviewrigor: heuristic llm
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Issues

What this bill touches.

Substance use & mental health+35Workplace standards+25

The sign shows the bill's direction on each issue (+ toward, − away); the number is its magnitude. Color never encodes good or bad, and never party.

Who it affects

Who it helps · who it burdens.

Who it helps

  • Pilots, air traffic controllers, and aviation workersGains updated regulations encouraging mental health treatment and disclosure, access to newly approved safe medications, streamlined special-issuance medical clearances, cleared case backlogs, and a public campaign to reduce mental health stigma (Sec. 2(a), Sec. 3, Sec. 4, Sec. 6).provisional
  • Aviation medical examiners and psychiatristsReceives dedicated recruitment, training, and support funding ($13.74 million annually for FY 2026–2028), updated mental health guidance, and potential delegation of expanded authority for medical clearances (Sec. 3, Sec. 4).provisional
  • Pilot and air traffic controller labor unionsGains statutory rights to be consulted by the mental health task group and FAA regarding workforce mental health regulations and committee recommendations (Sec. 2(b)(2), Sec. 5(b)).provisional

Who it burdens

  • Federal Aviation Administration (FAA)Must update aviation medical regulations within two years, conduct annual reviews of special-issuance policies, implement recommendations from the mental health task group and 2024 Rulemaking Committee or justify omissions to Congress, recruit and train medical examiners, clear case backlogs, and run a public education campaign (Sec. 2, Sec. 3, Sec. 4, Sec. 5, Sec. 6).provisional

Dollar-level funding (FEC sector totals) is coming in a later phase.

What it does

The provisions, in plain language.

  1. Directs the FAA to update aviation regulations within two years to encourage pilots and aviation workers to seek treatment for and disclose mental health conditions.

    Sec. 2(a)provisional
  2. Requires the FAA to conduct an annual review to update mental health special-issuance rules, approve additional safe medications for airmen, improve medical examiner training, and streamline medical clearance processes for pilots and air traffic controllers.

    Sec. 3provisional
  3. Allocates $13.74 million annually for fiscal years 2026 through 2028 to recruit and train aviation medical examiners—including psychiatrists—and eliminate backlogs of special-issuance mental health cases.

    Sec. 4provisional
  4. Requires the FAA to implement the April 2024 recommendations of the Mental Health and Aviation Medical Clearances Aviation Rulemaking Committee within two years or submit a justification to Congress for any unadopted recommendations.

    Sec. 5provisional
  5. Allocates $1.5 million annually for fiscal years 2026 through 2028 for a public education campaign to reduce mental health stigma in the aviation industry and increase awareness of available support services.

    Sec. 6provisional

How your members of Congress line up

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Timeline

How it moved.

  1. Sep 9, 2025Received in the Senate and Read twice and referred to the Committee on Commerce, Science, and Transportation.
  2. Sep 8, 2025Motion to reconsider laid on the table Agreed to without objection.
  3. Sep 8, 2025On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3872)
  4. Sep 8, 2025Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3872)
  5. Sep 8, 2025Reported (Amended) by the Committee on Transportation and Infrastructure. H. Rept. 119-242.
  6. Sep 8, 2025Reported (Amended) by the Committee on Transportation and Infrastructure. H. Rept. 119-242.
  7. Jun 11, 2025Ordered to be Reported (Amended) by Voice Vote.
  8. Apr 2, 2025Introduced in House
  9. Apr 2, 2025Introduced in House

The original text

Read it for yourself.

Sources & provenance

Congress.govrefreshed 17 days ago

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