This bill became law on 2025-12-01 as Public Law No. 119-44.
The summary below describes the bill at the version we last reviewed; the enacted text may differ.
YourVoice.Now Summary
Your MoneyWorkers & JobsCivil LibertiesCriminal Justice & Due ProcessCorporate BenefitsTransparency & AccountabilityTargeted & Unrelated ProvisionsFederal overdose grants now cover any drug, not just opioids — and the 2018 opioid law's programs run through 2030.
Your Money
Grants pay to train and equip police, fire, and ambulance crews for overdose calls. That money used to cover opioid overdoses only, and the yearly limit rises from $36 million to $57 million through 2030.
Federal grant rules named one rescue drug, naloxone. Within a year of the December 2025 signing, officials must update those rules so any approved rescue drug counts too.
State and Tribal opioid grants can pay for strips that check drugs for fentanyl or xylazine. This applies only where state law allows people to buy and hold them.
A pharmacy can send a controlled medicine to the doctor who will give it, instead of to the patient. The rule now covers more shots and implants, including drugs with strict safety rules and follow-up checks.
Recovery and job-training grants can spend up to 5 percent on transportation. The rides must go to or from work, job training, or treatment.
Fetal alcohol disorders are caused by drinking during pregnancy. Congress rewrote the federal program for them. States, Tribes, and nonprofits can get grants from up to $12.5 million a year through 2030.
A pilot run by the Department of Housing and Urban Development helps states give people in recovery a stable place to live. It was set to end after 2023 and now runs through 2030.
This program pays for live-in addiction treatment for pregnant women and new mothers. Congress raised the yearly limit from $29.9 million to $38.9 million through 2030.
Workers & Jobs
A federal license is needed to prescribe controlled drugs. Getting one takes a one-time eight-hour class on addiction. Courses from more groups now count, such as family doctors, dentists, pharmacists, and nurses.
Health workers who treat addiction in short-staffed or high-overdose areas can have their student loans paid off. Congress raised the yearly limit from $25 million to $40 million through 2030.
These grants pay for job training, schooling, and job placement for people recovering from addiction. Areas qualify on overdose deaths and jobs data from 2018 through 2022, and the yearly limit rises from $5 million to $12 million.
Peer support specialists use their own recovery experience to help others. A federal center that trains and advises them gets $2 million a year through 2030, up from $1 million, and must now cover their career growth.
Civil Liberties
The crisis line and its local centers must guard against hacking and report break-ins to federal officials. Those reports have to keep callers' personal details safe.
The CDC can pay states, towns, and Tribes to test sewage for drug traces and spot local trends. The testing looks at a whole area, not at one person, and must follow privacy laws.
Criminal Justice & Due Process
Buprenorphine mixed with naloxone is a standard medicine for opioid addiction. Health officials must review how it is classified under drug control law and, if warranted, ask the Attorney General to start changing it.
Corporate Benefits
Before, a rescue drug or device had to be approved or cleared by the Food and Drug Administration for these first responder grants to pay for it. Now it only has to be legally sold.
Transparency & Accountability
Health officials must post a plan for judging the safety and benefits of opioid painkillers by December 2026. They must first give the public a chance to weigh in.
The Government Accountability Office is the watchdog that audits federal programs. It had to study hacking risks to the 9-8-8 crisis line and report to Congress within 180 days of the December 2025 signing.
A new group of federal agencies must look at how to cut overdose deaths from drugs laced with fentanyl. It must consult families who lost someone, and report to Congress each year.
This federal task force writes best practices for spotting and helping people affected by trauma. Congress kept it going seven more years and added disability service providers and the Administration for Community Living.
This group brings federal agencies together to plan work on addiction. Congress set it to close on September 30, 2030 unless it votes to keep it.
Targeted & Unrelated Provisions
Anyone who prescribes controlled drugs must take a one-time eight-hour class on addiction. Congress named nine health groups whose classes now count, backdated to December 29, 2022.
States keep records of who gets prescriptions for controlled drugs, using private software. Federal officials cannot tell a state which company to use, only require shared open standards.
More about this bill
If someone close to you is at risk of an overdose, federal help now reaches further. Police, fire, and ambulance crews get grants to handle overdoses from any drug, not just opioids. Those grants also cover rescue drugs beyond naloxone (Narcan). State and Tribal opioid grants may buy test strips that spot fentanyl, where state law allows. Drug stores may now send long-acting addiction medicines straight to a doctor's office for the shot. Most of this law is money for programs, not payments to people. Many of these funding limits had run out after 2023, and they now run through 2030. Most come back higher. First responder overdose grants go from $36 million to $57 million a year. Local recovery groups go from $5 million to $17 million. Loan payoff for addiction treatment workers goes from $25 million to $40 million. These are spending limits, not checks. Congress still has to vote the money each year. Live-in treatment for pregnant women, youth prevention grants, and recovery housing also run through 2030. The 9-8-8 suicide and crisis line must now be guarded against hackers. Crisis centers have to report break-ins and weak spots to federal officials. Those reports must protect callers' personal details. A federal watchdog agency had to report on the line's cyber risks by mid-2026. The CDC may now pay states to test sewage for signs of drug use. Health officials must publish guidance on destroying leftover pills at home by December 2026. The FDA must also take public comment on how it handles opioid painkillers.
Congressional Summary
SUPPORT for Patients and Communities Reauthorization Act of 2025 This act reauthorizes and revises programs and activities relating to addressing substance use disorders, overdoses, and mental health. (For additional information on each section of this act, see CRS Report R48864.) TITLE I--PREVENTION (Sec. 101) This section reauthorizes through FY2030 Centers for Disease Control and Prevention (CDC) programs that provide information, grants, and technical assistance relating to studying and preventing prenatal and postnatal substance use disorders. (Sec. 102) This section reauthorizes through FY2030 CDC programs that carry out and provide grants for surveillance, treatment, and education relating to infections associated with illicit drug use. (Sec. 103) This section reauthorizes through FY2030 and expands CDC programs that carry out activities and provide grants relating to monitoring drug use and overdoses (e.g., supporting state prescription drug monitoring programs), preventing and responding to substance use disorders, and raising awareness regarding opioids and other substances. The section authorizes additional activities, including wastewater surveillance and collecting data on risk factors associated with overdoses. (Sec. 104) This section reestablishes, expands, and provides statutory authority for Department of Health and Human Services (HHS) activities addressing fetal alcohol spectrum disorders (i.e., conditions caused by prenatal alcohol exposure), including carrying out and providing grants for research, education and public awareness, and intervention and support services for affected individuals. (Sec. 105) This section specifies that, in providing grants to support state prescription drug monitoring programs, the CDC is not authorized to require states to use specific vendors or interoperability systems other than to align with general, consensus-based standards for interoperability. (Sec. 106) This section reauthorizes through FY2030 and expands grants to government entities to provide first responders with opioid overdose reversal drugs (e.g., naloxone) and related training. The grant program is administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). The section expands the program to include (1) treatment and training for overdoses from other drugs besides opioids, and (2) treatment with drugs or devices that are legally marketed under applicable law. Current law limits the program to addressing opioid overdoses and to drugs or devices that are officially approved or cleared by the Food and Drug Administration (FDA). (Sec. 107) This section reauthorizes through FY2030 and revises the National Child Traumatic Stress Initiative and related activities, which are administered by SAMHSA. Under the initiative, SAMHSA provides grants and other support to improve the quality of and increase access to services addressing psychological trauma in youth and families. The section requires grant recipients to develop training and other resources for collaborative implementation of best practices. (Sec. 108) This section requires SAMHSA to undertake efforts to protect the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats. (The lifeline is a three-digit number that connects callers in suicidal crisis or mental health distress to a national network of crisis centers.) The section includes requirements for the lifeline’s network administrator and participating local and regional crisis centers to report identified cybersecurity incidents and vulnerabilities. The Government Accountability Office must conduct a study that evaluates cybersecurity risks and vulnerabilities associated with the lifeline and report the findings to Congress. (Sec. 109) This section reauthorizes through FY2030 CDC activities to collect and report certain public health data relating to potentially traumatic childhood experiences. (Sec. 110) This section reauthorizes through FY2030 an interdepartmental committee on substance use disorders, establishes an interagency work group on fentanyl contamination of illegal drugs, and expands certain SAMHSA activities to include supporting strategies to raise awareness about the dangers of synthetic opioids for youth. (Sec. 111) This section requires HHS to publish guidance regarding at-home safe drug disposal systems. (Sec. 112) This section requires HHS to publish a plan for assessing approved opioid analgesic drugs (i.e., opioid pain relievers) that addresses the public health effects of these drugs, including updates on actions by the FDA with respect to risk-benefit assessments and supporting development and approval of nonaddictive medical products. HHS must provide an opportunity for public input on the FDA’s regulation of opioid analgesic drugs. (Sec. 113) This section provides statutory authority for SAMHSA’s State Opioid Response and Tribal Opioid Response Grants to be used for facilitating access to drug checking technologies, such as fentanyl and xylazine test strips, to the extent permitted by federal and state law. TITLE II--TREATMENT (Sec. 201) This section reauthorizes through FY2030 the Residential Treatment for Pregnant and Postpartum Women program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program awards grants to fund services for pregnant and postpartum women with substance use disorders, including services for treatment, recovery support, and case management. The section also specifically allows grant recipients to conduct outreach that is targeted at women disproportionately impacted by maternal substance use disorders. (Sec. 202) This section provides statutory authority for the Minority Fellowship Program to include fellowships for training in the field of addiction medicine. The Minority Fellowship Program, administered by SAMHSA, funds fellowships for individuals seeking graduate degrees and planning to work on addressing mental or substance use disorders in racial and ethnic minority populations. (Sec. 203) This section reauthorizes through FY2030 the Behavioral Health Workforce Education and Training Program for Professionals, which is administered by the Health Resources and Services Administration (HRSA). This program provides grants to educational organizations and programs to recruit and educate students in mental and behavioral health. (Sec. 204) This section reauthorizes through FY2030 the Substance Use Disorder Treatment and Recovery Loan Repayment Program, which is administered by HRSA. This program provides repayment of educational loans for health care practitioners who agree to provide direct treatment or recovery support for substance use disorders in certain areas with shortages of health professionals or high rates of overdose. (Sec. 206) This section reauthorizes through FY2030 and expands an interagency task force that must develop recommendations relating to (1) best practices for preventing and mitigating trauma in youth and (2) coordinating the federal response to families impacted by substance use disorders and other trauma. (Sec. 208) This section requires SAMHSA to conduct a review of how states use funds under the Community Mental Health Services Block Grant program to address first episode psychosis, including the use of evidence-based services for individuals with early serious mental illness and children with serious emotional disturbance. SAMHSA must report to Congress on the findings of the review and update the guidance for the block grant program based on such findings. (Sec. 209) This section requires HHS to review relevant data and, if determined appropriate, request that the Drug Enforcement Administration (DEA) revise the scheduling of approved products containing a combination of buprenorphine and naloxone under the Controlled Substances Act. The DEA must review such requests and determine whether to revise the schedules. (Sec. 210) This section requires that, when HHS issues new regulations or guidance on grant programs addressing opioid use disorders, references to an opioid overdose reversal drug (e.g., naloxone) must broadly include any opioid overdose reversal drug approved by the FDA. Within one year after the act’s enactment, HHS must update all references accordingly in regulations or guidance issued prior to the act’s enactment that are applicable to State Opioid Response Grants, Tribal Opioid Response Grants, or certain other grants relating to substance use disorder prevention. (Sec. 211) This section requires HHS to convene a public roundtable with public and private stakeholders on expanding the use of electronic health records among mental health and substance use disorder service providers. HHS must report to Congress on the results of the roundtable with respect to specified topics. TITLE III--RECOVERY (Sec. 301) This section reauthorizes through FY2030 the Building Communities of Recovery program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program provides grants to certain community nonprofit organizations for developing and delivering coordinated community and statewide recovery support services for individuals with substance use disorders. (Sec. 302) This section reauthorizes through FY2030 and expands the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support, which is administered by SAMHSA. The center provides training and resources to public and private nonprofit entities relating to recovery support services for substance use disorders and co-occurring conditions (i.e., mental health conditions coexisting with substance use disorders). The section expands the center's functions to include professional development of peer support specialists and recovery support services in nonclinical settings. It also authorizes through FY2030 a regional technical assistance center to support the ability of the center to meet a particular region's needs. (Sec. 303) This section reauthorizes through FY2030 grants to nonprofits for establishing or operating opioid recovery centers providing comprehensive treatment and recovery support services. The grant program is administered by SAMHSA. (Sec. 304) This section reauthorizes through FY2030 and revises the Preventing Youth Overdose: Treatment, Recovery, Education, Awareness, and Training (PYO-TREAT) program, which is administered by SAMHSA. The PYO-TREAT program provides grants and other support to educational and public entities for substance use disorder prevention, treatment, and recovery for children and young adults. The section revises the program to provide statutory authority for (1) requiring applicants to submit plans for sustaining activities under the program after the grant has ended, and (2) expanding eligible grant recipients to include consortia of local educational agencies. SAMHSA must report to Congress on the PYO-TREAT program’s effectiveness. (Sec. 305) This section reauthorizes through FY2030 and expands the Treatment, Recovery, and Workforce Support program, which is administered by SAMHSA. This program provides grants to public and private nonprofit entities to support individuals in treatment and recovery for substance use disorders and co-occurring conditions to live independently and participate in the workforce. The section authorizes using 5% of such grant funds for transportation services and requires grant recipients to report on the employment and earnings outcomes of program participants. Also, the section reauthorizes through FY2030 the Recovery Housing Pilot Program, which assists states in providing individuals in recovery from a substance use disorder with stable, temporary housing for up to two years. This program is administered by the Department of Housing and Urban Development. (Sec. 306) This section reauthorizes through FY2030 the Support to Communities: Fostering Opioid Recovery through Workforce Development program, which is administered by the Department of Labor. This program provides grants to public entities to address the economic and workforce-related impacts of substance use disorders through activities such as screening and support services, training, and engaging with employers. (Sec. 307) This section requires HHS to convene a public meeting relating to improving awareness of and access to grants provided by SAMHSA. Based on the stakeholder feedback received at the meeting, HHS must implement improvements to relevant websites and report to Congress. TITLE IV--MISCELLANEOUS MATTERS (Sec. 401) This section allows pharmacies to deliver to prescribing practitioners schedule III-V controlled substances that are not directly administered by the practitioner (i.e., self-administered), provided the controlled substances are subject to a risk evaluation and mitigation strategy to assure safe use by the patient, including post-administration monitoring by a health care provider. (Sec. 402) This section expands the types of organizations that may provide training or education required for practitioners registering with the DEA to dispense (i.e., prescribe or administer) schedule II-V controlled substances. This section applies retroactively, taking effect as if enacted on December 29, 2022.
Legislative Subjects
Details
- Congress
- 119th
- Chamber
- House
- Status
- summarized
- Action
- Public Law
- Action Date
- 2025-12-01
- Date Added
- 2026-07-31
- Source
- Congress.gov →
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