SUPPORT for Patients and Communities Reauthorization Act of 2025

State and Tribal grants could pay for strips that detect fentanyl or xylazine in a drug. This applies only where state and federal law already allow the strips.

Grants train police, fire, and EMS crews to give overdose reversal drugs. The yearly limit rises from $36 million, and the training now covers overdoses from any drug, not just opioids.

The 988 crisis line would have to close known security weak spots and report break-ins to federal officials. A government watchdog would also study the line's risks within 180 days.

These grants pay for live-in addiction treatment where women can keep their children with them. The yearly limit rises from $29.9 million and runs through 2030.

Groups run by people in recovery would see their yearly limit more than triple. They offer peer support, help finding recovery housing, and job connections.

A national network treats children after abuse, violence, or disaster. The limit is $98.9 million for 2026 through 2028, then $100 million for 2029 and 2030.

Pharmacies could send more addiction medicines straight to a doctor's office for the doctor to give. This covers drugs that must be watched after they are given, such as monthly shots or implants.

The government helps pay off school loans for people who work in addiction treatment where help is scarce. The yearly limit rises from $25 million.

These grants pay for job training and placement for people recovering from addiction. They go to areas with the highest overdose deaths and joblessness.

Grantees could spend up to 5 percent of the money on rides. The ride must go to a job, to job training, or to addiction treatment.

Doctors, dentists, and nurses must take eight hours of addiction training to prescribe controlled drugs. Nine more professional groups could provide that training, treated as if approved in December 2022.

States could use overdose grant money to test wastewater for drug patterns in a community. The bill says this must follow federal and state privacy laws.

Every state runs a database that tracks controlled-drug prescriptions. Federal officials could not force a state to buy from one company. They can only require open, shared standards.

The FDA must set a timeline for reviewing approved opioid painkillers. It would decide whether they need new warnings, more safety studies, or removal from the market.

The FDA must publish a plan on its website for re-examining approved opioid painkillers. It must also report what it is doing to support non-addictive pain treatments.

Anyone could send the FDA evidence about how opioid painkillers are used and how safe they are. The FDA must take that input as it builds its plan.

Federal agencies would form a group on overdoses from drugs cut with fentanyl, and report to Congress each year. It must consult families who lost someone. The committee it sits under would run through September 30, 2030.

Groups getting recovery job grants would have to report how many people found and kept work, and what they earned. A final report is due September 30, 2030.