119 HR 2483 IH: SUPPORT for Patients and Communities Reauthorization Act of 2025
U.S. House of Representatives
2025-03-31
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EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of contents
(a)This Act may be cited as the SUPPORT for Patients and Communities Reauthorization Act of 2025
. (b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
Title I—Prevention
Sec. 101. Prenatal and postnatal health.
Sec. 102. Monitoring and education regarding infections associated with illicit drug use and other risk factors.
Sec. 103. Preventing overdoses of controlled substances.
Sec. 104. Support for individuals and families impacted by fetal alcohol spectrum disorder.
Sec. 105. Promoting state choice in PDMP systems.
Sec. 106. First responder training program.
Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative.
Sec. 108. Protecting suicide prevention lifeline from cybersecurity incidents.
Sec. 109. Monitoring and reporting of child, youth, and adult trauma.
Sec. 110. Bruce’s law.
Sec. 111. Guidance on at-home drug disposal systems.
Sec. 112. Assessment of opioid drugs and actions.
Sec. 113. Grant program for State and Tribal response to opioid use disorders.
Title II—Treatment
Sec. 201. Residential treatment program for pregnant and postpartum women.
Sec. 202. Improving access to addiction medicine providers.
Sec. 203. Mental and behavioral health education and training grants.
Sec. 204. Loan repayment program for substance use disorder treatment workforce.
Sec. 205. Development and dissemination of model training programs for substance use disorder patient records.
Sec. 206. Task force on best practices for trauma-informed identification, referral, and support.
Sec. 207. Grants to enhance access to substance use disorder treatment.
Sec. 208. State guidance related to individuals with serious mental illness and children with serious emotional disturbance.
Sec. 209. Reviewing the scheduling of approved products containing a combination of buprenorphine and naloxone.
Title III—Recovery
Sec. 301. Building communities of recovery.
Sec. 302. Peer support technical assistance center.
Sec. 303. Comprehensive opioid recovery centers.
Sec. 304. Youth prevention and recovery.
Sec. 305. CAREER Act.
Sec. 306. Addressing economic and workforce impacts of the opioid crisis.
Title IV—Miscellaneous matters
Sec. 401. Delivery of a controlled substance by a pharmacy to a prescribing practitioner.
Sec. 402. Required training for prescribers of controlled substances.
<enum>I</enum><header>Prevention</header>
<section id="H8628008503574A7CAED5063C5D5070C5"><enum>101.</enum><header>Prenatal and postnatal health</header><text display-inline="no-display-inline">Section 317L(d) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/247b-13">42 U.S.C. 247b–13(d)</external-xref>) is amended by striking <quote>such sums as may be necessary for each of the fiscal years 2019 through 2023</quote> and inserting <quote>$4,250,000 for each of fiscal years 2026 through 2030</quote>.</text></section> <section id="HF89088D06C6745FE8EFCE87DB8C5BBC5"><enum>102.</enum><header>Monitoring and education regarding infections associated with illicit drug use and other risk factors</header><text display-inline="no-display-inline">Section 317N(d) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/247b-15">42 U.S.C. 247b–15(d)</external-xref>) is amended by striking <quote>fiscal years 2019 through 2023</quote> and inserting <quote>fiscal years 2026 through 2030</quote>.</text></section>
<section id="H880F8E10D7A949729B9C8C75000ABE81" commented="no"><enum>103.</enum><header>Preventing overdoses of controlled substances</header>
<subsection id="HEB5E3D36BFFA4178A5004E1C7E0C58DF" commented="no"><enum>(a)</enum><header>In general</header><text>Section 392A of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280b-1">42 U.S.C. 280b–1</external-xref>) is amended—</text> <paragraph id="H127071D302C24ED88502CFB4BA23E585" commented="no"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a)(2)—</text>
<subparagraph id="HBD933EF9316A4DB980A6EE2BAB3FC08B"><enum>(A)</enum><text>in subparagraph (C), by inserting <quote>and associated risks</quote> before the period at the end; and</text></subparagraph> <subparagraph id="H08191A28916947B68CD88370A63F17C1"><enum>(B)</enum><text>in subparagraph (D), by striking <quote>opioids</quote> and inserting <quote>substances causing overdose</quote>; and</text></subparagraph></paragraph>
<paragraph id="HA5DAB8EBF7184A1289AD32C7139D7C64" commented="no"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b)(2)—</text> <subparagraph id="H57C636A39EAD4005BAB2D47777B968AA" commented="no"><enum>(A)</enum><text display-inline="yes-display-inline">in subparagraph (B), by inserting <quote>, and associated risk factors,</quote> after <quote>such overdoses</quote>;</text></subparagraph>
<subparagraph id="H83E525BEF686408594F2C4F427394018" commented="no"><enum>(B)</enum><text display-inline="yes-display-inline">in subparagraph (C), by striking <quote>coding</quote> and inserting <quote>monitoring and identifying</quote>;</text></subparagraph> <subparagraph id="H4089C9B390124168B412C9177A836F9A" commented="no"><enum>(C)</enum><text display-inline="yes-display-inline">in subparagraph (E)—</text>
<clause id="HFFF344D075634FD5BD7BD6A73FDEDB53" commented="no"><enum>(i)</enum><text display-inline="yes-display-inline">by inserting a comma after <quote>public health laboratories</quote>; and</text></clause> <clause id="H46A1C530622948968EA842A561058DE3" commented="no"><enum>(ii)</enum><text display-inline="yes-display-inline">by inserting <quote>and other emerging substances related</quote> after <quote>analogues</quote>; and</text></clause></subparagraph>
<subparagraph id="H23963CAF403746298A7BD133A35DCD3B" commented="no"><enum>(D)</enum><text display-inline="yes-display-inline">in subparagraph (F), by inserting <quote>and associated risk factors</quote> after <quote>overdoses</quote>.</text></subparagraph></paragraph></subsection> <subsection id="HFB877311EE1142D0B25E77B6BC4E2001" commented="no"><enum>(b)</enum><header>Additional grants</header><text>Section 392A(a)(3) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280b-1">42 U.S.C. 280b–1(a)(3)</external-xref>) is amended—</text>
<paragraph id="H604B57FFC26A44CB9C0432FE3000453A" commented="no"><enum>(1)</enum><text>in the matter preceding subparagraph (A), by striking <quote>and Indian Tribes—</quote> and inserting <quote>and Indian Tribes for the following purposes:</quote>;</text></paragraph> <paragraph id="H5C52B1697D6C4037A7EF3B74EAD9036B" commented="no"><enum>(2)</enum><text>by amending subparagraph (A) to read as follows:</text>
<quoted-block style="OLC" id="H0CA8B31B497E4829B01C47C83B697E0E" display-inline="no-display-inline">
<subparagraph id="H54906697415A45B19D3D53150E768A08" commented="no"><enum>(A)</enum><text display-inline="yes-display-inline">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 prevention strategies, in a manner consistent with applicable Federal and State privacy laws.</text></subparagraph><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph> <paragraph id="H337DFFEDACFC4AB4A5428BEE94B379BC" commented="no"><enum>(3)</enum><text>in subparagraph (B), by striking <quote>for any</quote> and inserting <quote>For any</quote>. </text></paragraph></subsection>
<subsection id="H8EB5592D634249E28AA0696255A5B7EF" commented="no"><enum>(c)</enum><header>Authorization of appropriations</header><text>Section 392A(e) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280b-1">42 U.S.C. 280b–1(e)</external-xref>) is amended by striking <quote>$496,000,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$505,579,000 for each of fiscal years 2026 through 2030</quote>.</text></subsection></section> <section id="HF7394310390143F490D176F1F3C149A6"><enum>104.</enum><header>Support for individuals and families impacted by fetal alcohol spectrum disorder</header> <subsection id="HD9522D7BEEF54A0A97013CA8F7454916"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Part O of title III of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280f">42 U.S.C. 280f et seq.</external-xref>) is amended to read as follows:</text>
<quoted-block style="OLC" id="HB48B35F460A047BAB6C53F14B24F3F20" display-inline="no-display-inline">
<part id="H532377A1B6CF49D18EF90C0889F74499"><enum>O</enum><header>Fetal alcohol spectrum disorder prevention and services program</header>
<section id="HC3EF2FDC53124AE3BE50A55375765A27"><enum>399H.</enum><header>Fetal alcohol spectrum disorders prevention, intervention, and services delivery program</header>
<subsection id="HBD0D582CE6E7462FB21EEC2DF9CD93EA"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary shall establish or continue activities to support a comprehensive fetal alcohol spectrum disorders (referred to in this section as <quote>FASD</quote>) education, prevention, identification, intervention, and services delivery program, which may include—</text> <paragraph id="HC679E305805B42E2BC90E527A485D775"><enum>(1)</enum><text>an education and public awareness program to support, conduct, and evaluate the effectiveness of—</text>
<subparagraph id="H96310D09EF1D4B1292DFF09745282F35"><enum>(A)</enum><text display-inline="yes-display-inline">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;</text></subparagraph> <subparagraph id="H32DA0C6C60F04BBABD4833E6DF618BDD"><enum>(B)</enum><text>strategies to educate school-age children, including pregnant and high-risk youth, concerning FASD;</text></subparagraph>
<subparagraph id="H4003AAC503624D5CBC25E019CAC1C01B"><enum>(C)</enum><text>public and community awareness programs concerning FASD; and</text></subparagraph> <subparagraph id="HCDCA8CEB03B045BE9B5DEF9A6D4373DB"><enum>(D)</enum><text display-inline="yes-display-inline">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;</text></subparagraph></paragraph>
<paragraph id="H732EDE6E057844FA8AA455202956D53C"><enum>(2)</enum><text display-inline="yes-display-inline">supporting and conducting research on FASD, as appropriate, including to—</text> <subparagraph id="H76D167483B0E436DA4F10297A484AF10"><enum>(A)</enum><text>develop appropriate medical diagnostic methods for identifying FASD; and</text></subparagraph>
<subparagraph id="H758F843D035045F3A5295B7DD68E9033"><enum>(B)</enum><text display-inline="yes-display-inline">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;</text></subparagraph></paragraph> <paragraph id="H407FCC72C0CA441BB0BD0636825DC1B3"><enum>(3)</enum><text display-inline="yes-display-inline">building State and Tribal capacity for the identification, treatment, and support of individuals with FASD and their families, which may include—</text>
<subparagraph id="HF3798666D1D244EA943BB4F685E2BE77"><enum>(A)</enum><text>utilizing and adapting existing Federal, State, or Tribal programs to include FASD identification and FASD-informed support;</text></subparagraph> <subparagraph id="H0546F63B01864A32B2C2B0B9B0B1C955"><enum>(B)</enum><text>developing and expanding screening and diagnostic capacity for FASD;</text></subparagraph>
<subparagraph id="H7BA3E10D9B1B4498B71347205D727CDF"><enum>(C)</enum><text>developing, implementing, and evaluating targeted FASD-informed intervention programs for FASD;</text></subparagraph> <subparagraph id="HF53E5B42BC76466CA05DCEDD5BC31041"><enum>(D)</enum><text>providing training with respect to FASD for professionals across relevant sectors; and</text></subparagraph>
<subparagraph id="H14123547882E456F97CBBFEE720BDC23"><enum>(E)</enum><text>disseminating information about FASD and support services to affected individuals and their families; and</text></subparagraph></paragraph> <paragraph id="H91930D6DD1054E26AFC7501CB8B31955"><enum>(4)</enum><text>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.</text></paragraph></subsection>
<subsection id="HEF255FC64CD3420EA7DB890060E35814"><enum>(b)</enum><header>Grants and Technical Assistance</header>
<paragraph id="HF59B243792C64069B75779E650BBBC06"><enum>(1)</enum><header>In general</header><text>The Secretary may award grants, cooperative agreements and contracts and provide technical assistance to eligible entities to carry out subsection (a).</text></paragraph> <paragraph id="HFB96AB3659474E0EA9D5430777DCD0D7"><enum>(2)</enum><header>Eligible entities</header><text display-inline="yes-display-inline">To be eligible to receive a grant, or enter into a cooperative agreement or contract, under this section, an entity shall—</text>
<subparagraph id="H3FFB57A6C44F46B18D7BCC1E3C967911"><enum>(A)</enum><text>be a State, Indian Tribe or Tribal organization, local government, scientific or academic institution, or nonprofit organization; and</text></subparagraph> <subparagraph id="HCC2D684311F9433EBE24EB359925B344"><enum>(B)</enum><text>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 intends to carry out using amounts received under this section.</text></subparagraph></paragraph>
<paragraph id="H551C343AC69A4685A9E1C329B0E04FDD"><enum>(3)</enum><header>Additional application contents</header><text>The Secretary may require that an eligible entity include in the application submitted under paragraph (2)(B)—</text> <subparagraph id="H6AA22EDB4C5647C280AF086CE175C700"><enum>(A)</enum><text>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</text></subparagraph>
<subparagraph id="H61342BCB81744A10BDC7F782F129A3F8"><enum>(B)</enum><text>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.</text></subparagraph></paragraph></subsection> <subsection id="H423555252A9D4249B03124B323E9CF0C"><enum>(c)</enum><header>Definition of FASD-Informed</header><text display-inline="yes-display-inline">For purposes of this section, the term <term>FASD-informed</term>, 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 improved quality of life for an individual with FASD and the family of such individual.</text></subsection></section>
<section id="HD578678C9D964DB793BF3974593AF87C"><enum>399I.</enum><header>Strengthening capacity and education for fetal alcohol spectrum disorders</header>
<subsection id="H0780516A78D54E86B04DB72507D592A2"><enum>(a)</enum><header>In general</header><text>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 <quote>FASD</quote>). 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).</text></subsection> <subsection id="H4935D58687B2410783F6C3A923C6E74D"><enum>(b)</enum><header>Programs</header><text>An entity receiving an award under subsection (a) may use such award for the following purposes:</text>
<paragraph id="H2626D9B7769D4B33B5DB16246411123C"><enum>(1)</enum><text>Developing and supporting public education and outreach activities to raise public awareness of the risks associated with alcohol consumption during pregnancy.</text></paragraph> <paragraph id="H79804BC91D3E42CF82A0A211538F6099"><enum>(2)</enum><text>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.</text></paragraph>
<paragraph id="HFE1E858104284EFAB4F43E029DAA1BFD"><enum>(3)</enum><text>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.</text></paragraph> <paragraph id="HD032ADEF999445718A2C8885B0BECFA4"><enum>(4)</enum><text>Providing technical assistance to recipients of grants, cooperative agreements, or contracts under section 399H, as appropriate.</text></paragraph></subsection>
<subsection id="H7CEA7CEA86D84437A4F8488585FD4F82"><enum>(c)</enum><header>Application</header><text>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.</text></subsection> <subsection id="HA2A7C1F80C0E4FB5BACEAC41F0F0A824"><enum>(d)</enum><header>Subcontracting</header><text>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:</text>
<paragraph id="H4A51422F7E5346BDB5D364E50C190D42"><enum>(1)</enum><text>Resource development and dissemination.</text></paragraph> <paragraph id="HA20F846D14864EB4969546FB511ACA59"><enum>(2)</enum><text>Intervention services.</text></paragraph>
<paragraph id="HDAA8C8430D454F6BA1D6FD141155503F"><enum>(3)</enum><text>Training and technical assistance.</text></paragraph></subsection></section> <section id="HEE443991E6A54865A0AF3ACAE1BE782E"><enum>399J.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">There are authorized to be appropriated to carry out this part $12,500,000 for each of fiscal years 2026 through 2030.</text></section></part><after-quoted-block>.</after-quoted-block></quoted-block></subsection>
<subsection id="H55F1542674BC47AABFF529915B9C36C4"><enum>(b)</enum><header>Report</header><text>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—</text> <paragraph id="H3276852D793C4D7E9FACE74CBFD286F4"><enum>(1)</enum><text>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 <quote>FASD</quote>);</text></paragraph>
<paragraph id="H3D7AAE0D2DF542A680F9AB8F119F80C0"><enum>(2)</enum><text>a description of—</text> <subparagraph id="H1A3EB4A7B1484962904C0DE8DD5D546B"><enum>(A)</enum><text>the activities carried out pursuant to such sections 399H and 399I to identify, prevent, and treat FASD; and</text></subparagraph>
<subparagraph id="H9E494EEE95AE41A48C70E4F736A9E8AE"><enum>(B)</enum><text>methods used to evaluate the outcomes of such activities; and</text></subparagraph></paragraph> <paragraph id="HF34DBE4A9EC74DFCB091D5CAEC406365"><enum>(3)</enum><text>an assessment of activities carried out pursuant to such sections 399H and 399I to support individuals with FASD.</text></paragraph></subsection></section>
<section id="H093CC54B9E58464580EF727961F3D955"><enum>105.</enum><header>Promoting state choice in PDMP systems</header><text display-inline="no-display-inline">Section 399O(h) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280g-3">42 U.S.C. 280g–3(h)</external-xref>) is amended by adding at the end the following:</text> <quoted-block id="H4FFC08A467184EE5B9E360BF49896679" style="OLC"> <paragraph id="HB51827A8AE374039BE59E54486AB681E"><enum>(5)</enum><header>Promoting state choice</header><text>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.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></section>
<section id="HF0059919D2D648AE94A562B65EC98ED5"><enum>106.</enum><header>First responder training program</header><text display-inline="no-display-inline">Section 546 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ee-1">42 U.S.C. 290ee–1</external-xref>) is amended—</text> <paragraph id="H076E3D4AD7D84D0BAF51F680F1845B69"><enum>(1)</enum><text>in subsection (a), by striking <quote>tribes and tribal</quote> and inserting <quote>Tribes and Tribal</quote>;</text></paragraph>
<paragraph id="H3C1C5B4F8A6A4F85A35C0BD0BC3D75C0"><enum>(2)</enum><text>in subsections (a), (c), and (d)—</text> <subparagraph id="H4AE1892972A24CB1B0EEC5F6F3952314"><enum>(A)</enum><text>by striking <quote>approved or cleared</quote> each place it appears and inserting <quote>approved, cleared, or otherwise legally marketed</quote>; and</text></subparagraph>
<subparagraph id="H75D0A517E2E54CA490F434A6241F7176"><enum>(B)</enum><text>by striking <quote>opioid</quote> each place it appears;</text></subparagraph></paragraph> <paragraph id="HF655ADEE55B24DF38883FB8487D9FA1D"><enum>(3)</enum><text>in subsection (f)—</text>
<subparagraph id="H7094EB7579F64DA5B03E995F33379624"><enum>(A)</enum><text>by striking <quote>approved or cleared</quote> each place it appears and inserting <quote>approved, cleared, or otherwise legally marketed</quote>;</text></subparagraph> <subparagraph id="H49DE86BD119945CAA9FA1AB9AB35ECBB"><enum>(B)</enum><text>in paragraph (1), by striking <quote>opioid</quote>;</text></subparagraph>
<subparagraph id="HC0DC9A4A7F594C00A801B95605815F77"><enum>(C)</enum><text>in paragraph (2)—</text> <clause id="H9422E319AD0641D0A30A970AA4700AC9"><enum>(i)</enum><text>by striking <quote>opioid and heroin</quote> and inserting <quote>opioid, heroin, and other drug</quote>; and</text></clause>
<clause id="H815DB9E2918E487AB48BB0D446E78D51"><enum>(ii)</enum><text>by striking <quote>opioid overdose</quote> and inserting <quote>overdose</quote>; and</text></clause></subparagraph> <subparagraph id="HA90A358357AC4592AEE6C831FC5A6A5F"><enum>(D)</enum><text>in paragraph (3), by striking <quote>opioid and heroin</quote>; and</text></subparagraph></paragraph>
<paragraph id="HEDFDA51300514363A85EE683108D230F"><enum>(4)</enum><text>in subsection (h), by striking <quote>$36,000,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$57,000,000 for each of fiscal years 2026 through 2030</quote>.</text></paragraph></section> <section id="H69C8867DA60948AE8BA76D91A2823811"><enum>107.</enum><header>Donald J. Cohen National Child Traumatic Stress Initiative</header> <subsection id="HA34EA888DDA2477EA9BB908DA8F7DED7" commented="no"><enum>(a)</enum><header>Technical amendment</header><text display-inline="yes-display-inline">The second part G of title V of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290kk">42 U.S.C. 290kk et seq.</external-xref>), as added by section 144 of the Community Renewal Tax Relief Act (<external-xref legal-doc="public-law" parsable-cite="pl/106/554">Public Law 106–554</external-xref>), is amended—</text>
<paragraph id="H2814B02CD58947DBAF47F5BFF645815F" commented="no"><enum>(1)</enum><text>by redesignating such part as part J; and</text></paragraph> <paragraph id="H72EFEE400E24451A936D9AB743ED1C8C" commented="no"><enum>(2)</enum><text>by redesignating sections 581 through 584 as sections 596 through 596C, respectively.</text></paragraph></subsection>
<subsection id="HA328C5DD0F8747A5B14FA288609363B0"><enum>(b)</enum><header>In general</header><text display-inline="yes-display-inline">Section 582 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290hh-1">42 U.S.C. 290hh–1</external-xref>) is amended—</text> <paragraph id="H22C1A701246D4559B80E5A9564F06283"><enum>(1)</enum><text>in the section heading, by striking <quote><header-in-text level="section" style="OLC">VIOLENCE RELATED STRESS</header-in-text></quote> and inserting <quote><header-in-text level="section" style="OLC">TRAUMATIC EVENTS</header-in-text></quote>;</text></paragraph>
<paragraph id="H4A3936AAFB2F4A009FD9563D0DB797FA"><enum>(2)</enum><text>in subsection (a)—</text> <subparagraph id="HB37975E5C5E14BF4ACD4A614CD337F01"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>tribes and tribal</quote> and inserting <quote>Tribes and Tribal</quote>; and</text></subparagraph>
<subparagraph id="H3E03F1FA5CA94F91B041E662B290D441"><enum>(B)</enum><text>in paragraph (2), by inserting <quote>and dissemination</quote> after <quote>the development</quote>;</text></subparagraph></paragraph> <paragraph id="H97C940729EA1489A9944C599F62C96FC"><enum>(3)</enum><text>in subsection (b), by inserting <quote>and dissemination</quote> after <quote>the development</quote>;</text></paragraph>
<paragraph id="HD563691341AE48EEB7BEE6D7C8572B3D"><enum>(4)</enum><text>in subsection (d)—</text> <subparagraph id="H1BAEE09621A948E7AF0B332CEE961156"><enum>(A)</enum><text>by striking <quote>The NCTSI</quote> and inserting the following:</text>
<quoted-block id="H7C81D54888D845D192D51F107559F010" style="OLC">
<paragraph id="HF0D47E100AEF4E2197C873AF7C0691B8"><enum>(1)</enum><header>Coordinating center</header><text>The NCTSI</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph> <subparagraph id="H583CFD68480641178D4C16CA13D069F1"><enum>(B)</enum><text>by adding at the end the following:</text>
<quoted-block id="HA48B2AFECC3B4FBDB7F604038773C408" style="OLC">
<paragraph id="H0C5B6ED8EA4A4E2AA651B14C51263B99"><enum>(2)</enum><header>NCTSI grantees</header><text>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.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph> <paragraph id="H5FD0B97597B14ECFB62155E58988B61E"><enum>(5)</enum><text>in subsection (e)—</text>
<subparagraph id="H63E2CA7530BB430A924CAF6E69E2E936"><enum>(A)</enum><text>by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively, and adjusting the margins accordingly;</text></subparagraph> <subparagraph id="HF294C2AE8FDC49D0A950C083F49D26DB"><enum>(B)</enum><text>in subparagraph (A), as so redesignated, by inserting <quote>and implementation</quote> after <quote>the dissemination</quote>;</text></subparagraph>
<subparagraph id="H9253D30F1975466B904544ABACA01984"><enum>(C)</enum><text>by striking <quote>The NCTSI</quote> and inserting the following:</text> <quoted-block id="HA17986BBAFD74335B45AAFB604FBCDBF" style="OLC"> <paragraph id="H83685FAE817E4152A75D360FA8E9D0BD"><enum>(1)</enum><header>Coordinating center</header><text>The NCTSI</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph>
<subparagraph id="H784554A59C61472BAAC1E432847F1016"><enum>(D)</enum><text>by adding at the end the following:</text> <quoted-block id="H595F8554AEEB4D34B64F7C8CA9F7B7A0" style="OLC"> <paragraph id="HF2A9F20D426947D28B666BBD0C1B4BDC"><enum>(2)</enum><header>NCTSI grantees</header><text>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).</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph>
<paragraph id="HDAA67A4BE640495BB2BAF6C0BE3B6DF2"><enum>(6)</enum><text>by amending subsection (h) to read as follows:</text> <quoted-block id="H75BB2CAB9CF041BF9F771B8586471775" style="OLC"> <subsection id="H35779EB66F39436A888B22D31C3AD016"><enum>(h)</enum><header>Application and evaluation</header><text>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—</text>
<paragraph id="H8F014D105A00446692873C6535FD2364"><enum>(1)</enum><text>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</text></paragraph> <paragraph id="H36C72283ED1B48B2B4481B7D8EBE828D"><enum>(2)</enum><text>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.</text></paragraph></subsection><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph>
<paragraph id="HEE33D06A0DEF42179EFBBE41735655B6"><enum>(7)</enum><text>by amending subsection (j) to read as follows:</text> <quoted-block style="OLC" id="H7BA5A97C98D04AEBA2301169502EA2A2" display-inline="no-display-inline"> <subsection id="H42D6305E639947C3A3CA23D0DF8E131D"><enum>(j)</enum><header>Authorization of appropriations</header><text display-inline="yes-display-inline">There is authorized to be appropriated to carry out this section—</text>
<paragraph id="H45FE2D2992BC43C7855214C570B2C987"><enum>(1)</enum><text display-inline="yes-display-inline">$98,887,000 for fiscal year 2026;</text></paragraph> <paragraph id="HE9288BC1BCA846568F840A504238E382"><enum>(2)</enum><text display-inline="yes-display-inline">$98,887,000 for fiscal year 2027;</text></paragraph>
<paragraph id="H969E3B87E6774341B7426EF73E586F9B"><enum>(3)</enum><text display-inline="yes-display-inline">$98,887,000 for fiscal year 2028;</text></paragraph> <paragraph id="H4EC6E7F2B48645739E5F6BB9A645DA31"><enum>(4)</enum><text>$100,000,000 for fiscal year 2029; and</text></paragraph>
<paragraph id="H42936EE6DFC84767B893B2B49EC55AB4"><enum>(5)</enum><text>$100,000,000 for fiscal year 2030.</text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section> <section id="H210E611768D94EA1B17C48C810EA2B9C"><enum>108.</enum><header>Protecting suicide prevention lifeline from cybersecurity incidents</header> <subsection id="H8EC47C8A89764CEF898FA070E51170DD"><enum>(a)</enum><header>National suicide prevention lifeline program</header><text>Section 520E–3(b) of the Public Health Service Act (42 U.S.C. 290bb–36c(b)) is amended—</text>
<paragraph id="HB28972DAA29644969AE01B328CF50840"><enum>(1)</enum><text>in paragraph (4), by striking <quote>and</quote> at the end;</text></paragraph> <paragraph id="H21C9BD44C395406E8A67B857AB89A466"><enum>(2)</enum><text>in paragraph (5), by striking the period at the end and inserting <quote>; and</quote>; and</text></paragraph>
<paragraph id="H7586A14FE3DA4E0B8F6D968A2346094F"><enum>(3)</enum><text>by adding at the end the following:</text> <quoted-block id="H8363E7DF7D3F40019BB813DC88A3EA36" style="OLC"> <paragraph id="HC70CD09926BF4B61B0B623415C73C011"><enum>(6)</enum><text>taking such steps as may be necessary to ensure the suicide prevention hotline is protected from cybersecurity incidents and eliminates known cybersecurity vulnerabilities.</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection>
<subsection id="HCD775BC358CB483E946F11B022AB7D99"><enum>(b)</enum><header>Reporting</header><text>Section 520E–3 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-36c">42 U.S.C. 290bb–36c</external-xref>) is amended—</text> <paragraph id="HF4E1CE64EBF74C0CB1CE76F7A2CD544C"><enum>(1)</enum><text>by redesignating subsection (f) as subsection (g); and</text></paragraph>
<paragraph id="H887412F3B0B64810BD7D998917F65D2B"><enum>(2)</enum><text>by inserting after subsection (e) the following:</text> <quoted-block id="H9D02DE1BB32248249A2ED6A29D26C8F4" style="OLC"> <subsection id="H42562440B53D4D7AB5A4D6F24F3519C4"><enum>(f)</enum><header>Cybersecurity reporting</header> <paragraph id="H8674A0F2EF92461781C50CE47F7EF9C5"><enum>(1)</enum><header>Notification</header> <subparagraph id="H64A390218CA44A00905B7301C80F66B7"><enum>(A)</enum><header>In general</header><text>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—</text>
<clause id="HC4CFC464F4DA433DBD86AA6A17064F84"><enum>(i)</enum><text>any identified cybersecurity vulnerabilities to the program within a reasonable amount of time after identification of such a vulnerability; and</text></clause> <clause id="HE8F9D4352166439699B74CDB348ED3D6"><enum>(ii)</enum><text>any identified cybersecurity incidents to the program within a reasonable amount of time after identification of such incident.</text></clause></subparagraph>
<subparagraph id="H2B82D9C00EAB4B1B9FD73622A5009847"><enum>(B)</enum><header>Local and regional crisis centers</header><text>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—</text> <clause id="HD8AD5F6140E04C4490E6B43A2F5C2031"><enum>(i)</enum><text>any identified cybersecurity vulnerabilities to the program within a reasonable amount of time after identification of such vulnerability; and</text></clause>
<clause id="H09F1C128EF18432DBAAC59B3C2C84C6C"><enum>(ii)</enum><text>any identified cybersecurity incidents to the program within a reasonable amount of time after identification of such incident.</text></clause></subparagraph></paragraph> <paragraph id="HAC7BA5DFFA72487086D59CB7CFC97CDB"><enum>(2)</enum><header>Notification</header><text>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.</text></paragraph>
<paragraph id="HE62A2468C5C146C88E2983B6C5D1C639"><enum>(3)</enum><header>Clarification</header>
<subparagraph id="HF4DA0856A1A4433483B4640FF80D2AFE"><enum>(A)</enum><header>Oversight</header>
<clause id="H2606E638584848A69A6CFD7BF0CB37CE"><enum>(i)</enum><header>Local and regional crisis centers</header><text>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.</text></clause> <clause id="HF7532E7A6BF042E3B88EC2B479E922CA"><enum>(ii)</enum><header>Network administrator</header><text>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.</text></clause></subparagraph>
<subparagraph id="H4054FED13F894C39ADE9EDBC3B0AEA89"><enum>(B)</enum><header>Supplement, not supplant</header><text>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 <short-title>SUPPORT for Patients and Communities Reauthorization Act of 2025</short-title>.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection> <subsection id="H71995885E05C4CC2A436D31B747760E6"><enum>(c)</enum><header>Study</header><text>Not later than 180 days after the date of the enactment of this Act, the Comptroller General of the United States shall—</text>
<paragraph id="H5A0F86CF745348A1B98CDB4452F7DF22"><enum>(1)</enum><text>conduct and complete a study that evaluates cybersecurity risks and vulnerabilities associated with the 9–8–8 National Suicide Prevention Lifeline; and</text></paragraph> <paragraph id="HAFADE691341E49B29CF315B127AD1DF5"><enum>(2)</enum><text>submit a report on the findings of such 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.</text></paragraph></subsection></section>
<section id="H7564C9C2F47C464F950F15FFD71CCD38"><enum>109.</enum><header>Monitoring and reporting of child, youth, and adult trauma</header><text display-inline="no-display-inline">Section 7131(e) of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/42/242t">42 U.S.C. 242t(e)</external-xref>) is amended by striking <quote>$2,000,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$9,000,000 for each of fiscal years 2026 through 2030</quote>.</text></section> <section id="H1BE9D6D532BC407D9382D745FDFCDBEA"><enum>110.</enum><header>Bruce’s law</header> <subsection id="H9C755666293742B68104F87BFE8D7318"><enum>(a)</enum><header>Youth prevention and recovery</header><text>Section 7102(c) of the SUPPORT for Patients and Communities Act (42 U.S.C. 290bb–7a(c)) is amended—</text>
<paragraph id="H7D7B60903238459190DCE1FAEA8EDA65"><enum>(1)</enum><text>in paragraph (3)(A)(i), by inserting <quote>, 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</quote> before the semicolon; and</text></paragraph> <paragraph id="H83DE0DBEC061404985D0AFA5A199AFE2"><enum>(2)</enum><text>in paragraph (4)(A), by inserting <quote>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</quote> before the semicolon.</text></paragraph></subsection>
<subsection id="H82B4103178F54955A0AE044F431395C1"><enum>(b)</enum><header>Interdepartmental substance use disorders coordinating committee</header><text>Section 7022 of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290aa">42 U.S.C. 290aa</external-xref> note) is amended—</text> <paragraph id="H515460E2A14C4AE48F6A61489B5935CF"><enum>(1)</enum><text>by striking subsection (g) and inserting the following:</text>
<quoted-block id="H6ED2F84A48C34A4CAABD8F1A90FF048E" style="OLC">
<subsection id="HD58188D0F7994700AC9C963ACED584EE"><enum>(g)</enum><header>Working groups</header>
<paragraph id="H0E661CDDD76E4FFEA6B432DFC3F4E55B"><enum>(1)</enum><header>In general</header><text>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.</text></paragraph> <paragraph id="HCBE0822B4E4F4EFF9C565C472E7D2A01"><enum>(2)</enum><header>Additional federal interagency work group on fentanyl contamination of illegal drugs</header> <subparagraph id="H03FA851AD37B44E2869F2C2627D4A315"><enum>(A)</enum><header>Establishment</header><text>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 <quote>Work Group</quote>) consisting of representatives from relevant Federal departments and agencies on the Committee.</text></subparagraph>
<subparagraph id="HAADF2B38F0AD43CEB81F7F3E269840F4"><enum>(B)</enum><header>Consultation</header><text>The Work Group shall consult with relevant stakeholders and subject matter experts, including—</text> <clause id="HF3509260B6E645B48FF99B58ADD54D00"><enum>(i)</enum><text>State, Tribal, and local subject matter experts in reducing, preventing, and responding to drug overdose caused by fentanyl contamination of illicit drugs; and</text></clause>
<clause id="HD102FD7CD1F74640B257BA1AC17B0434"><enum>(ii)</enum><text>family members of both adults and youth who have overdosed by fentanyl contaminated illicit drugs.</text></clause></subparagraph> <subparagraph id="H4C4796D481944600AFA8172F16965A15"><enum>(C)</enum><header>Duties</header><text>The Work Group shall—</text>
<clause id="H6F344475BDC04F24BD340859E0E3A6C8"><enum>(i)</enum><text>examine Federal efforts to reduce and prevent drug overdose by fentanyl-contaminated illicit drugs;</text></clause> <clause id="H6D5613008B604D138D161A59C6AD5732"><enum>(ii)</enum><text>identify strategies to improve State, Tribal, and local responses to overdose by fentanyl-contaminated illicit drugs;</text></clause>
<clause id="HEC43DBED2AB44DF3BB22A26950BB8664"><enum>(iii)</enum><text>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;</text></clause> <clause id="H4871B329EA444159AB7B6FCD8C5A4F06"><enum>(iv)</enum><text>make recommendations to Congress for improving Federal programs, including with respect to the coordination of efforts across such programs; and</text></clause>
<clause id="H495F3F360990433E9DEFB8AE3C1EF4B3"><enum>(v)</enum><text>make recommendations for educating youth on the potency and dangers of drugs contaminated by fentanyl.</text></clause></subparagraph> <subparagraph id="HFD48184AB8404B74ADCD978B1AC52D42"><enum>(D)</enum><header>Annual report to secretary</header><text>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.</text></subparagraph></paragraph></subsection><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph>
<paragraph id="H99EE3F85758E4792A832ABC9D231D57C"><enum>(2)</enum><text>by striking subsection (i) and inserting the following:</text> <quoted-block style="OLC" id="H3D378B66E357456AB05F0A887BA1B8FC" display-inline="no-display-inline"> <subsection id="HFFB924ECD16C41098482CEF4B20FA01B"><enum>(i)</enum><header>Sunset</header><text display-inline="yes-display-inline">The Committee shall terminate on September 30, 2030.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section>
<section id="HF2512FED9B4E49DBA4C87D35BB772187"><enum>111.</enum><header>Guidance on at-home drug disposal systems</header>
<subsection id="HCACE5CE991CA415188E90B06249A75C4"><enum>(a)</enum><header>In general</header><text>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.</text></subsection> <subsection id="H52A675E566CB47E3BE07461010BC46AF"><enum>(b)</enum><header>Contents</header><text>The guidance under subsection (a) shall include—</text>
<paragraph id="H8276433B260F40A68539F616FE8A5785"><enum>(1)</enum><text>recommended standards for effective at-home drug disposal systems to meet applicable requirements enforced by the Food and Drug Administration;</text></paragraph> <paragraph id="HFD22F255CAF54AC0B604627B4E5E7F9B"><enum>(2)</enum><text>recommended information to include as instructions for use to disseminate with at-home drug disposal systems;</text></paragraph>
<paragraph id="HE6ABA26D41C1421680FD4FF5D1144A15"><enum>(3)</enum><text>best practices and educational tools to support the use of an at-home drug disposal system, as appropriate; and</text></paragraph> <paragraph id="HAD88DC601B12481EACEF938BB2F836E0"><enum>(4)</enum><text>recommended use of licensed health providers for the dissemination of education, instruction, and at-home drug disposal systems, as appropriate.</text></paragraph></subsection></section>
<section id="H35171BD0687B4F79BD95372A83B9FE9C"><enum>112.</enum><header>Assessment of opioid drugs and actions</header>
<subsection id="H986FC063DCD94FD9909157E263795AC3"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">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 <quote>Secretary</quote>) shall publish on the website of the Food and Drug Administration (referred to in this section as the <quote>FDA</quote>) a report that outlines a plan for assessing opioid analgesic drugs that are approved under section 505 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>) 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—</text> <paragraph id="HDC679E0B453742B581227173B36FE5D8"><enum>(1)</enum><text>an update on the actions taken by the FDA to consider the effectiveness, safety, benefit-risk profile, and use of approved opioid analgesic drugs;</text></paragraph>
<paragraph id="HEBBBFFD8B0624BF3B9F46B62EFBE2998"><enum>(2)</enum><text>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;</text></paragraph> <paragraph id="H59B7E697449E4856BE389E833EF7C4E8"><enum>(3)</enum><text>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</text></paragraph>
<paragraph id="HF867D3A0846D40D19CE52B9C34639E47"><enum>(4)</enum><text>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).</text></paragraph></subsection> <subsection id="H0DED61F249F84F0FB97C7BFB229135E5"><enum>(b)</enum><header>Public input</header><text display-inline="yes-display-inline">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.</text></subsection></section>
<section id="HCB3DC614FF4142FA83BBB8EA08E80E4F"><enum>113.</enum><header>Grant program for State and Tribal response to opioid use disorders</header><text display-inline="no-display-inline">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.</text></section> <enum>II</enum><header>Treatment</header> <section id="H58725C3A739A4C08A54F940F8E48E9F8"><enum>201.</enum><header>Residential treatment program for pregnant and postpartum women</header><text display-inline="no-display-inline">Section 508 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290bb-1">42 U.S.C. 290bb–1</external-xref>) is amended—</text>
<paragraph id="HFABA56D1EE3247949A6E436DE0E1B7E6"><enum>(1)</enum><text>in subsection (d)(11)(C), by striking <quote>providing health services</quote> and inserting <quote>providing health care services</quote>;</text></paragraph> <paragraph id="HD32B35A2D78440B89B1342F1FAEC756B"><enum>(2)</enum><text>in subsection (g)—</text>
<subparagraph id="H17F2A3D7E9AD496CBCB2DA6DB8D8513D"><enum>(A)</enum><text>by inserting <quote>a plan describing</quote> after <quote>will provide</quote>; and</text></subparagraph> <subparagraph id="HDA3C513B28804176948EAA82345E3777"><enum>(B)</enum><text>by adding at the end the following: <quote>Such plan may include a description of how such applicant will target outreach to women disproportionately impacted by maternal substance use disorder.</quote>; and</text></subparagraph></paragraph>
<paragraph id="H2328B044CA804717A97A86F2B7F80EE1"><enum>(3)</enum><text>in subsection (s), by striking <quote>$29,931,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$38,931,000 for each of fiscal years 2026 through 2030</quote>.</text></paragraph></section> <section id="H3E492D2974834B71AB49A7537A877B1A"><enum>202.</enum><header>Improving access to addiction medicine providers</header><text display-inline="no-display-inline">Section 597 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ll">42 U.S.C. 290ll</external-xref>) is amended—</text>
<paragraph id="HF18723A759834D26A4CC932B78479B89"><enum>(1)</enum><text>in subsection (a)(1), by inserting <quote>diagnosis,</quote> after <quote>related to</quote>; and</text></paragraph> <paragraph id="H3FF57914A2304EBD8A3B2E25D5FCE2E0"><enum>(2)</enum><text>in subsection (b), by inserting <quote>addiction medicine,</quote> after <quote>psychiatry,</quote>.</text></paragraph></section>
<section id="H363ACDCE963D48E089D32B1F7A318FDC" commented="no"><enum>203.</enum><header>Mental and behavioral health education and training grants</header><text display-inline="no-display-inline">Section 756(f) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/294e-1">42 U.S.C. 294e–1(f)</external-xref>) is amended by striking <quote>fiscal years 2023 through 2027</quote> and inserting <quote>fiscal years 2026 through 2030</quote>.</text></section> <section id="H41A5642D1E6C4C23A3E904889BE8B497"><enum>204.</enum><header>Loan repayment program for substance use disorder treatment workforce</header><text display-inline="no-display-inline">Section 781(j) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/295h">42 U.S.C. 295h(j)</external-xref>) is amended by striking <quote>$25,000,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$40,000,000 for each of fiscal years 2026 through 2030</quote>.</text></section>
<section id="H716F9EB22D89453399362CB7C374A54E" commented="no"><enum>205.</enum><header>Development and dissemination of model training programs for substance use disorder patient records</header><text display-inline="no-display-inline">Section 7053 of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290dd-2">42 U.S.C. 290dd–2</external-xref> note) is amended by striking subsection (e).</text></section> <section id="H3CB483E7E8D7482B9C5AE7EAFC335DC5"><enum>206.</enum><header>Task force on best practices for trauma-informed identification, referral, and support</header><text display-inline="no-display-inline">Section 7132 of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>; 132 Stat. 4046) is amended—</text>
<paragraph id="H99F325B98CCC4123B47120FE6E9E182B"><enum>(1)</enum><text>in subsection (b)(1)—</text> <subparagraph id="H84E2E483BBB349EE8374CDA5BB6764AF"><enum>(A)</enum><text>by redesignating subparagraph (CC) as subparagraph (DD); and</text></subparagraph>
<subparagraph id="HD26E955E3E9F4951B1B8AD0B4E4D6533"><enum>(B)</enum><text>by inserting after subparagraph (BB) the following:</text> <quoted-block id="H347854C2E5614C1E951A2E6B1319C66C" style="OLC"> <subparagraph id="H40D3A3B9DC5E43C5BF8FBC82C796C4E7"><enum>(CC)</enum><text>The Administration for Community Living.</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph>
<paragraph id="H76E42E2CE7CE4861B58227C8420D0C3D"><enum>(2)</enum><text>in subsection (d)(1), in the matter preceding subparagraph (A), by inserting <quote>, developmental disability service providers</quote> before <quote>, individuals who are</quote>; and</text></paragraph> <paragraph id="H7C4EBAAEDBD6419286C5C79716F32CF3"><enum>(3)</enum><text>in subsection (i), by striking <quote>2023</quote> and inserting <quote>2030</quote>.</text></paragraph></section>
<section id="H4F52696D052B4696B0C106F63E5537D5" commented="no"><enum>207.</enum><header>Grants to enhance access to substance use disorder treatment</header><text display-inline="no-display-inline">Section 3203 of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823</external-xref> note) is amended—</text> <paragraph id="H7EC7482EDB764DF698B46A9FF8515638" commented="no"><enum>(1)</enum><text>by striking subsection (b); and</text></paragraph>
<paragraph id="H66C62F1E3C9343D580C41F12C039B103" commented="no"><enum>(2)</enum><text>by striking <quote><header-in-text level="subsection" style="OLC"><enum-in-header>(a) </enum-in-header>In general</header-in-text>.—The Secretary</quote> and inserting the following: <quote>The Secretary</quote>.</text></paragraph></section> <section id="HCED3535C8EE045DEB028E1EF076B6FBA" commented="no"><enum>208.</enum><header>State guidance related to individuals with serious mental illness and children with serious emotional disturbance</header> <subsection id="H7350054E5E41412BA130AD93497AA0EE" commented="no"><enum>(a)</enum><header>Review of use of certain funding</header><text>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 <quote>Secretary</quote>), 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 (<external-xref legal-doc="usc" parsable-cite="usc/42/300x">42 U.S.C. 300x et seq.</external-xref>) (referred to in this section as the <quote>block grant program</quote>) for first episode psychosis activities. Such review shall consider the following:</text>
<paragraph id="H1297B96C1CB340F7A2CA3236A726FB2B" commented="no"><enum>(1)</enum><text>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.</text></paragraph> <paragraph id="H3398333AFCBB4F4595FE388CC3886FEB" commented="no"><enum>(2)</enum><text>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.</text></paragraph></subsection>
<subsection id="HED7B6E6B3F5143F28DAAFDB4E40DC03F" commented="no"><enum>(b)</enum><header>Report and guidance</header>
<paragraph id="HFE7ED58119AD4015AA3A88112B263098" commented="no"><enum>(1)</enum><header>Report</header><text>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—</text> <subparagraph id="HDC6AD3813C374FC9BAFDCFB97AD34091" commented="no"><enum>(A)</enum><text>the findings of the review under subsection (a); and</text></subparagraph>
<subparagraph id="H9B6543BF2FDF4FA0905A6CD85D3F6CCC" commented="no"><enum>(B)</enum><text>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.</text></subparagraph></paragraph> <paragraph id="H996D939EA691405A82F0E1994EC4A213" commented="no"><enum>(2)</enum><header>Guidance</header><text>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.</text></paragraph></subsection></section>
<section id="H8DAF88E6D8024C1CB94FE78828EDABCB"><enum>209.</enum><header>Reviewing the scheduling of approved products containing a combination of buprenorphine and naloxone</header>
<subsection id="HE889C44D75EC41278B2B0AF3D923A004"><enum>(a)</enum><header>Secretary of HHS</header><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/21/811">21 U.S.C. 811</external-xref>, 812)—</text> <paragraph id="H7954209428D542979BFBD442481D2028"><enum>(1)</enum><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/21/355">21 U.S.C. 355</external-xref>); and</text></paragraph>
<paragraph id="HDC6B10E8758A422C8D348134342F5A51"><enum>(2)</enum><text>if appropriate, request that the Attorney General initiate rulemaking proceedings to revise the schedules accordingly with respect to such products.</text></paragraph></subsection> <subsection id="H0707BFDA7FB94707A439CC49D1EB9BA5"><enum>(b)</enum><header>Attorney General</header><text>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 (<external-xref legal-doc="usc" parsable-cite="usc/21/811">21 U.S.C. 811</external-xref>, 812).</text></subsection></section>
<enum>III</enum><header>Recovery</header>
<section id="H09075755C8B84016936EBEB1FEB62C64"><enum>301.</enum><header>Building communities of recovery</header><text display-inline="no-display-inline">Section 547(f) of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ee-2">42 U.S.C. 290ee–2(f)</external-xref>) is amended by striking <quote>$5,000,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$17,000,000 for each of fiscal years 2026 through 2030</quote>.</text></section> <section id="HEC3794FCD3114FA38A97D39DB272AB9A"><enum>302.</enum><header>Peer support technical assistance center</header><text display-inline="no-display-inline">Section 547A of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ee-2a">42 U.S.C. 290ee–2a</external-xref>) is amended—</text>
<paragraph id="HC4840808448D467F849F6B4578C07E58"><enum>(1)</enum><text>in subsection (b)(4), by striking <quote>building; and</quote> and inserting the following: </text> <quoted-block id="H5474F305B42B45CA9B052AE2F189EDED" style="OLC" display-inline="yes-display-inline"><text>building, such as—</text>
<subparagraph id="HC1522020547146CAB7C866EA09A7A02B"><enum>(A)</enum><text>professional development of peer support specialists; and</text></subparagraph> <subparagraph id="H42B961D7F2674A018BCCA7E3CC20CDFD"><enum>(B)</enum><text>making recovery support services available in nonclinical settings; and</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></paragraph>
<paragraph id="HB016FCC985AE42F591ADED43CB9D1E70"><enum>(2)</enum><text>by redesignating subsections (d) and (e) as subsections (e) and (f), respectively;</text></paragraph> <paragraph id="HCB460E0241A84EFB80C64C9256B23511"><enum>(3)</enum><text>by inserting after subsection (c) the following:</text>
<quoted-block id="H0904A1C33B804546952C13E413016200" style="OLC">
<subsection id="H0D6BDC057BD84686A0DDC31550E74134"><enum>(d)</enum><header>Regional centers</header>
<paragraph id="H9079E54CD3CF4C22803BB44294749F1C"><enum>(1)</enum><header>In general</header><text>The Secretary may establish one regional technical assistance center (referred to in this subsection as the <quote>Regional Center</quote>), 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.</text></paragraph> <paragraph id="H7EDC737EE9314566B6186A2FEDB14A1E"><enum>(2)</enum><header>Evaluation</header><text>Not later than 4 years after the date of enactment of the <short-title>SUPPORT for Patients and Communities Reauthorization Act of 2025</short-title>, 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—</text>
<subparagraph id="HFCA980962A904C4283CBD6A7E65B6DA6"><enum>(A)</enum><text>a description of the distinct roles and responsibilities of the Regional Center and the Center;</text></subparagraph> <subparagraph id="H808DF27BACAE49BB999D4FD5C4B77443"><enum>(B)</enum><text>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;</text></subparagraph>
<subparagraph id="HFBC24C84B68A42E7806EBB716678E23B"><enum>(C)</enum><text>a description of any gaps or areas of duplication relating to the activities of the Regional Center and the Center within such region; and</text></subparagraph> <subparagraph id="HF95A2F8DEF0F4FC984FCA4CBE68A2EF7"><enum>(D)</enum><text>recommendations relating to the modification, expansion, or termination of the Regional Center under this subsection.</text></subparagraph></paragraph>
<paragraph id="H8C66316C41B643318AECEB03870155F1"><enum>(3)</enum><header>Termination</header><text>This subsection shall terminate on September 30, 2030.</text></paragraph></subsection><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph> <paragraph id="HFF14D2C258584EDAAFBD761716BA23E7"><enum>(4)</enum><text>in subsection (f), as so redesignated, by striking <quote>$1,000,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$2,000,000 for each of fiscal years 2026 through 2030</quote>.</text></paragraph></section>
<section id="HAE3D1F57E410416DA402B5F90ED46AC4"><enum>303.</enum><header>Comprehensive opioid recovery centers</header><text display-inline="no-display-inline">Section 552 of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ee-7">42 U.S.C. 290ee–7</external-xref>) is amended—</text> <paragraph id="H5B69E20880E74F518A0DE67F4876818E"><enum>(1)</enum><text>in subsection (d)(2)—</text>
<subparagraph id="H626BCB110AAF49268B0A8ACA4A452942"><enum>(A)</enum><text>in the matter preceding subparagraph (A), by striking <quote>and in such manner</quote> and inserting <quote>, in such manner, and containing such information and assurances, including relevant documentation,</quote>; and</text></subparagraph> <subparagraph id="H1345A6008A6A4E24AE3C0570830E55A9"><enum>(B)</enum><text>in subparagraph (A), by striking <quote>is capable of coordinating with other entities to carry out</quote> and inserting <quote>has the demonstrated capability to carry out, through referral or contractual arrangements</quote>;</text></subparagraph></paragraph>
<paragraph id="HD209741A26244EBD9A2DAC65B104EF91"><enum>(2)</enum><text>in subsection (h)—</text> <subparagraph id="H95F3F2C58567462A90BA2F447AC2B356"><enum>(A)</enum><text>by redesignating paragraphs (1) through (4) as subparagraphs (A) through (D), respectively, and adjusting the margins accordingly;</text></subparagraph>
<subparagraph id="H0574A101F83A4DECBC5A956B5FB99685"><enum>(B)</enum><text>by striking <quote>With respect to</quote> and inserting the following:</text> <quoted-block id="HF44D8BF7777B47878C01C480653BA1AB" style="OLC"> <paragraph id="H1D4A327706144E3C8218364DBA39E3D0"><enum>(1)</enum><header>In general</header><text>With respect to</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph>
<subparagraph id="H41F3BC75DD3E4107AF5C6ED447DE563F"><enum>(C)</enum><text>by adding at the end the following:</text> <quoted-block id="HDB42D923D7274B03A4213B55EAA3264C" style="OLC"> <paragraph id="HCF473EB48A194D01B6D3545C9E8F0259"><enum>(2)</enum><header>Additional reporting for certain eligible entities</header><text>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.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph>
<paragraph id="HF175CF85B8F648D5A1EC31A823B718AC"><enum>(3)</enum><text display-inline="yes-display-inline">in subsection (j), by striking <quote>2019 through 2023</quote> and inserting <quote>2026 through 2030</quote>.</text></paragraph></section> <section id="HC40DBB33F6DC491F9EC2974ABBFA88B5"><enum>304.</enum><header>Youth prevention and recovery</header><text display-inline="no-display-inline">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—</text>
<paragraph id="H390E21327F6944729A42F029DC612A54"><enum>(1)</enum><text>in paragraph (2)—</text> <subparagraph id="H34A3F70E0D0946CD8CFC1937135959DD"><enum>(A)</enum><text>in subparagraph (A)—</text>
<clause id="HEA60BCC2B0DB4688B2D7919DB1748B00"><enum>(i)</enum><text>in clause (i)—</text> <subclause id="H95050C36AD6B44B6A59AF86E3ED75A96"><enum>(I)</enum><text>by inserting <quote>, or a consortium of local educational agencies,</quote> after <quote>a local educational agency</quote>; and</text></subclause>
<subclause id="HC855647AE4834C8583CA0B61468F627E"><enum>(II)</enum><text>by striking <quote>high schools</quote> and inserting <quote>secondary schools</quote>; and</text></subclause></clause> <clause id="HB03C39F3FD8A4AB88621952E8B25C8F2"><enum>(ii)</enum><text>in clause (vi), by striking <quote>tribe, or tribal</quote> and inserting <quote>Tribe, or Tribal</quote>;</text></clause></subparagraph>
<subparagraph id="H61E74CE13F224E488E3C24E4A4CF3003"><enum>(B)</enum><text>by amending subparagraph (E) to read as follows:</text> <quoted-block id="H5EF8B0EBB26D4C5D8024D6B054FB0D50" style="OLC"> <subparagraph id="HB37B4240A8E2472A961C63B659BD7F6D"><enum>(E)</enum><header>Indian tribe; tribal organization</header><text>The terms <term>Indian Tribe</term> and <term>Tribal organization</term> have the meanings given such terms in section 4 of the Indian Self-Determination and Education Assistance Act (<external-xref legal-doc="usc" parsable-cite="usc/25/5304">25 U.S.C. 5304</external-xref>).</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph>
<subparagraph id="H2122E84D54D44B64A6D16A922056EB6F"><enum>(C)</enum><text>by redesignating subparagraph (K) as subparagraph (L); and</text></subparagraph> <subparagraph id="H8AEB0C0CE621419DA99D3C7B6E575E3A"><enum>(D)</enum><text>by inserting after subparagraph (J) the following:</text>
<quoted-block id="H4876C739F741489A9D3B239BE5BA04A3" style="OLC">
<subparagraph id="H7DD8DD47CFD54A568DD5D3C6B71317FD"><enum>(K)</enum><header>Secondary school</header><text>The term <term>secondary school</term> has the meaning given such term in section 8101 of the Elementary and Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7801">20 U.S.C. 7801</external-xref>).</text></subparagraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph> <paragraph id="HB1E1A57DFF8148B4896F29B7A993B5C1"><enum>(2)</enum><text>in paragraph (3)(A), in the matter preceding clause (i)—</text>
<subparagraph id="H2567F7DE38AE4A109933865C1FC4C952"><enum>(A)</enum><text>by striking <quote>and abuse</quote>; and</text></subparagraph> <subparagraph id="H4CFE9BFB32F74CB0AB7640A974B0029B"><enum>(B)</enum><text>by inserting <quote>at increased risk for substance misuse</quote> after <quote>specific populations</quote>;</text></subparagraph></paragraph>
<paragraph id="H8D135E4B64374303A90DCF16CD129CA6"><enum>(3)</enum><text>in paragraph (4)—</text> <subparagraph id="H4C413D0AE8BA48BE8B3F4B5DF8BE991A"><enum>(A)</enum><text>in the matter preceding subparagraph (A), by striking <quote>Indian tribes</quote> and inserting <quote>Indian Tribes</quote>;</text></subparagraph>
<subparagraph id="H0C62BB81445B48D1957302AB4EA875F9"><enum>(B)</enum><text>in subparagraph (A), by striking <quote>and abuse</quote>; and</text></subparagraph> <subparagraph id="H27835FBB05EB4A10B2231956A60DF74D"><enum>(C)</enum><text>in subparagraph (B), by striking <quote>peer mentoring</quote> and inserting <quote>peer-to-peer support</quote>;</text></subparagraph></paragraph>
<paragraph id="H1E7D04E1F5034C10AF8205F21EE63F66"><enum>(4)</enum><text>in paragraph (5), by striking <quote>tribal</quote> and inserting <quote>Tribal</quote>;</text></paragraph> <paragraph id="H4912D1B12E4147DDB28F36C808F6C30B"><enum>(5)</enum><text>in paragraph (6)(A)—</text>
<subparagraph id="H1CC712C038204FCC92D4D68CD407D046"><enum>(A)</enum><text>in clause (iv), by striking <quote>; and</quote> and inserting a semicolon; and</text></subparagraph> <subparagraph id="H3E4C4A60CF8B40ECB967C1DDD70E406B"><enum>(B)</enum><text>by adding at the end the following:</text>
<quoted-block id="HA575736BF4B64C0DB3E6BE3722A107FF" style="OLC">
<clause id="H0062DCB8BC0B4D76871E1C5F3EDDDBE0"><enum>(vi)</enum><text>a plan to sustain the activities carried out under the grant program, after the grant program has ended; and</text></clause><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph> <paragraph id="H819747208EE445919A9A2D0AEBF4159E"><enum>(6)</enum><text>in paragraph (8), by striking <quote>2022</quote> and inserting <quote>2028</quote>; and</text></paragraph>
<paragraph id="H4A4C3FBE05F246F6B1CEF248564A2917" commented="no"><enum>(7)</enum><text>by amending paragraph (9) to read as follows:</text> <quoted-block id="HE23BFC5A7D604D7186F13E7492C60668" style="OLC"> <paragraph id="HE6EFE7D3F23E4479BAE32A74FF86F460" commented="no"><enum>(9)</enum><header>Authorization of appropriations</header><text>To carry out this subsection, there are authorized to be appropriated—</text>
<subparagraph id="HD4E3480F4B014479B3CDF8C71670C266"><enum>(A)</enum><text display-inline="yes-display-inline">$10,000,000 for fiscal year 2026;</text></subparagraph> <subparagraph id="HBBD1BE7DE9E54127BBB9AEE2E3B2C918"><enum>(B)</enum><text>$12,000,000 for fiscal year 2027;</text></subparagraph>
<subparagraph id="H42130A757DF94461BA3CD8E99241E81B"><enum>(C)</enum><text>$13,000,000 for fiscal year 2028;</text></subparagraph> <subparagraph id="H791FA54CF54A4424A54464F066F3F10F"><enum>(D)</enum><text>$14,000,000 for fiscal year 2029; and</text></subparagraph>
<subparagraph id="H1B22938C8D7341D5A9F34B9340512918"><enum>(E)</enum><text>$15,000,000 for fiscal year 2030.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></section> <section id="HEEE26A58AE0D496FA4275914FEB8FCD2"><enum>305.</enum><header>CAREER Act</header> <subsection id="HA3AF55469B314FE0808E54F2F9172E07"><enum>(a)</enum><header>In general</header><text>Section 7183 of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/42/290ee-8">42 U.S.C. 290ee–8</external-xref>) is amended—</text>
<paragraph id="HA791FEC6617D4452834443CEF75D51FE"><enum>(1)</enum><text>in the section heading, by inserting <quote><header-in-text level="section" style="OLC">; TREATMENT, RECOVERY, AND WORKFORCE SUPPORT GRANTS</header-in-text></quote> after <quote><header-in-text level="section" style="OLC">CAREER ACT</header-in-text></quote>;</text></paragraph> <paragraph id="H78204DFA9078474F92BCCFDF2C90F784"><enum>(2)</enum><text>in subsection (b), by inserting <quote>each</quote> before <quote>for a period</quote>;</text></paragraph>
<paragraph id="HD7ED44B2338F4ED8A7367D81BAE3BCC9"><enum>(3)</enum><text>in subsection (c)—</text> <subparagraph id="H328E93FC0D7B4347982B77ADB0774C67"><enum>(A)</enum><text>in paragraph (1), by striking <quote>the rates described in paragraph (2)</quote> and inserting <quote>the average rates for calendar years 2018 through 2022 described in paragraph (2)</quote>; and</text></subparagraph>
<subparagraph id="H823CA241BF3E4CB1AD437680117C8E83"><enum>(B)</enum><text>by amending paragraph (2) to read as follows:</text> <quoted-block id="H0F3749494DF2476CA56F5FE0789EF6DB" style="OLC"> <paragraph id="HE7ADFD8C43D743B8BD2B12F03DE96F7F"><enum>(2)</enum><header>Rates</header><text>The rates described in this paragraph are the following:</text>
<subparagraph id="H74B838AA2CA346FCB93134CEA6BFECFE"><enum>(A)</enum><text>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.</text></subparagraph> <subparagraph id="H5F5C271606E14654B8CC5185C9EDE938"><enum>(B)</enum><text>The highest average rates of unemployment for calendar years 2018 through 2022 based on data provided by the Bureau of Labor Statistics.</text></subparagraph>
<subparagraph id="H3D48B1BFD06C411E9CBDA1C67B001CC7"><enum>(C)</enum><text>The lowest average labor force participation rates for calendar years 2018 through 2022 based on data provided by the Bureau of Labor Statistics.</text></subparagraph></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph> <paragraph id="HC1B01954F960420991809D504C7B0A25"><enum>(4)</enum><text>in subsection (g)—</text>
<subparagraph id="H1D23BE2A8A134CD0BEFF13A39ACBA147"><enum>(A)</enum><text>in each of paragraphs (1) and (3), by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and adjusting the margins accordingly;</text></subparagraph> <subparagraph id="H0EF4926437BE4C75ACD4E97EB82FF898"><enum>(B)</enum><text>by redesignating paragraphs (1) through (3) as subparagraphs (A) through (C), respectively, and adjusting the margins accordingly;</text></subparagraph>
<subparagraph id="HEF006A74BFA14BD49D2D7F7023D2E0F5"><enum>(C)</enum><text>in the matter preceding subparagraph (A) (as so redesignated), by striking <quote>An entity</quote> and inserting the following:</text> <quoted-block id="HA3FA7A6A136E4644AE4E94266DF85F62" style="OLC"> <paragraph id="HB41D3B85D6FB48DBA1FE77A48D0D854F"><enum>(1)</enum><header>In general</header><text>An entity</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph>
<subparagraph id="H71B99BF5212F4937897CD53E744E7682"><enum>(D)</enum><text>by adding at the end the following:</text> <quoted-block id="HF05876C9937C43C0A373908109EA94F0" style="OLC"> <paragraph id="H34ADE951347E48169EC9E2B5EB9C6830"><enum>(2)</enum><header>Transportation services</header><text>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.</text></paragraph>
<paragraph id="H1E09107940D746A3BC873D7F8663CC05"><enum>(3)</enum><header>Limitation</header><text>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.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph> <paragraph id="H5B344CF001EE4C46ABB838E39979D964"><enum>(5)</enum><text>in subsection (i)(2), by inserting <quote>, 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 (<external-xref legal-doc="usc" parsable-cite="usc/29/3141">29 U.S.C. 3141(b)(2)(A)(i)</external-xref>) with respect to the participation of such individuals with a substance use disorder in programs and activities funded by the grant under this section</quote> after <quote>subsection (g)</quote>;</text></paragraph>
<paragraph id="HEDAE99D2F3634509A2EEA38D636FCD15"><enum>(6)</enum><text>in subsection (j)—</text> <subparagraph id="HFDD0E22274F34755A7B80EBAA8BF0B90"><enum>(A)</enum><text>in paragraph (1), by inserting <quote>for grants awarded prior to the date of enactment of the <short-title>SUPPORT for Patients and Communities Reauthorization Act of 2025</short-title></quote> after <quote>grant period under this section</quote>; and</text></subparagraph>
<subparagraph id="HB5A6B4CDB55E49018D484A1A67AB4699"><enum>(B)</enum><text>in paragraph (2)—</text> <clause id="H1B4F4EBC51674C0A8E28A32B199AE580"><enum>(i)</enum><text>in the matter preceding subparagraph (A), by striking <quote>2 years after submitting the preliminary report required under paragraph (1)</quote> and inserting <quote>September 30, 2030</quote>; and</text></clause>
<clause id="H77316E27ED40486688F287039141AC15"><enum>(ii)</enum><text>in subparagraph (A), by striking <quote>(g)(3)</quote> and inserting <quote>(g)(1)(C)</quote>; and</text></clause></subparagraph></paragraph> <paragraph id="H50B603290302434FADF012EE2C4FA362"><enum>(7)</enum><text>in subsection (k), by striking <quote>$5,000,000 for each of fiscal years 2019 through 2023</quote> and inserting <quote>$12,000,000 for each of fiscal years 2026 through 2030</quote>.</text></paragraph></subsection>
<subsection id="H03C0CC6B7D7D40E395C76AF809709A8B" commented="no"><enum>(b)</enum><header>Reauthorization of the CAREER Act; Recovery Housing Pilot Program</header>
<paragraph id="HDF195AA6A748496ABBAAA6B7848CF75E" commented="no"><enum>(1)</enum><header>In general</header><text>Section 8071 of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/42/5301">42 U.S.C. 5301</external-xref> note; <external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>) is amended—</text> <subparagraph id="H61A291641A4F4B21B52D00D03AD906F3" commented="no" display-inline="no-display-inline"><enum>(A)</enum><text>by striking the section heading and inserting <quote><header-in-text level="section" style="OLC">CAREER Act; Recovery Housing Pilot Program</header-in-text></quote>;</text></subparagraph>
<subparagraph id="HFBF18438E18641B88606E5F8E619EEF3" commented="no" display-inline="no-display-inline"><enum>(B)</enum><text display-inline="yes-display-inline">in subsection (a), by striking <quote>through 2023</quote> and inserting <quote>through 2030</quote>;</text></subparagraph> <subparagraph id="HAC7B8524B1E84DEC8A9A45D987F70457" commented="no" display-inline="no-display-inline"><enum>(C)</enum><text>in subsection (b)—</text>
<clause id="H749B8592F8734060A5150E5481D5B69D" commented="no" display-inline="no-display-inline"><enum>(i)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>not later than 60 days after the date of enactment of this Act</quote> and inserting <quote>not later than 60 days after the date of enactment of the <short-title>SUPPORT for Patients and Communities Reauthorization Act of 2025</short-title></quote>; and</text></clause> <clause id="HCA24696C155C4708A44D97CC7A9B3A16" commented="no" display-inline="no-display-inline"><enum>(ii)</enum><text>in paragraph (2)(B)(i)—</text>
<subclause id="H322AEAB3AEB640F0B03EE8A49E00BEEA" commented="no" display-inline="no-display-inline"><enum>(I)</enum><text display-inline="yes-display-inline">in subclause (I)—</text> <item id="H118B356E43064EEA9FB48A8338005B8E" commented="no" display-inline="no-display-inline"><enum>(aa)</enum><text display-inline="yes-display-inline">by striking <quote>for calendar years 2013 through 2017</quote>; and</text></item>
<item id="HDAE301D64C3D4F3B9647393FDD7F2E5A" commented="no" display-inline="no-display-inline"><enum>(bb)</enum><text display-inline="yes-display-inline">by inserting <quote>for calendar years 2018 through 2022</quote> after <quote>rates of unemployment</quote>;</text></item></subclause> <subclause id="HAE15AE451000455CB153AF20387696C4" commented="no"><enum>(II)</enum><text>in subclause (II)—</text>
<item id="H13BD17F753DA4F398A043A738FF01669" commented="no" display-inline="no-display-inline"><enum>(aa)</enum><text display-inline="yes-display-inline">by striking <quote>for calendar years 2013 through 2017</quote>; and</text></item> <item id="HC67F7F8D825F464BBB0B2A876C1B6539" commented="no" display-inline="no-display-inline"><enum>(bb)</enum><text display-inline="yes-display-inline">by inserting <quote>for calendar years 2018 through 2022</quote> after <quote>participation rates</quote>; and</text></item></subclause>
<subclause id="H3754A748C51443EF8F5A0B96B09BDA7E" commented="no" display-inline="no-display-inline"><enum>(III)</enum><text display-inline="yes-display-inline">by striking subclause (III) and inserting the following:</text> <quoted-block style="OLC" display-inline="no-display-inline" id="HA68DD54A983744F78509F13773715650"> <subclause id="H2D15D329274941759B059605D1BD95A0" commented="no"><enum>(III)</enum><text>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.</text></subclause><after-quoted-block>; and</after-quoted-block></quoted-block></subclause></clause></subparagraph>
<subparagraph id="H277208B160D641FBAB96EA39E36C0109" commented="no" display-inline="no-display-inline"><enum>(D)</enum><text>in subsection (f), by striking <quote>For the 2-year period following the date of enactment of this Act, the</quote> and inserting <quote>The</quote>.</text></subparagraph></paragraph> <paragraph id="HD9BA928F4D3745CC8451E23FCFC82901" commented="no"><enum>(2)</enum><header>Conforming amendment</header><text>Subtitle F of title VIII of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>; 132 Stat. 4095) is amended by striking the subtitle heading and inserting the following: <quote><header-in-text level="subtitle" style="OLC"><enum-in-header>Subtitle F</enum-in-header>—CAREER Act; Recovery Housing Pilot Program</header-in-text></quote><header-in-text level="subtitle" style="OLC">.</header-in-text></text></paragraph></subsection>
<subsection id="H1B798BF61CCE460887DB37CE9951137A"><enum>(c)</enum><header>Clerical amendments</header><text>The table of contents in section 1(b) of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="public-law" parsable-cite="pl/115/271">Public Law 115–271</external-xref>; 132 Stat. 3894) is amended—</text> <paragraph id="HC38389C6F3AD4380BAE4ED3D938EA7A0"><enum>(1)</enum><text>by striking the item relating to section 7183 and inserting the following:</text>
<quoted-block id="H4C9E688C20324ED5AF5AD94CD33F4F31" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 7183. CAREER Act; treatment, recovery, and workforce support grants.</toc-entry></toc><after-quoted-block>;</after-quoted-block></quoted-block></paragraph>
<paragraph id="H9845A8B5944E434A84B2C2A4E99FED2C"><enum>(2)</enum><text>by striking the item relating to subtitle F of title VIII and inserting the following:</text> <quoted-block style="OLC" id="H5AA23ABDC34943479AA60F0EFFF2490D" display-inline="no-display-inline"> <toc regeneration="no-regeneration"> <toc-entry level="subtitle">Subtitle F—CAREER Act; Recovery Housing Pilot Program</toc-entry></toc><after-quoted-block>; and</after-quoted-block></quoted-block></paragraph> <paragraph id="HB8A0E3AF0B9440068B37DC39BDB218BD"><enum>(3)</enum><text>by striking the item relating to section 8071 and inserting the following:</text>
<quoted-block style="OLC" id="H630A34552F72476DA3AAA0642BD401C2" display-inline="no-display-inline">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 8071. CAREER Act; Recovery Housing Pilot Program.</toc-entry></toc><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection></section>
<section id="H3E094FC3B0B64AA3A80F02F0D19A4AAA" section-type="subsequent-section" commented="no"><enum>306.</enum><header>Addressing economic and workforce impacts of the opioid crisis</header><text display-inline="no-display-inline">Section 8041(g)(1) of the SUPPORT for Patients and Communities Act (<external-xref legal-doc="usc" parsable-cite="usc/29/3225a">29 U.S.C. 3225a(g)(1)</external-xref>) is amended by striking <quote>2023</quote> and inserting <quote>2030</quote>. </text></section> <enum>IV</enum><header>Miscellaneous matters</header> <section id="H7BBFF2CD57DB4F4F80AEB7A993B2B0C2"><enum>401.</enum><header>Delivery of a controlled substance by a pharmacy to a prescribing practitioner</header><text display-inline="no-display-inline">Section 309A(a) of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/829a">21 U.S.C. 829a(a)</external-xref>) is amended by striking paragraph (2) and inserting the following:</text>
<quoted-block id="HB69B5B0AD44B40C8916D7B1C89ACAB90" style="OLC">
<paragraph id="HD1983A1FA18041C7A1C9BFFD70128851"><enum>(2)</enum><text>the controlled substance is a drug in schedule III, IV, or V to be administered—</text> <subparagraph id="HAF2CD7F0E1E245A3987F075B37CFD0F7"><enum>(A)</enum><text>by injection or implantation for the purpose of maintenance or detoxification treatment; or</text></subparagraph>
<subparagraph id="H4D55FDEBBC024FC8B344B70CCB65E160"><enum>(B)</enum><text>subject to a risk evaluation and mitigation strategy pursuant to section 505–1 of the Federal Food, Drug, and Cosmetic Act (<external-xref legal-doc="usc" parsable-cite="usc/21/355-1">21 U.S.C. 355–1</external-xref>) 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;</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></section> <section id="HD8344070A71443D09D2024395E443D94"><enum>402.</enum><header>Required training for prescribers of controlled substances</header> <subsection id="HFED077C1B5B8495587E9281374DA3012"><enum>(a)</enum><header>In general</header><text>Section 303 of the Controlled Substances Act (<external-xref legal-doc="usc" parsable-cite="usc/21/823">21 U.S.C. 823</external-xref>) is amended—</text>
<paragraph id="HE25D4EEB34A140C1B7BF464AA2F5756A"><enum>(1)</enum><text>by redesignating the second subsection designated as subsection (l) as subsection (m); and</text></paragraph> <paragraph id="H081A5396872440428314DC7450B9AAF0"><enum>(2)</enum><text>in subsection (m)(1), as so redesignated—</text>
<subparagraph id="H8E4D63AB877B4780A34DCABDF67B9C1A"><enum>(A)</enum><text>in subparagraph (A)—</text> <clause id="H9233EF9CC744476FAD1B523308DFDEEB"><enum>(i)</enum><text>in clause (iv)—</text>
<subclause id="H0A4CC5A3963D48E7AAD67C705AE3A9E6"><enum>(I)</enum><text>in subclause (I)—</text> <item id="HFC70185FF98F4F09A420D0CC84C24847"><enum>(aa)</enum><text>by inserting <quote>the American Academy of Family Physicians, the American Podiatric Medical Association, the Academy of General Dentistry, the American Optometric Association,</quote> before <quote>or any other organization</quote>;</text></item>
<item id="H363CD7B262F94BBB808652D0DC260968"><enum>(bb)</enum><text>by striking <quote>or the Commission</quote> and inserting <quote>, the Commission</quote>; and</text></item> <item id="HB16F348D37304445827FD3F171EEA289"><enum>(cc)</enum><text>by inserting <quote>, or the Council on Podiatric Medical Education</quote> before the semicolon at the end; and</text></item></subclause>
<subclause id="HA236C6C7C39D4CD68C8D06B433AD58D2"><enum>(II)</enum><text>in subclause (III), by inserting <quote>or the American Academy of Family Physicians</quote> after <quote>Association</quote>; and</text></subclause></clause> <clause id="HA86C45589A224E2A81900A8BDC2EA9EC"><enum>(ii)</enum><text>in clause (v), in the matter preceding subclause (I)—</text>
<subclause id="HA4ED47953E874F8985A92CBFE7ECF6BE"><enum>(I)</enum><text>by striking <quote>osteopathic medicine, dental surgery</quote> and inserting <quote>osteopathic medicine, podiatric medicine, dental surgery</quote>; and</text></subclause> <subclause id="H19D143704BC54CAB8104F091AEDCA05C"><enum>(II)</enum><text>by striking <quote>or dental medicine curriculum</quote> and inserting <quote>or dental or podiatric medicine curriculum</quote>; and</text></subclause></clause></subparagraph>
<subparagraph id="H644C14F7F9C24065B143B7880F55F1A6"><enum>(B)</enum><text>in subparagraph (B)—</text> <clause id="H5938F546947240F1B07917D29929DE13"><enum>(i)</enum><text>in clause (i)—</text>
<subclause id="HC9EFD1B9829A408C97050A2E8F19C5E1"><enum>(I)</enum><text>by inserting <quote>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,</quote> before <quote>or any other organization</quote>; and</text></subclause> <subclause id="H00D3271EB303498DA6D857832C579245"><enum>(II)</enum><text>by inserting <quote>, the American Academy of Family Physicians,</quote> before <quote>or the Accreditation Council</quote>; and</text></subclause></clause>
<clause id="H9F82E9F13A3A47C4A8E976E56AEEA4F7"><enum>(ii)</enum><text>in clause (ii)—</text> <subclause id="H6E1BB5FE21B9444EBC45337222BAEB66"><enum>(I)</enum><text>by striking <quote>or accredited school</quote> and inserting <quote>, an accredited school</quote>; and</text></subclause>
<subclause id="HAE994895609B43409482DB730739EA5E"><enum>(II)</enum><text>by inserting <quote>, or an accredited school of pharmacy</quote> before <quote>in the United States</quote>.</text></subclause></clause></subparagraph></paragraph></subsection> <subsection id="HED61F12DCAF5435C8A00F494BE75A72B"><enum>(b)</enum><header>Effective date</header><text>The amendment made by subsection (a) shall take effect as if enacted on December 29, 2022.</text></subsection></section>