[Congressional Record Volume 171, Number 43 (Thursday, March 6, 2025)]
[Senate]
[Pages S1610-S1615]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
SA 1232. Ms. HASSAN submitted an amendment intended to be proposed by
her to the bill S. 331, to amend the Controlled Substances Act with
respect to the scheduling of fentanyl-related substances, and for other
purposes; which was ordered to lie on the table; as follows:
At the appropriate place, insert the following:
TITLE II--SUPPORT ACT REAUTHORIZATION
SEC. 201. SHORT TITLE.
This title may be cited as the ``SUPPORT for Patients and
Communities Reauthorization Act of 2025''.
Subtitle A--Prevention
SEC. 211. PRENATAL AND POSTNATAL HEALTH.
Section 317L(d) of the Public Health Service Act (42 U.S.C.
247b-13(d)) is amended by striking ``such sums as may be
necessary for each of the fiscal years 2019 through 2023''
and inserting ``$4,250,000 for each of fiscal years 2025
through 2029''.
[[Page S1611]]
SEC. 212. MONITORING AND EDUCATION REGARDING INFECTIONS
ASSOCIATED WITH ILLICIT DRUG USE AND OTHER RISK
FACTORS.
Section 317N(d) of the Public Health Service Act (42 U.S.C.
247b-15(d)) is amended by striking ``fiscal years 2019
through 2023'' and inserting ``fiscal years 2025 through
2029''.
SEC. 213. PREVENTING OVERDOSES OF CONTROLLED SUBSTANCES.
(a) In General.--Section 392A of the Public Health Service
Act (42 U.S.C. 280b-1) is amended--
(1) in subsection (a)(2)--
(A) in subparagraph (C), by inserting ``and associated
risks'' before the period at the end; and
(B) in subparagraph (D), by striking ``opioids'' and
inserting ``substances causing overdose''; and
(2) in subsection (b)(2)--
(A) in subparagraph (B), by inserting ``, and associated
risk factors,'' after ``such overdoses'';
(B) in subparagraph (C), by striking ``coding'' and
inserting ``monitoring and identifying'';
(C) in subparagraph (E)--
(i) by inserting a comma after ``public health
laboratories''; and
(ii) by inserting ``and other emerging substances related''
after ``analogues''; and
(D) in subparagraph (F), by inserting ``and associated risk
factors'' after ``overdoses''.
(b) Additional Grants.--Section 392A(a)(3) of the Public
Health Service Act (42 U.S.C. 280b-1(a)(3)) is amended--
(1) in the matter preceding subparagraph (A), by striking
``and Indian Tribes--'' and inserting ``and Indian Tribes for
the following purposes:'';
(2) by amending subparagraph (A) to read as follows:
``(A) 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.''; and
(3) in subparagraph (B), by striking ``for any'' and
inserting ``For any''.
(c) Authorization of Appropriations.--Section 392A(e) of
the Public Health Service Act (42 U.S.C. 280b-1(e)) is
amended by striking ``$496,000,000 for each of fiscal years
2019 through 2023'' and inserting ``$505,579,000 for each of
fiscal years 2025 through 2029''.
SEC. 214. SUPPORT FOR INDIVIDUALS AND FAMILIES IMPACTED BY
FETAL ALCOHOL SPECTRUM DISORDER.
(a) In General.--Part O of title III of the Public Health
Service Act (42 U.S.C. 280f et seq.) is amended to read as
follows:
``PART O--FETAL ALCOHOL SYNDROME PREVENTION AND SERVICES PROGRAM
``SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PREVENTION,
INTERVENTION, AND SERVICES DELIVERY PROGRAM.
``(a) In General.--The Secretary shall establish or
continue activities to support a comprehensive fetal alcohol
spectrum disorders (referred to in this section as `FASD')
education, prevention, identification, intervention, and
services delivery program, which may include--
``(1) an education and public awareness program to support,
conduct, and evaluate the effectiveness of--
``(A) 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;
``(B) strategies to educate school-age children, including
pregnant and high-risk youth, concerning FASD;
``(C) public and community awareness programs concerning
FASD; and
``(D) 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;
``(2) supporting and conducting research on FASD, as
appropriate, including to--
``(A) develop appropriate medical diagnostic methods for
identifying FASD; and
``(B) 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;
``(3) building State and Tribal capacity for the
identification, treatment, and support of individuals with
FASD and their families, which may include--
``(A) utilizing and adapting existing Federal, State, or
Tribal programs to include FASD identification and FASD-
informed support;
``(B) developing and expanding screening and diagnostic
capacity for FASD;
``(C) developing, implementing, and evaluating targeted
FASD-informed intervention programs for FASD;
``(D) providing training with respect to FASD for
professionals across relevant sectors; and
``(E) disseminating information about FASD and support
services to affected individuals and their families; and
``(4) 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 Syndrome or Fetal Alcohol
Effect and their families.
``(b) Grants and Technical Assistance.--
``(1) In general.--The Secretary may award grants,
cooperative agreements and contracts and provide technical
assistance to eligible entities to carry out subsection (a).
``(2) Eligible entities.--To be eligible to receive a
grant, or enter into a cooperative agreement or contract,
under this section, an entity shall--
``(A) be a State, Indian Tribe or Tribal organization,
local government, scientific or academic institution, or
nonprofit organization; and
``(B) 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.
``(3) Additional application contents.--The Secretary may
require that an eligible entity include in the application
submitted under paragraph (2)(B)--
``(A) 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
``(B) 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.
``(c) Definition of FASD-informed.--For purposes of this
section, the term `FASD-informed', 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.
``SEC. 399I. STRENGTHENING CAPACITY AND EDUCATION FOR FETAL
ALCOHOL SPECTRUM DISORDERS.
``(a) In General.--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
`FASD'). 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).
``(b) Programs.--An entity receiving an award under
subsection (a) may use such award for the following purposes:
``(1) Developing and supporting public education and
outreach activities to raise public awareness of the risks
associated with alcohol consumption during pregnancy.
``(2) 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.
``(3) 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.
``(4) Providing technical assistance to recipients of
grants, cooperative agreements, or contracts under section
399H, as appropriate.
``(c) Application.--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.
``(d) Subcontracting.--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:
``(1) Resource development and dissemination.
``(2) Intervention services.
``(3) Training and technical assistance.
``SEC. 399J. AUTHORIZATION OF APPROPRIATIONS.
``There are authorized to be appropriated to carry out this
part $12,500,000 for each of fiscal years 2025 through
2029.''.
(b) Report.--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--
(1) a review of the activities carried out pursuant to
sections 399H and 399I of the
[[Page S1612]]
Public Health Service Act, as amended, to advance public
education and awareness of fetal alcohol spectrum disorders
(referred to in this section as ``FASD'');
(2) a description of--
(A) the activities carried out pursuant to such sections
399H and 399I to identify, prevent, and treat FASD; and
(B) methods used to evaluate the outcomes of such
activities; and
(3) an assessment of activities carried out pursuant to
such sections 399H and 399I to support individuals with FASD.
SEC. 215. PROMOTING STATE CHOICE IN PDMP SYSTEMS.
Section 399O(h) of the Public Health Service Act (42 U.S.C.
280g-3(h)) is amended by adding at the end the following:
``(5) Promoting state choice.--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.''.
SEC. 216. FIRST RESPONDER TRAINING PROGRAM.
Section 546 of the Public Health Service Act (42 U.S.C.
290ee-1) is amended--
(1) in subsection (a), by striking ``tribes and tribal''
and inserting ``Tribes and Tribal'';
(2) in subsections (a), (c), and (d)--
(A) by striking ``approved or cleared'' each place it
appears and inserting ``approved, cleared, or otherwise
legally marketed''; and
(B) by striking ``opioid'' each place it appears;
(3) in subsection (f)--
(A) by striking ``approved or cleared'' each place it
appears and inserting ``approved, cleared, or otherwise
legally marketed'';
(B) in paragraph (1), by striking ``opioid'';
(C) in paragraph (2)--
(i) by striking ``opioid and heroin'' and inserting
``opioid, heroin, and other drug''; and
(ii) by striking ``opioid overdose'' and inserting
``overdose''; and
(D) in paragraph (3), by striking ``opioid and heroin'';
and
(4) in subsection (h), by striking ``$36,000,000 for each
of fiscal years 2019 through 2023'' and inserting
``$56,000,000 for each of fiscal years 2025 through 2029''.
SEC. 217. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS
INITIATIVE.
(a) Technical Amendment.--The second part G of title V of
the Public Health Service Act (42 U.S.C. 290kk et seq.), as
added by section 144 of the Community Renewal Tax Relief Act
(Public Law 106-554), is amended--
(1) by redesignating such part as part J; and
(2) by redesignating sections 581 through 584 as sections
596 through 596C, respectively.
(b) In General.--Section 582 of the Public Health Service
Act (42 U.S.C. 290hh-1) is amended--
(1) in the section heading, by striking ``violence related
stress'' and inserting ``traumatic events'';
(2) in subsection (a)--
(A) in the matter preceding paragraph (1), by striking
``tribes and tribal'' and inserting ``Tribes and Tribal'';
and
(B) in paragraph (2), by inserting ``and dissemination''
after ``the development'';
(3) in subsection (b), by inserting ``and dissemination''
after ``the development'';
(4) in subsection (d)--
(A) by striking ``The NCTSI'' and inserting the following:
``(1) Coordinating center.--The NCTSI''; and
(B) by adding at the end the following:
``(2) Nctsi grantees.--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.'';
(5) in subsection (e)--
(A) by redesignating paragraphs (1) and (2) as
subparagraphs (A) and (B), respectively, and adjusting the
margins accordingly;
(B) in subparagraph (A), as so redesignated, by inserting
``and implementation'' after ``the dissemination'';
(C) by striking ``The NCTSI'' and inserting the following:
``(1) Coordinating center.--The NCTSI''; and
(D) by adding at the end the following:
``(2) Nctsi grantees.--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).'';
(6) by amending subsection (h) to read as follows:
``(h) Application and Evaluation.--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--
``(1) 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
``(2) 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.''; and
(7) by amending subsection (j) to read as follows:
``(j) Authorization of Appropriations.--There is authorized
to be appropriated to carry out this section--
``(1) $93,887,000 for fiscal year 2025;
``(2) $95,000,000 for fiscal year 2026;
``(3) $97,000,000 for fiscal year 2027;
``(4) $100,000,000 for fiscal year 2028; and
``(5) $100,000,000 for fiscal year 2029.''.
SEC. 218. PROTECTING SUICIDE PREVENTION LIFELINE FROM
CYBERSECURITY INCIDENTS.
(a) National Suicide Prevention Lifeline Program.--Section
520E-3(b) of the Public Health Service Act (42 U.S.C. 290bb-
36c(b)) is amended--
(1) in paragraph (4), by striking ``and'' at the end;
(2) in paragraph (5), by striking the period at the end and
inserting ``; and''; and
(3) by adding at the end the following:
``(6) taking such steps as may be necessary to ensure the
suicide prevention hotline is protected from cybersecurity
incidents and eliminates known cybersecurity
vulnerabilities.''.
(b) Reporting.--Section 520E-3 of the Public Health Service
Act (42 U.S.C. 290bb-36c) is amended--
(1) by redesignating subsection (f) as subsection (g); and
(2) by inserting after subsection (e) the following:
``(f) Cybersecurity Reporting.--
``(1) Notification.--
``(A) In general.--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--
``(i) any identified cybersecurity vulnerabilities to the
program within a reasonable amount of time after
identification of such a vulnerability; and
``(ii) any identified cybersecurity incidents to the
program within a reasonable amount of time after
identification of such incident.
``(B) Local and regional crisis centers.--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--
``(i) any identified cybersecurity vulnerabilities to the
program within a reasonable amount of time after
identification of such vulnerability; and
``(ii) any identified cybersecurity incidents to the
program within a reasonable amount of time after
identification of such incident.
``(2) Notification.--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.
``(3) Clarification.--
``(A) Oversight.--
``(i) Local and regional crisis centers.--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.
``(ii) Network administrator.--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.
``(B) Supplement, not supplant.--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 SUPPORT for Patients and Communities Reauthorization
Act of 2025.''.
(c) Study.--Not later than 180 days after the date of the
enactment of this Act, the Comptroller General of the United
States shall--
(1) conduct and complete a study that evaluates
cybersecurity risks and vulnerabilities associated with the
9-8-8 National Suicide Prevention Lifeline; and
(2) 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.
SEC. 219. BRUCE'S LAW.
(a) Youth Prevention and Recovery.--Section 7102(c) of the
SUPPORT for Patients and Communities Act (42 U.S.C. 290bb-
7a(c)) is amended--
(1) in paragraph (3)(A)(i), by inserting ``, 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'' before the semicolon;
and
(2) in paragraph (4)(A), by inserting ``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'' before the semicolon.
(b) Interdepartmental Substance Use Disorders Coordinating
Committee.--Section 7022 of the SUPPORT for Patients and
[[Page S1613]]
Communities Act (42 U.S.C. 290aa note) is amended--
(1) by striking subsection (g) and inserting the following:
``(g) Working Groups.--
``(1) In general.--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.
``(2) Additional federal interagency work group on fentanyl
contamination of illegal drugs.--
``(A) Establishment.--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 `Work Group') consisting of
representatives from relevant Federal departments and
agencies on the Committee.
``(B) Consultation.--The Work Group shall consult with
relevant stakeholders and subject matter experts, including--
``(i) State, Tribal, and local subject matter experts in
reducing, preventing, and responding to drug overdose caused
by fentanyl contamination of illicit drugs; and
``(ii) family members of both adults and youth who have
overdosed by fentanyl contaminated illicit drugs.
``(C) Duties.--The Work Group shall--
``(i) examine Federal efforts to reduce and prevent drug
overdose by fentanyl-contaminated illicit drugs;
``(ii) identify strategies to improve State, Tribal, and
local responses to overdose by fentanyl-contaminated illicit
drugs;
``(iii) 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;
``(iv) make recommendations to Congress for improving
Federal programs, including with respect to the coordination
of efforts across such programs; and
``(v) make recommendations for educating youth on the
potency and dangers of drugs contaminated by fentanyl.
``(D) Annual report to secretary.--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 the 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.''; and
(2) by striking subsection (i) and inserting the following:
``(i) Sunset.--The Committee shall terminate on September
30, 2029.''.
SEC. 220. GUIDANCE ON AT-HOME DRUG DISPOSAL SYSTEMS.
(a) In General.--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.
(b) Contents.--The guidance under subsection (a) shall
include--
(1) recommended standards for effective at-home drug
disposal systems to meet applicable requirements enforced by
the Food and Drug Administration;
(2) recommended information to include as instructions for
use to disseminate with at-home drug disposal systems;
(3) best practices and educational tools to support the use
of an at-home drug disposal system, as appropriate; and
(4) recommended use of licensed health providers for the
dissemination of education, instruction, and at-home drug
disposal systems, as appropriate.
SEC. 221. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.
(a) In General.--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 ``Secretary'')
shall publish on the website of the Food and Drug
Administration (referred to in this section as the ``FDA'') 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 (21 U.S.C. 355) 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--
(1) an update on the actions taken by the FDA to consider
the effectiveness, safety, benefit-risk profile, and use of
approved opioid analgesic drugs;
(2) 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;
(3) 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
(4) 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).
(b) Public Input.--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.
SEC. 222. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO
OPIOID USE DISORDERS.
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.
Subtitle B--Treatment
SEC. 231. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND
POSTPARTUM WOMEN.
Section 508 of the Public Health Service Act (42 U.S.C.
290bb-1) is amended--
(1) in subsection (d)(11)(C), by striking ``providing
health services'' and inserting ``providing health care
services'';
(2) in subsection (g)--
(A) by inserting ``a plan describing'' after ``will
provide''; and
(B) by adding at the end the following: ``Such plan may
include a description of how such applicant will target
outreach to women disproportionately impacted by maternal
substance use disorder.''; and
(3) in subsection (s), by striking ``$29,931,000 for each
of fiscal years 2019 through 2023'' and inserting
``$38,931,000 for each of fiscal years 2025 through 2029''.
SEC. 232. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.
Section 597 of the Public Health Service Act (42 U.S.C.
290ll) is amended--
(1) in subsection (a)(1), by inserting ``diagnosis,'' after
``related to''; and
(2) in subsection (b), by inserting ``addiction medicine,''
after ``psychiatry,''.
SEC. 233. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING
GRANTS.
Section 756(f) of the Public Health Service Act (42 U.S.C.
294e-1(f)) is amended by striking ``fiscal years 2023 through
2027'' and inserting ``fiscal years 2025 through 2029''.
SEC. 234. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER
TREATMENT WORKFORCE.
Section 781(j) of the Public Health Service Act (42 U.S.C.
295h(j)) is amended by striking ``$25,000,000 for each of
fiscal years 2019 through 2023'' and inserting ``$40,000,000
for each of fiscal years 2025 through 2029''.
SEC. 235. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING
PROGRAMS FOR SUBSTANCE USE DISORDER PATIENT
RECORDS.
Section 7053 of the SUPPORT for Patients and Communities
Act (42 U.S.C. 290dd-2 note) is amended by striking
subsection (e).
SEC. 236. TASK FORCE ON BEST PRACTICES FOR TRAUMA-INFORMED
IDENTIFICATION, REFERRAL, AND SUPPORT.
Section 7132 of the SUPPORT for Patients and Communities
Act (Public Law 115-271; 132 Stat. 4046) is amended--
(1) in subsection (b)(1)--
(A) by redesignating subparagraph (CC) as subparagraph
(DD); and
(B) by inserting after subparagraph (BB) the following:
``(CC) The Administration for Community Living.'';
(2) in subsection (d)(1), in the matter preceding
subparagraph (A), by inserting ``, developmental disability
service providers'' before ``, individuals who are''; and
(3) in subsection (i), by striking ``2023'' and inserting
``2029''.
SEC. 237. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER
TREATMENT.
Section 3203 of the SUPPORT for Patients and Communities
Act (21 U.S.C. 823 note) is amended--
(1) by striking subsection (b); and
(2) by striking ``(a) In General.--The Secretary'' and
inserting the following: ``The Secretary''.
SEC. 238. STATE GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS
MENTAL ILLNESS AND CHILDREN WITH SERIOUS
EMOTIONAL DISTURBANCE.
(a) Review of Use of Certain Funding.--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 ``Secretary''), 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 (42
U.S.C. 300x et seq.) (referred to in this section as the
``block grant program'') for first episode psychosis
activities. Such review shall consider the following:
(1) 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.
[[Page S1614]]
(2) 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.
(b) Report and Guidance.--
(1) Report.--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--
(A) the findings of the review under subsection (a); and
(B) 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.
(2) Guidance.--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.
SEC. 239. REVIEWING THE SCHEDULING OF APPROVED PRODUCTS
CONTAINING A COMBINATION OF BUPRENORPHINE AND
NALOXONE.
(a) Secretary of Hhs.--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 (21 U.S.C. 811, 812)--
(1) 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 (21 U.S.C. 355); and
(2) if appropriate, request that the Attorney General
initiate rulemaking proceedings to revise the schedules
accordingly with respect to such products.
(b) Attorney General.--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 (21 U.S.C. 811, 812).
Subtitle C--Recovery
SEC. 241. BUILDING COMMUNITIES OF RECOVERY.
Section 547(f) of the Public Health Service Act (42 U.S.C.
290ee-2(f)) is amended by striking ``$5,000,000 for each of
fiscal years 2019 through 2023'' and inserting ``$16,000,000
for each of fiscal years 2025 through 2029''.
SEC. 242. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.
Section 547A of the Public Health Service Act (42 U.S.C.
290ee-2a) is amended--
(1) in subsection (b)(4), by striking ``building; and'' and
inserting the following: ``building, such as--
``(A) professional development of peer support specialists;
and
``(B) making recovery support services available in
nonclinical settings; and'';
(2) by redesignating subsections (d) and (e) as subsections
(e) and (f), respectively;
(3) by inserting after subsection (c) the following:
``(d) Regional Centers.--
``(1) In general.--The Secretary may establish one regional
technical assistance center (referred to in this subsection
as the `Regional Center'), 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.
``(2) Evaluation.--Not later than 4 years after the date of
enactment of the SUPPORT for Patients and Communities
Reauthorization Act of 2025, 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--
``(A) a description of the distinct roles and
responsibilities of the Regional Center and the Center;
``(B) 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;
``(C) a description of any gaps or areas of duplication
relating to the activities of the Regional Center and the
Center within such region; and
``(D) recommendations relating to the modification,
expansion, or termination of the Regional Center under this
subsection.
``(3) Termination.--This subsection shall terminate on
September 30, 2029.''; and
(4) in subsection (f), as so redesignated, by striking
``$1,000,000 for each of fiscal years 2019 through 2023'' and
inserting ``$2,000,000 for each of fiscal years 2025 through
2029''.
SEC. 243. COMPREHENSIVE OPIOID RECOVERY CENTERS.
Section 552 of the Public Health Service Act (42 U.S.C.
290ee-7) is amended--
(1) in subsection (d)(2)--
(A) in the matter preceding subparagraph (A), by striking
``and in such manner'' and inserting ``, in such manner, and
containing such information and assurances, including
relevant documentation,''; and
(B) in subparagraph (A), by striking ``is capable of
coordinating with other entities to carry out'' and inserting
``has the demonstrated capability to carry out, through
referral or contractual arrangements'';
(2) in subsection (h)--
(A) by redesignating paragraphs (1) through (4) as
subparagraphs (A) through (D), respectively, and adjusting
the margins accordingly;
(B) by striking ``With respect to'' and inserting the
following:
``(1) In general.--With respect to''; and
(C) by adding at the end the following:
``(2) Additional reporting for certain eligible entities.--
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.''; and
(3) in subsection (j), by striking ``2019 through 2023''
and inserting ``2025 through 2029''.
SEC. 244. YOUTH PREVENTION AND RECOVERY.
Section 7102(c) of the SUPPORT for Patients and Communities
Act (42 U.S.C. 290bb-7a(c)) (as amended by section 210(a)) is
amended--
(1) in paragraph (2)--
(A) in subparagraph (A)--
(i) in clause (i)--
(I) by inserting ``, or a consortium of local educational
agencies,'' after ``a local educational agency''; and
(II) by striking ``high schools'' and inserting ``secondary
schools''; and
(ii) in clause (vi), by striking ``tribe, or tribal'' and
inserting ``Tribe, or Tribal'';
(B) by amending subparagraph (E) to read as follows:
``(E) Indian tribe; tribal organization.--The terms `Indian
Tribe' and `Tribal organization' have the meanings given such
terms in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 5304).'';
(C) by redesignating subparagraph (K) as subparagraph (L);
and
(D) by inserting after subparagraph (J) the following:
``(K) Secondary school.--The term `secondary school' has
the meaning given such term in section 8101 of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 7801).'';
(2) in paragraph (3)(A), in the matter preceding clause
(i)--
(A) by striking ``and abuse''; and
(B) by inserting ``at increased risk for substance misuse''
after ``specific populations'';
(3) in paragraph (4)--
(A) in the matter preceding subparagraph (A), by striking
``Indian tribes'' and inserting ``Indian Tribes'';
(B) in subparagraph (A), by striking ``and abuse''; and
(C) in subparagraph (B), by striking ``peer mentoring'' and
inserting ``peer-to-peer support'';
(4) in paragraph (5), by striking ``tribal'' and inserting
``Tribal'';
(5) in paragraph (6)(A)--
(A) in clause (iv), by striking ``; and'' and inserting a
semicolon; and
(B) by adding at the end the following:
``(vi) a plan to sustain the activities carried out under
the grant program, after the grant program has ended; and'';
(6) in paragraph (8), by striking ``2022'' and inserting
``2027''; and
(7) by amending paragraph (9) to read as follows:
``(9) Authorization of appropriations.--To carry out this
subsection, there are authorized to be appropriated--
``(A) $10,000,000 for fiscal year 2025;
``(B) $12,000,000 for fiscal year 2026;
``(C) $13,000,000 for fiscal year 2027;
``(D) $14,000,000 for fiscal year 2028; and
``(E) $15,000,000 for fiscal year 2029.''.
SEC. 245. CAREER ACT.
(a) In General.--Section 7183 of the SUPPORT for Patients
and Communities Act (42 U.S.C. 290ee-8) is amended--
(1) in the section heading, by inserting ``; treatment,
recovery, and workforce support grants'' after ``career
act'';
(2) in subsection (b), by inserting ``each'' before ``for a
period'';
(3) in subsection (c)--
(A) in paragraph (1), by striking ``the rates described in
paragraph (2)'' and inserting ``the average rates for
calendar years 2018 through 2022 described in paragraph
(2)''; and
(B) by amending paragraph (2) to read as follows:
``(2) Rates.--The rates described in this paragraph are the
following:
``(A) 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.
``(B) The highest average rates of unemployment for
calendar years 2018 through 2022 based on data provided by
the Bureau of Labor Statistics.
``(C) The lowest average labor force participation rates
for calendar years 2018 through 2022 based on data provided
by the Bureau of Labor Statistics.'';
[[Page S1615]]
(4) in subsection (g)--
(A) in each of paragraphs (1) and (3), by redesignating
subparagraphs (A) and (B) as clauses (i) and (ii),
respectively, and adjusting the margins accordingly;
(B) by redesignating paragraphs (1) through (3) as
subparagraphs (A) through (C), respectively, and adjusting
the margins accordingly;
(C) in the matter preceding subparagraph (A) (as so
redesignated), by striking ``An entity'' and inserting the
following:
``(1) In general.--An entity''; and
(D) by adding at the end the following:
``(2) Transportation services.--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.
``(3) Limitation.--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.'';
(5) in subsection (i)(2), by inserting ``, 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 (29 U.S.C.
3141(b)(2)(A)(i)) with respect to the participation of such
individuals with a substance use disorder in programs and
activities funded by the grant under this section'' after
``subsection (g)'';
(6) in subsection (j)--
(A) in paragraph (1), by inserting ``for grants awarded
prior to the date of enactment of the SUPPORT for Patients
and Communities Reauthorization Act of 2025'' after ``grant
period under this section''; and
(B) in paragraph (2)--
(i) in the matter preceding subparagraph (A), by striking
``2 years after submitting the preliminary report required
under paragraph (1)'' and inserting ``September 30, 2029'';
and
(ii) in subparagraph (A), by striking ``(g)(3)'' and
inserting ``(g)(1)(C)''; and
(7) in subsection (k), by striking ``$5,000,000 for each of
fiscal years 2019 through 2023'' and inserting ``$12,000,000
for each of fiscal years 2025 through 2029''.
(b) Reauthorization of the CAREER Act; Recovery Housing
Pilot Program.--
(1) In general.--Section 8071 of the SUPPORT for Patients
and Communities Act (42 U.S.C. 5301 note; Public Law 115-271)
is amended--
(A) by striking the section heading and inserting ``career
act; recovery housing pilot program'';
(B) in subsection (a), by striking ``through 2023'' and
inserting ``through 2029'';
(C) in subsection (b)--
(i) in paragraph (1), by striking ``not later than 60 days
after the date of enactment of this Act'' and inserting ``not
later than 60 days after the date of enactment of the SUPPORT
for Patients and Communities Reauthorization Act of 2025'';
and
(ii) in paragraph (2)(B)(i)--
(I) in subclause (I)--
(aa) by striking ``for calendar years 2013 through 2017'';
and
(bb) by inserting ``for calendar years 2018 through 2022''
after ``rates of unemployment'';
(II) in subclause (II)--
(aa) by striking ``for calendar years 2013 through 2017'';
and
(bb) by inserting ``for calendar years 2018 through 2022''
after ``participation rates''; and
(III) by striking subclause (III) and inserting the
following:
``(III) 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.''; and
(D) in subsection (f), by striking ``For the 2-year period
following the date of enactment of this Act, the'' and
inserting ``The''.
(2) Conforming amendment.--Subtitle F of title VIII of the
SUPPORT for Patients and Communities Act (Public Law 115-271;
132 Stat. 4095) is amended by striking the subtitle heading
and inserting the following: ``Subtitle F--CAREER Act;
Recovery Housing Pilot Program'' .
(c) Clerical Amendments.--The table of contents in section
1(b) of the SUPPORT for Patients and Communities Act (Public
Law 115-271; 132 Stat. 3894) is amended--
(1) by striking the item relating to section 7183 and
inserting the following:
``Sec. 7183. CAREER Act; treatment, recovery, and workforce support
grants.'';
(2) by striking the item relating to subtitle F of title
VIII and inserting the following:
``Subtitle F--CAREER Act; Recovery Housing Pilot Program''; and
(3) by striking the item relating to section 8071 and
inserting the following:
``Sec. 8071. CAREER Act; Recovery Housing Pilot Program.''.
SEC. 246. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF THE
OPIOID CRISIS.
Section 8041(g)(1) of the SUPPORT for Patients and
Communities Act (29 U.S.C. 3225a(g)(1)) is amended by
striking ``2023'' and inserting ``2029''.
Subtitle D--Miscellenous Matters
SEC. 251. DELIVERY OF A CONTROLLED SUBSTANCE BY A PHARMACY TO
A PRESCRIBING PRACTITIONER.
Section 309A(a) of the Controlled Substances Act (21 U.S.C.
829a(a)) is amended by striking paragraph (2) and inserting
the following:
``(2) the controlled substance is a drug in schedule III,
IV, or V to be administered--
``(A) by injection or implantation for the purpose of
maintenance or detoxification treatment; or
``(B) subject to a risk evaluation and mitigation strategy
pursuant to section 505-1 of the Federal Food, Drug, and
Cosmetic Act (21 U.S.C. 355-1) 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.''.
SEC. 252. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED
SUBSTANCES.
(a) In General.--Subsection (m)(1) of section 303 of the
Controlled Substances Act (21 U.S.C. 823), as so redesignated
by section 3 of this Act, is amended--
(1) in subparagraph (A)--
(A) in clause (iv)--
(i) in subclause (I)--
(I) by inserting ``the American Academy of Family
Physicians, the American Podiatric Medical Association, the
Academy of General Dentistry, the American Optometric
Association,'' before ``or any other organization'';
(II) by striking ``or the Commission'' and inserting ``the
Commission''; and
(III) by inserting ``, or the Council on Podiatric Medical
Education'' before the semicolon at the end; and
(ii) in subclause (III), by inserting ``or the American
Academy of Family Physicians'' after ``Association''; and
(B) in clause (v), in the matter preceding subclause (I)--
(i) by striking ``osteopathic medicine, dental surgery''
and inserting ``osteopathic medicine, podiatric medicine,
dental surgery''; and
(ii) by striking ``or dental medicine curriculum'' and
inserting ``or dental or podiatric medicine curriculum''; and
(2) in subparagraph (B)--
(A) in clause (i)--
(i) by inserting ``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,'' before
``or any other organization''; and
(ii) by inserting ``, the American Academy of Family
Physicians,'' before ``or the Accreditation Council''; and
(B) in clause (ii)--
(i) by striking ``or accredited school'' and inserting ``,
an accredited school''; and
(ii) by inserting ``, or an accredited school of pharmacy''
before ``in the United States''.
(b) Effective Date.--Notwithstanding the redesignation made
by section 3(a)(1), the amendment made by subsection (a)
shall take effect as if enacted on December 29, 2022.
______