[Congressional Record Volume 172, Number 152 (Thursday, September 24, 2026)]
[Senate]
[Pages S5017-S5019]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




              JOHN A. HAUSER MENTAL HEALTH IN AVIATION ACT

  Mr. HUSTED. Madam President, I ask unanimous consent that the Senate 
proceed to the immediate consideration of Calendar No. 558, S. 3257.
  The PRESIDING OFFICER. The clerk will report the bill by title.
  The legislative clerk read as follows:

       A bill (S. 3257) to require the Administrator of the 
     Federal Aviation Administration to revise regulations for 
     certain individuals carrying out aviation activities who 
     disclose a mental health diagnosis or condition, and for 
     other purposes.

  There being no objection, the Senate proceeded to consider the bill, 
which had been reported from the Committee on Commerce, Science, and 
Transportation with an amendment to strike all after the enacting 
clause and insert the part printed in italic, as follows:

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``John A. Hauser Mental Health 
     in Aviation Act''.

     SEC. 2. DEFINITIONS.

       In this Act:
       (1) Administrator.--The term ``Administrator'' means the 
     Administrator of the Federal Aviation Administration.
       (2) Appropriate committees of congress.--The term 
     ``appropriate committees of Congress'' means--
       (A) the Committee on Transportation and Infrastructure of 
     the House of Representatives; and
       (B) the Committee on Commerce, Science, and Transportation 
     of the Senate.
       (3) FAA.--The term ``FAA'' means the Federal Aviation 
     Administration.
       (4) Special issuance.--The term ``special issuance'' has 
     the meaning given such term in section 67.401 of title 14, 
     Code of Federal Regulations.

     SEC. 3. REGULATIONS FOR INDIVIDUALS CARRYING OUT AVIATION 
                   ACTIVITIES.

       (a) In General.--Not later than 18 months after the date of 
     enactment of this Act, the Administrator shall update 
     regulations, including in part 67 of title 14, Code of 
     Federal Regulations, and issue relevant guidance as 
     appropriate to encourage individuals to--
       (1) seek help for mental health conditions or symptoms of 
     mental health conditions; and
       (2) to disclose conditions or symptoms described in 
     paragraph (1).
       (b) Solicit Feedback; Report Requirements.--Section 411(d) 
     of the FAA Reauthorization Act of 2024 (49 U.S.C. 44703 note) 
     is amended--
       (1) in paragraph (3), by striking subparagraph (B) and 
     inserting the following:
       ``(B) soliciting feedback from aviation industry 
     professionals or other licensed professionals representing 
     air carrier operations under part 121 and part 135 of title 
     14, Code of Federal Regulations, and general aviation 
     operations under part 91 of title 14, Code of Federal 
     Regulations, the exclusive bargaining representatives of air 
     traffic controllers of the FAA certified under section 7111 
     of title 5, United States Code, organizations representing 
     collective bargaining representatives of airline pilots, 
     institutions of higher education that are accredited by the 
     Aviation Accreditation Board International, and professional 
     pilot flight training schools certificated under part 141 of 
     title 14, Code of Federal Regulations;''; and
       (2) in paragraph (4)--
       (A) in subparagraphs (A) and (B), by striking ``and'' at 
     the end;
       (B) in subparagraph (C), by striking the period at the end 
     and inserting a semicolon; and
       (C) by adding at the end the following new subparagraphs:
       ``(D) a review and evaluation of any recommendations 
     reached by the National Transportation Safety Board related 
     to aviation workforce mental health; and
       ``(E) a description of relevant clinical studies, research, 
     diagnostic manuals, and protocols relied upon by the task 
     group in developing their recommendations.''.
       (c) Implementation.--
       (1) In general.--Not later than 180 days after the date of 
     enactment of this Act, and for any report issued thereafter, 
     not later than 180 days after the submission of each report 
     required under section 411(f) of the FAA Reauthorization Act 
     of 2024 (49 U.S.C. 44703 note), the Administrator may take 
     action, as appropriate, to implement the recommendations of 
     such report.
       (2) Justification.--In the event that the Administrator 
     decides not to implement a recommendation described in 
     paragraph (1), the Administrator shall submit to the 
     appropriate committees of Congress the justification for such 
     decision not later than 90 days after receiving the report 
     containing such recommendation.

     SEC. 4. REVIEW OF MENTAL HEALTH SPECIAL ISSUANCE PROCESS.

       Beginning on the date that is 180 days after the 
     Administrator submits the first report pursuant to section 
     411(f) of the FAA Reauthorization Act of 2024 (49 U.S.C. 
     44703 note), and annually for the 1st 2 years thereafter, and 
     triennially thereafter, the Administrator shall conduct a 
     review of the special issuance process, and update, as 
     appropriate, the applicable regulations, policies, orders, 
     and guidance on mental health-related special issuance for 
     pilots and air traffic controllers to--
       (1) consider the reclassification of additional medications 
     and evidence-based treatments that may be safely prescribed 
     to treat mental health conditions;
       (2) provide enhanced mental health knowledge and training 
     for aviation medical examiners, consistent with the 
     recommendations of the Mental Health & Aviation Medical 
     Clearances Aviation Rulemaking Committee described in section 
     6;
       (3) if the Administrator determines appropriate, consider 
     expanding opportunities in which an aviation medical examiner 
     may issue a certificate consistent with the recommendations 
     of the Mental Health & Aviation Medical Clearances Aviation 
     Rulemaking Committee described in section 6, provided that 
     such examiner has completed enhanced mental health training, 
     as described in paragraph (2), to ensure such personnel have 
     the requisite knowledge and ability to appropriately evaluate 
     individuals for FAA medical certification; and
       (4) improve the special issuance process for pilots and air 
     traffic controllers.

     SEC. 5. IMPROVING CAPACITY FOR THE OFFICE OF AEROSPACE 
                   MEDICINE.

       Of the amounts made available pursuant to section 106(k)(1) 
     of title 49, United States Code, the Administrator shall 
     designate not more than $15,000,000 for each of fiscal years 
     2026 through 2028 to--
       (1) recruit, select, and train additional aviation medical 
     examiners and human intervention motivation study aviation 
     medical examiners, including those who are psychiatrists;
       (2) expand capacity to provide oversight of aviation 
     medical examiners and clear the backlog of special issuance 
     requests and cases awaiting review at the Office of Aerospace 
     Medicine of the FAA;
       (3) provide enhanced mental health training to aviation 
     medical examiners to ensure such personnel have requisite 
     knowledge and the ability to appropriately evaluate 
     individuals for FAA medical certification; and
       (4) support any other related activities, as determined 
     appropriate by the Administrator.

     SEC. 6. IMPLEMENTATION OF AVIATION RULEMAKING COMMITTEE 
                   RECOMMENDATIONS.

       (a) In General.--Not later than 2 years after the date of 
     enactment of this Act, the Administrator shall implement, as 
     appropriate, the recommendations of the Mental Health & 
     Aviation Medical Clearances Aviation Rulemaking Committee, 
     which were submitted to the Administrator on April 1, 2024 
     (in this section referred to as the ``ARC'').
       (b) Consultation.--In carrying out subsection (a), the 
     Administrator shall consult with

[[Page S5018]]

     the stakeholders described in section 411(d)(3)(B) of the FAA 
     Reauthorization Act of 2024 (as amended by this Act).
       (c) Validation.--With respect to recommendation 6 of the 
     ARC, the Administrator shall leverage and cite relevant 
     clinical studies, research, diagnostic manuals, and protocols 
     to inform the recommendation, as determined by the 
     Administrator. The Administrator may, as appropriate, 
     commission any such studies that may be needed to fill data 
     gaps. Any such studies shall document the data gap and be 
     completed not later than 1 year after the enactment of this 
     Act.
       (d) Justification.--If the Administrator decides not to 
     implement a recommendation described in the ARC, the 
     Administrator shall submit to the appropriate committees of 
     Congress their justification for such decision not later than 
     90 days after the deadline described in such subsection.

     SEC. 7. PUBLIC INFORMATION CAMPAIGN.

       (a) In General.--For fiscal years 2026 through 2028, the 
     Administrator shall carry out a public information campaign 
     or similar public education efforts to--
       (1) destigmatize individuals in (or interested in joining) 
     the aviation industry who seek mental health care;
       (2) broaden awareness of available supportive services; and
       (3) improve trust between the FAA and pilots and air 
     traffic controllers.
       (b) Requirements.--The public information campaign or 
     similar public education efforts described in subsection (a) 
     shall include--
       (1) making publicly available (in an easily accessible 
     format and location online)--
       (A) information that would help destigmatize the reporting 
     of mental health concerns impacting the aviation workforce, 
     and encourage individuals to seek help for such concerns; and
       (B) other information to effectuate the outcomes described 
     in subsection (a);
       (2) posting the information described in paragraph (1) at 
     Aviation Medical Examiner offices; and
       (3) collaborating with air carriers (as defined in section 
     40102 of title 49, United States Code), flight training 
     institutions and entities (as described in parts 61 and 141 
     of title 14, Code of Federal Regulations), and small, medium, 
     and large hub airports (as defined in such section 40102) to 
     encourage such entities to make such information easily 
     accessible to airmen and air traffic controllers.
       (c) Briefing and Report to Congress.--
       (1) Briefing.--Not later than 90 days after the 
     Administrator establishes the public information campaign 
     described in subsection (a), the Administrator shall brief 
     the appropriate committees of Congress on the actions taken 
     to develop the campaign and the plans to implement the 
     campaign.
       (2) Report.--Not later than 2 years after the Administrator 
     implements the public information campaign, the Administrator 
     shall submit to the appropriate committees of Congress a 
     report describing the engagement and outreach resulting from 
     such campaign, including a description of any applicable 
     feedback from aviation industry stakeholders on the efficacy 
     of the campaign.
  Mr. HUSTED. Madam President, I ask unanimous consent that the 
committee-reported substitute amendment be withdrawn and the Hoeven 
substitute amendment at the desk be agreed to; that the bill, as 
amended, be considered read a third time and passed; and that the 
motion to reconsider be considered made and laid upon the table.
  The PRESIDING OFFICER. Without objection, it is so ordered.
  The committee-reported amendment, in the nature of a substitute, was 
withdrawn.
  The amendment (No. 6834), in the nature of a substitute, was agreed 
to, as follows:

               (Purpose: In the nature of a substitute.)

        Strike all after the enacting clause and insert the 
     following:

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``John A. Hauser Mental Health 
     in Aviation Act''.

     SEC. 2. DEFINITIONS.

       In this Act:
       (1) Administrator.--The term ``Administrator'' means the 
     Administrator of the Federal Aviation Administration.
       (2) Appropriate committees of congress.--The term 
     ``appropriate committees of Congress'' means--
       (A) the Committee on Transportation and Infrastructure of 
     the House of Representatives; and
       (B) the Committee on Commerce, Science, and Transportation 
     of the Senate.
       (3) FAA.--The term ``FAA'' means the Federal Aviation 
     Administration.
       (4) Special issuance.--The term ``special issuance'' has 
     the meaning given such term in section 67.401 of title 14, 
     Code of Federal Regulations.

     SEC. 3. REGULATIONS FOR INDIVIDUALS CARRYING OUT AVIATION 
                   ACTIVITIES.

       (a) In General.--Not later than 18 months after the date of 
     enactment of this Act, the Administrator shall update 
     regulations, including in part 67 of title 14, Code of 
     Federal Regulations, and issue relevant guidance as 
     appropriate to encourage individuals to--
       (1) seek help for mental health conditions or symptoms of 
     mental health conditions; and
       (2) disclose conditions or symptoms described in paragraph 
     (1).
       (b) Solicit Feedback; Report Requirements.--Section 411(d) 
     of the FAA Reauthorization Act of 2024 (49 U.S.C. 44703 note) 
     is amended--
       (1) in paragraph (3), by striking subparagraph (B) and 
     inserting the following:
       ``(B) soliciting feedback from aviation industry 
     professionals or other licensed professionals representing 
     air carrier operations under part 121 and part 135 of title 
     14, Code of Federal Regulations, and general aviation 
     operations under part 91 of title 14, Code of Federal 
     Regulations, the exclusive bargaining representatives of air 
     traffic controllers of the FAA certified under section 7111 
     of title 5, United States Code, organizations representing 
     collective bargaining representatives of airline pilots, 
     institutions of higher education that are accredited by the 
     Aviation Accreditation Board International, and professional 
     pilot flight training schools certificated under part 141 of 
     title 14, Code of Federal Regulations;''; and
       (2) in paragraph (4)--
       (A) in subparagraphs (A) and (B), by striking ``and'' at 
     the end;
       (B) in subparagraph (C), by striking the period at the end 
     and inserting a semicolon; and
       (C) by adding at the end the following new subparagraphs:
       ``(D) a review and evaluation of any recommendations 
     reached by the National Transportation Safety Board related 
     to aviation workforce mental health; and
       ``(E) a description of relevant clinical studies, research, 
     diagnostic manuals, and protocols relied upon by the task 
     group in developing their recommendations.''.
       (c) Implementation.--
       (1) In general.--Not later than 180 days after the date of 
     enactment of this Act, and for any report issued thereafter, 
     not later than 180 days after the submission of each report 
     required under section 411(f) of the FAA Reauthorization Act 
     of 2024 (49 U.S.C. 44703 note), the Administrator may take 
     action, as appropriate, to implement the recommendations of 
     such report.
       (2) Justification.--In the event that the Administrator 
     decides not to implement a recommendation described in 
     paragraph (1), the Administrator shall submit to the 
     appropriate committees of Congress the justification for such 
     decision not later than 90 days after receiving the report 
     containing such recommendation.

     SEC. 4. REVIEW OF MENTAL HEALTH SPECIAL ISSUANCE PROCESS.

       Beginning on the date that is 180 days after the 
     Administrator submits the first report pursuant to section 
     411(f) of the FAA Reauthorization Act of 2024 (49 U.S.C. 
     44703 note), and annually for the 1st 2 years thereafter, and 
     triennially thereafter, the Administrator shall conduct a 
     review of the special issuance process, and update, as 
     appropriate, the applicable regulations, policies, orders, 
     and guidance on mental health-related special issuance for 
     pilots and air traffic controllers to--
       (1) consider the reclassification of additional medications 
     and evidence-based treatments that may be safely prescribed 
     to treat mental health conditions;
       (2) provide enhanced mental health knowledge and training 
     for aviation medical examiners, consistent with the 
     recommendations of the Mental Health & Aviation Medical 
     Clearances Aviation Rulemaking Committee described in section 
     6;
       (3) if the Administrator determines appropriate, consider 
     expanding opportunities in which an aviation medical examiner 
     may issue a certificate consistent with the recommendations 
     of the Mental Health & Aviation Medical Clearances Aviation 
     Rulemaking Committee described in section 6, provided that 
     such examiner has completed enhanced mental health training, 
     as described in paragraph (2), to ensure such personnel have 
     the requisite knowledge and ability to appropriately evaluate 
     individuals for FAA medical certification; and
       (4) improve the special issuance process for pilots and air 
     traffic controllers.

     SEC. 5. IMPROVING CAPACITY FOR THE OFFICE OF AEROSPACE 
                   MEDICINE.

       Section 106(k)(2) of title 49, United States Code, is 
     amended by adding at the end the following new subparagraph:
       ``(E) Not more than $15,000,000 for each of fiscal years 
     2026 through 2028 to--
       ``(i) recruit, select, and train additional aviation 
     medical examiners and human intervention motivation study 
     aviation medical examiners, including those who are 
     psychiatrists;
       ``(ii) expand capacity to provide oversight of aviation 
     medical examiners and clear the backlog of special issuance 
     requests and cases awaiting review at the Office of Aerospace 
     Medicine of the FAA;
       ``(iii) provide enhanced mental health training to aviation 
     medical examiners to ensure such personnel have requisite 
     knowledge and the ability to appropriately evaluate 
     individuals for FAA medical certification; and
       ``(iv) support any other related activities, as determined 
     appropriate by the Administrator.''.

     SEC. 6. IMPLEMENTATION OF AVIATION RULEMAKING COMMITTEE 
                   RECOMMENDATIONS.

       (a) In General.--Not later than 2 years after the date of 
     enactment of this Act, the Administrator shall implement, as 
     appropriate, the recommendations of the Mental Health & 
     Aviation Medical Clearances Aviation Rulemaking Committee, 
     which were submitted to the Administrator on April 1,

[[Page S5019]]

     2024 (in this section referred to as the ``ARC'').
       (b) Consultation.--In carrying out subsection (a), the 
     Administrator shall consult with the stakeholders described 
     in section 411(d)(3)(B) of the FAA Reauthorization Act of 
     2024 (as amended by this Act).
       (c) Validation.--With respect to recommendation 6 of the 
     ARC, the Administrator shall leverage and cite relevant 
     clinical studies, research, diagnostic manuals, and protocols 
     to inform the recommendation, as determined by the 
     Administrator. The Administrator may, as appropriate, 
     commission any such studies that may be needed to fill data 
     gaps. Any such studies shall document the data gap and be 
     completed not later than 1 year after the enactment of this 
     Act.
       (d) Justification.--If the Administrator decides not to 
     implement a recommendation described in the ARC, the 
     Administrator shall submit to the appropriate committees of 
     Congress their justification for such decision not later than 
     90 days after the deadline described in such subsection.

     SEC. 7. PUBLIC INFORMATION CAMPAIGN.

       (a) In General.--For fiscal years 2026 through 2028, the 
     Administrator shall carry out a public information campaign 
     or similar public education efforts to--
       (1) destigmatize individuals in (or interested in joining) 
     the aviation industry who seek mental health care;
       (2) broaden awareness of available supportive services; and
       (3) improve trust between the FAA and pilots and air 
     traffic controllers.
       (b) Requirements.--The public information campaign or 
     similar public education efforts described in subsection (a) 
     shall include--
       (1) making publicly available (in an easily accessible 
     format and location online)--
       (A) information that would help destigmatize the reporting 
     of mental health concerns impacting the aviation workforce, 
     and encourage individuals to seek help for such concerns; and
       (B) other information to effectuate the outcomes described 
     in subsection (a);
       (2) posting the information described in paragraph (1) at 
     Aviation Medical Examiner offices; and
       (3) collaborating with air carriers (as defined in section 
     40102 of title 49, United States Code), flight training 
     institutions and entities (as described in parts 61 and 141 
     of title 14, Code of Federal Regulations), and small, medium, 
     and large hub airports (as defined in such section 40102) to 
     encourage such entities to make such information easily 
     accessible to airmen and air traffic controllers.
       (c) Briefing and Report to Congress.--
       (1) Briefing.--Not later than 90 days after the 
     Administrator establishes the public information campaign 
     described in subsection (a), the Administrator shall brief 
     the appropriate committees of Congress on the actions taken 
     to develop the campaign and the plans to implement the 
     campaign.
       (2) Report.--Not later than 2 years after the Administrator 
     implements the public information campaign, the Administrator 
     shall submit to the appropriate committees of Congress a 
     report describing the engagement and outreach resulting from 
     such campaign, including a description of any applicable 
     feedback from aviation industry stakeholders on the efficacy 
     of the campaign.
  The bill (S. 3257), as amended, was ordered to be engrossed for a 
third reading, was read the third time, and passed.

                          ____________________