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SUPPORT for Patients and Communities Reauthorization Act of 2025

Last action · December 1, 2025: Became Public Law No: 119-44.Sponsors: Brett Guthrie and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Does

This law reauthorizes federal programs focused on preventing, treating, and supporting recovery from opioid use disorders and other substance abuse issues. It extends funding and updates guidelines for various public health initiatives, including prenatal care, overdose prevention, and workforce training for addiction specialists through 2030.

Why it matters

This act secures federal funding and legal authority for national addiction prevention and treatment programs through 2030, directly impacting the availability of grants for states, tribes, and healthcare providers addressing the opioid crisis.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

State and Tribal governments

They are eligible to receive grants for opioid use disorder response and prevention projects.

Directly affected

Healthcare providers

Prescribers of controlled substances are subject to new mandatory training requirements.

Directly affected

Pregnant and postpartum women

The act provides for residential treatment programs specifically tailored to their needs.

Key Facts

  • Reauthorizes federal opioid use disorder prevention, treatment, and recovery programs through fiscal year 2030.
  • Increases annual authorization for overdose prevention programs (Section 392A) to $505,579,000 for fiscal years 2026–2030.
  • Allocates $4,250,000 annually for fiscal years 2026–2030 for prenatal and postnatal health programs.
  • Expands overdose prevention strategies to include wastewater surveillance and monitoring of emerging substances.
Show all 10 facts
  • Updates the Fetal Alcohol Spectrum Disorder (FASD) prevention and services program to include public awareness, diagnostic research, and intervention strategies.
  • Mandates training for prescribers of controlled substances.
  • Establishes or continues programs for residential treatment for pregnant and postpartum women.
  • Creates loan repayment programs for the substance use disorder treatment workforce.
  • Includes provisions for protecting the suicide prevention lifeline from cybersecurity threats.
  • Requires the development of model training programs for handling substance use disorder patient records.

Frequently Asked Questions

How long does this funding last?
The programs authorized by this act are funded through fiscal year 2030.
Does this law change how doctors prescribe controlled substances?
Yes, the act includes a requirement for mandatory training for prescribers of controlled substances.
What new technologies are mentioned for overdose prevention?
The act explicitly mentions the use of wastewater surveillance to detect and respond to controlled substance misuse patterns.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Current status: Signed into law.

Procedural history

40 actions
  1. Dec 1, 2025PresidentEnrolled
    Became Public Law No: 119-44.
  2. Dec 1, 2025PresidentEnrolled
    Became Public Law No: 119-44
  3. Dec 1, 2025PresidentEnrolled
    Signed by President.
  4. Nov 25, 2025PresidentEnrolled
    Presented to President.
  5. Sep 19, 2025Senate
    Message on Senate action sent to the House.
  6. Sep 18, 2025SenateFloor
    Passed Senate without amendment by Unanimous Consent. (consideration: CR S6712)
Show 34 earlier actions
  1. Sep 18, 2025SenateFloor
    Passed/agreed to in Senate: Passed Senate without amendment by Unanimous Consent.
  2. Sep 18, 2025Senate
    Senate Committee on Health, Education, Labor, and Pensions discharged by Unanimous Consent.
  3. Jun 5, 2025SenateCommittee
    Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  4. Jun 4, 2025House
    Motion to reconsider laid on the table Agreed to without objection.
  5. Jun 4, 2025HouseFloor
    On passage Passed by the Yeas and Nays: 366 - 57 (Roll no. 151).
  6. Jun 4, 2025HouseFloor
    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 366 - 57 (Roll no. 151).
  7. Jun 4, 2025House
    The House adopted the amendments en gros as agreed to by the Committee of the Whole House on the state of the Union.
  8. Jun 4, 2025House
    The previous question was ordered pursuant to the rule.
  9. Jun 4, 2025House
    The House rose from the Committee of the Whole House on the state of the Union to report H.R. 2483.
  10. Jun 4, 2025House
    The House resolved into Committee of the Whole House on the state of the Union for further consideration.
  11. Jun 4, 2025House
    Considered as unfinished business. (consideration: CR H2456-2457)
  12. Jun 4, 2025House
    Committee of the Whole House on the state of the Union rises leaving H.R. 2483 as unfinished business.
  13. Jun 4, 2025House
    On motion that the committee rise Agreed to by voice vote.
  14. Jun 4, 2025House
    Mr. Wittman moved that the committee rise.
  15. Jun 4, 2025House
    DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Wittman amendment No. 4.
  16. Jun 4, 2025House
    POSTPONED PROCEEDINGS - At the conclusion of debate on the Pettersen amendment, the Chair put the question on agreeing to the amendment and by voice vote, announced the noes had prevailed. Ms. Pettersen demanded a recorded vote, and the Chair postponed further proceedings until a time to be announced.
  17. Jun 4, 2025House
    DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Pettersen amendment No. 3.
  18. Jun 4, 2025House
    DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Kiggans (VA) amendment No. 2.
  19. Jun 4, 2025House
    DEBATE - Pursuant to the provisions of H.Res. 458, the Committee of the Whole proceeded with 10 minutes of debate on the Bresnahan amendment No. 1.
  20. Jun 4, 2025House
    GENERAL DEBATE - The Committee of the Whole proceeded with one hour of general debate on H.R. 2483.
  21. Jun 4, 2025House
    The Speaker designated the Honorable Scott DesJarlais to act as Chairman of the Committee.
  22. Jun 4, 2025House
    House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 458 and Rule XVIII.
  23. Jun 4, 2025House
    Rule provides for consideration of H.R. 2483, H.R. 2931, H.R. 2966 and H.R. 2987. The resolution provides for consideration of H.R. 2483 under a structured rule and for consideration of H.R. 2931, H.R. 2966, and H.R. 2987 under a closed rule. The resolution provides for one hour of debate and one motion to recommit on each bill.
  24. Jun 4, 2025House
    Considered under the provisions of rule H. Res. 458. (consideration: CR H2441-2456; text: CR H2447-2543)
  25. Jun 3, 2025House
    Rules Committee Resolution H. Res. 458 Reported to House. Rule provides for consideration of H.R. 2483, H.R. 2931, H.R. 2966 and H.R. 2987. The resolution provides for consideration of H.R. 2483 under a structured rule and for consideration of H.R. 2931, H.R. 2966, and H.R. 2987 under a closed rule. The resolution provides for one hour of debate and one motion to recommit on each bill.
  26. May 29, 2025House
    Placed on the Union Calendar, Calendar No. 84.
  27. May 29, 2025House
    Committee on Financial Services discharged.
  28. May 29, 2025House
    Committee on the Judiciary discharged.
  29. May 29, 2025House
    Committee on Education and Workforce discharged.
  30. May 29, 2025House
    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 119-114, Part I.
  31. Apr 29, 2025HouseCommittee
    Ordered to be Reported (Amended) by the Yeas and Nays: 36 - 13.
  32. Apr 29, 2025House
    Committee Consideration and Mark-up Session Held
  33. Mar 31, 2025HouseCommittee
    Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, the Judiciary, and Financial Services, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  34. Mar 31, 2025HouseIntroduced
    Introduced in House

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

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Voting Record

Outcome not reportedHouse6/4/2025Voteview

Total

423

Yes
366
No
57
Present
0
Not voting
0
Abstain
0

How they voted (423)

399 more members
Carol MillerRyes
Darrell IssaRyes
Mary MillerRno
Eric BurlisonRno
Mike RogersRyes
Ritchie TorresDyes
Greg CasarDyes
Wesley BellDyes
John JamesRyes
Jake EllzeyRyes
Dwight EvansDyes
Mike CareyRyes
Tom ColeRyes
James BairdRyes
Jim JordanRyes
Jennifer McClellanDyes
Suzan DelBeneDyes
Zoe LofgrenDyes
Glenn GrothmanRyes
Ann WagnerRyes
Jared HuffmanDyes
Morgan LuttrellRyes
W. SteubeRno
Adam SmithDyes
Gus BilirakisRyes
Mark HarrisRno
Craig GoldmanRyes
August PflugerRyes
Carlos GimenezRyes
Bill HuizengaRyes
John CarterRyes
Kweisi MfumeDyes
André CarsonDyes
Pramila JayapalDyes
Erin HouchinRyes
Sarah McBrideDyes
Addison McDowellRyes
David ScottDyes
Robin KellyDyes
Janelle BynumDyes
Mike HaridopolosRyes
Raja KrishnamoorthiDyes
Norma TorresDyes
J. CorreaDyes
Mark PocanDyes
Steve ScaliseRyes
Nicole MalliotakisRyes
Stephen LynchDyes
Derek TranDyes
Randy FeenstraRyes
Mike QuigleyDyes
Julie FedorchakRyes
Virginia FoxxRyes
Chris PappasDyes
Rosa DeLauroDyes
Michael GuestRyes
Doug LaMalfaRyes
Terri SewellDyes
Chellie PingreeDno
Gabe AmoDyes
Mike EzellRyes
Don BaconRyes
Frederica WilsonDno
Andy HarrisRno
Brian FitzpatrickRyes
Chip RoyRno
Juan VargasDyes
Clay HigginsRno
Michael BaumgartnerRyes
Robert MenendezDno
Suhas SubramanyamDyes
Greg StantonDyes
Roger WilliamsRyes
Brandon GillRno
Bruce WestermanRyes
Joe WilsonRyes
Zachary NunnRyes
Mark MessmerRyes
Greg LandsmanDyes
Raul RuizDyes
Glenn ThompsonRyes
Nicholas LangworthyRyes
Robert OnderRyes
Josh RileyDyes
Suzanne BonamiciDyes
Grace MengDyes
Veronica EscobarDyes
Shri ThanedarDyes
Doris MatsuiDno
Bennie ThompsonDno
Shomari FiguresDyes
Jack BergmanRyes
Angie CraigDyes
Earl CarterRyes
Pete StauberRyes
Pat FallonRyes
Mike ThompsonDyes
Cliff BentzRyes
Michael LawlerRyes
Timothy KennedyDyes
Yvette ClarkeDno
Lisa McClainRyes
Jimmy GomezDyes
Ed CaseDyes
Luz RivasDno
Aaron BeanRyes
Nancy PelosiDno
Mike FloodRyes
Frank PalloneDno
Sylvia GarciaDno
Josh HarderDyes
Glenn IveyDyes
Gwen MooreDno
Kelly MorrisonDyes
Sara JacobsDyes
Betty McCollumDyes
Adriano EspaillatDyes
Monica De La CruzRyes
Tony GonzalesRyes
Richard NealDyes
Ryan MackenzieRyes
Beth Van DuyneRyes
Julie JohnsonDyes
Lauren UnderwoodDyes
Mark TakanoDyes
Tim MooreRyes
Ilhan OmarDyes
Darin LaHoodRyes
Adam GrayDyes
Robert AderholtRyes
Lloyd DoggettDyes
J. HillRyes
John RoseRyes
Melanie StansburyDyes
Seth MagazinerDyes
James HimesDyes
Julia BrownleyDyes
Mike LevinDyes
Julia LetlowRyes
Tom EmmerRyes
Andrew OglesRyes
Victoria SpartzRyes
Jefferson Van DrewRyes
Diana HarshbargerRyes
Ayanna PressleyDyes
David TaylorRyes
Salud CarbajalDyes
Gabe VasquezDyes
Sheri BiggsRyes
Scott DesJarlaisRyes
Jill TokudaDyes
Scott FitzgeraldRyes
Derrick Van OrdenRyes
Hillary ScholtenDyes
Scott FranklinRyes
Seth MoultonDyes
Harold RogersRyes
Claudia TenneyRyes
Brett GuthrieRyes
Laura GillenDyes
Dale StrongRyes
Dan NewhouseRyes
Brendan BoyleDyes
Patrick RyanDyes
Jeff CrankRyes
Lori TrahanDyes
Brittany PettersenDyes
John MoolenaarRyes
Richard HudsonRyes
Robert LattaRyes
Lance GoodenRyes
Maria SalazarRyes
Randy WeberRyes
Gregory MeeksDyes
Brian MastRyes
Pat HarriganRno
Thomas MassieRno
Emanuel CleaverDyes
Riley MooreRyes
Paul GosarRno
Rudy YakymRyes
Mark GreenRyes
Herbert ConawayDyes
Steve CohenDyes
William TimmonsRyes
Andrew GarbarinoRyes
Nanette BarragánDyes
Tom BarrettRyes
Troy CarterDyes
Michelle FischbachRyes
John McGuireRyes
Russell FryRyes
William KeatingDyes
Jerrold NadlerDyes
Bradley SchneiderDyes
Josh BrecheenRno
Susie LeeDyes
Rick AllenRyes
Ben ClineRyes
Mary Gay ScanlonDno
John JoyceRyes
Bryan SteilRyes
Randy FineRyes
Kristen McDonald RivetDyes
Rashida TlaibDyes
Adrian SmithRyes
Christopher DeluzioDno
Celeste MaloyRyes
Nathaniel MoranRyes
Steven HorsfordDyes
Charles FleischmannRyes
Kevin MullinDno
Jimmy PanettaDyes
Donald DavisDyes
Jared MoskowitzDyes
Trent KellyRyes
Sam LiccardoDyes
Alma AdamsDyes
Jesús GarcíaDyes
Michael CloudRno
Robert GarciaDyes
Paul TonkoDno
Dan CrenshawRyes
Nydia VelázquezDno
Daniel WebsterRyes
Andrew ClydeRno
Kevin HernRyes
Ro KhannaDyes
Richard McCormickRyes
Thomas TiffanyRno
Diana DeGetteDno
Dusty JohnsonRyes
John MannionDyes
Juan CiscomaniRyes
Gilbert CisnerosDyes
Marie PerezDyes
Sydney Kamlager-DoveDno
Kathy CastorDno
Sanford BishopDyes
Vicente GonzalezDyes
Ronny JacksonRyes
Sheila Cherfilus-McCormickDyes
Ralph NormanRno
Thomas KeanRyes
Gary PalmerRyes
Ryan ZinkeRyes
Young KimRyes
Shontel BrownDyes
Lauren BoebertRno
John LarsonDyes
Abraham HamadehRyes
David SchweikertRyes
Michael TurnerRyes
Pete AguilarDyes
David JoyceRyes
Mario Diaz-BalartRyes
Nikki BudzinskiDyes
Lois FrankelDyes
Haley StevensDyes
Alexandria Ocasio-CortezDyes
Tony WiedRyes
Cleo FieldsDyes
Lloyd SmuckerRyes
Frank MrvanDyes
Lucy McBathDyes
Danny DavisDyes
Tim WalbergRyes
Mike CollinsRyes
Frank LucasRyes
Mark AlfordRyes
John GaramendiDyes
Kat CammackRyes
H. GriffithRyes
Tim BurchettRyes
Nancy MaceRyes
Maxine WatersDno
John RutherfordRyes
Johnny OlszewskiDyes
Brian JackRyes
Mark AmodeiRyes
Jahana HayesDyes
Judy ChuDyes
Warren DavidsonRno
Deborah RossDyes
Marcy KapturDyes
Austin ScottRyes
Henry JohnsonDyes
David ValadaoRyes
Christopher SmithRyes
Nikema WilliamsDno
Pete SessionsRyes
Joaquin CastroDyes
Brian BabinRyes
Robert WittmanRyes
Troy BaldersonRyes
Michael RulliRyes
Brad FinstadRyes
Vern BuchananRyes
Jeff HurdRyes
Sharice DavidsDyes
Maggie GoodlanderDyes
Barry LoudermilkRyes
Ami BeraDyes
Sean CastenDyes
Jonathan JacksonDyes
Nicholas BegichRyes
Ron EstesRyes
LaMonica McIverDno
Joyce BeattyDyes
Teresa Leger FernandezDyes
Stephanie BiceRyes
Keith SelfRno
Emilia SykesDyes
Darren SotoDyes
Dave MinDyes
Debbie DingellDyes
Brad KnottRno
Blake MooreRyes
Nick LaLotaRyes
Wesley HuntRyes
Morgan McGarveyDyes
Becca BalintDyes
Jennifer KiggansRyes
Kevin KileyRyes
Jamie RaskinDyes
Eugene VindmanDyes
Elise StefanikRyes
Burgess OwensRyes
Bill FosterDyes
Gabe EvansRyes
Chrissy HoulahanDyes
Mike KennedyRyes
Mike BostRyes
Robert ScottDyes
Lizzie FletcherDno
Andrea SalinasDyes
Chuck EdwardsRyes
Troy DowningRyes
Linda SánchezDyes
Anna Paulina LunaRno
Joe NeguseDyes
Daniel GoldmanDyes
Eric SwalwellDyes
Jimmy PatronisRyes
Scott PetersDyes
Thomas SuozziDyes
Val HoyleDyes
Mike KellyRyes
Guy ReschenthalerRyes
George LatimerDyes
Al GreenDyes
Yassamin AnsariDyes
Kim SchrierDyes
Steny HoyerDyes
Gregory MurphyRyes
Marilyn StricklandDyes
Mark DeSaulnierDno
David RouzerRyes
Jake AuchinclossDyes
Jasmine CrockettDyes
Neal DunnRyes
Mike JohnsonRyes
Ted LieuDyes
Tom McClintockRno
Janice SchakowskyDno
Marlin StutzmanRyes
Marjorie GreeneRno
Scott PerryRno
Joseph MorelleDyes
Hakeem JeffriesDyes
Ken CalvertRyes
Summer LeeDyes
Jason SmithRyes
Dina TitusDyes
Maxwell FrostDyes
Byron DonaldsRno
Marc VeaseyDno
Debbie Wasserman SchultzDyes
Katherine ClarkDyes
Jim CostaDyes
Donald BeyerDyes
Steve WomackRyes
Derek SchmidtRyes
Tracey MannRyes
David KustoffRyes
Elijah CraneRno
Bonnie Watson ColemanDno
Cory MillsRyes
Maxine DexterDyes
Madeleine DeanDyes
Russ FulcherRyes
Vince FongRyes
Sam GravesRyes
Lateefah SimonDno
Andy BarrRyes
Eric SorensenDyes
Jodey ArringtonRyes
Valerie FousheeDyes
Jay ObernolteRyes

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Modernization of Surveillance

The bill explicitly authorizes the use of wastewater surveillance for drug detection, marking a shift toward data-driven, non-clinical monitoring in federal policy.

Connected Entities

Donald J. Cohen National Child Traumatic Stress Initiative, SAMHSA
OrganizationDonald J. Cohen National Child Traumatic Stress Initiative“A program specifically reauthorized under Title I.”Map →
OrganizationSAMHSA“Substance Abuse and Mental Health Services Administration, mentioned regarding f”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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