H.R. 2483

[119th Congress Public Law 44]
[From the U.S. Government Publishing Office]

[[Page 139 STAT. 669]]

Public Law 119-44
119th Congress

An Act

To reauthorize certain programs that provide for opioid use disorder 
prevention, treatment, and recovery, and for other 
purposes. <<NOTE: Dec. 1, 2025 - [H.R. 2483]>> 

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, <<NOTE: SUPPORT for 
Patients and Communities Reauthorization Act of 2025.>> 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) <<NOTE: 42 USC 201 note.>> Short Title.--This Act may be cited 
as the ``SUPPORT for Patients and Communities Reauthorization Act of 
2025''.

(b) Table of Contents.--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.
Sec. 210. References to opioid overdose reversal agents in HHS grant 
programs.
Sec. 211. Roundtable on using health information technology to improve 
mental health and substance use care outcomes.

TITLE III--RECOVERY

Sec. 301. Building communities of recovery.
Sec. 302. Peer support technical assistance center.
Sec. 303. Comprehensive opioid recovery centers.

[[Page 139 STAT. 670]]

Sec. 304. Youth prevention and recovery.
Sec. 305. CAREER Act.
Sec. 306. Addressing economic and workforce impacts of the opioid 
crisis.
Sec. 307. Review of information related to funding opportunities under 
programs administered by SAMHSA.

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.

TITLE I--PREVENTION

SEC. 101. <<NOTE: Time periods.>> 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 2026 through 2030''.
SEC. 102. <<NOTE: Time periods.>> 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 2026 through 2030''.
SEC. 103. 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

[[Page 139 STAT. 671]]

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) <<NOTE: Time periods.>> 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 
2026 through 2030''.
SEC. 104. 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 SPECTRUM DISORDER PREVENTION AND SERVICES 
PROGRAM

``SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PREVENTION, 
INTERVENTION, AND SERVICES DELIVERY 
PROGRAM.

``(a) <<NOTE: Evaluations.>> 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;

[[Page 139 STAT. 672]]

``(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 spectrum disorder or fetal alcohol effect and their 
families.

``(b) <<NOTE: Contracts.>> 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

[[Page 139 STAT. 673]]

improved quality of life for an individual with FASD and the family of 
such individual.
``SEC. 399I. <<NOTE: 42 USC 280f-1.>> STRENGTHENING CAPACITY AND 
EDUCATION FOR FETAL ALCOHOL SPECTRUM 
DISORDERS.

``(a) <<NOTE: Grants.>> 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) <<NOTE: Clearinghouse.>> 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. <<NOTE: 42 USC 280f-2.>> AUTHORIZATION OF 
APPROPRIATIONS.

``There <<NOTE: Time periods.>> are authorized to be appropriated 
to carry out this part $12,500,000 for each of fiscal years 2026 through 
2030.''.

(b) <<NOTE: 42 USC 280f note.>> 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 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

[[Page 139 STAT. 674]]

(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. 105. 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. 106. 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) <<NOTE: Time periods.>> in subsection (h), by striking 
``$36,000,000 for each of fiscal years 2019 through 2023'' and 
inserting ``$57,000,000 for each of fiscal years 2026 through 
2030''.
SEC. 107. 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 of 2000 (Public Law 106-554), is 
amended--
(1) by redesignating such part as part J; and
(2) <<NOTE: 42 USC 290kk-- 290kk-3.>> 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

[[Page 139 STAT. 675]]

(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) <<NOTE: Plan.>> 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) <<NOTE: Time periods.>> Authorization of Appropriations.--
There is authorized to be appropriated to carry out this section--
``(1) $98,887,000 for fiscal year 2026;
``(2) $98,887,000 for fiscal year 2027;
``(3) $98,887,000 for fiscal year 2028;
``(4) $100,000,000 for fiscal year 2029; and
``(5) $100,000,000 for fiscal year 2030.''.
SEC. 108. 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--

[[Page 139 STAT. 676]]

(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.

[[Page 139 STAT. 677]]

``(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) <<NOTE: Deadline.>> Study.--Not later than 180 days after the 
date of the enactment of this Act, the Comptroller General of the United 
States shall--
(1) <<NOTE: Evaluation.>> conduct and complete a study that 
evaluates cybersecurity risks and vulnerabilities associated 
with the 9-8-8 National Suicide Prevention Lifeline; and
(2) <<NOTE: Reports.>> 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. 109. <<NOTE: Time periods.>> MONITORING AND REPORTING OF 
CHILD, YOUTH, AND ADULT TRAUMA.

Section 7131(e) of the SUPPORT for Patients and Communities Act (42 
U.S.C. 242t(e)) is amended by striking ``$2,000,000 for each of fiscal 
years 2019 through 2023'' and inserting ``$9,000,000 for each of fiscal 
years 2026 through 2030''.
SEC. 110. 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 Communities Act 
(42 U.S.C. 290aa note) is amended--
(1) by striking subsection (g) and inserting the following:

``(g) Working Groups.--
``(1) <<NOTE: Establishment.>> 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.

[[Page 139 STAT. 678]]

``(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 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, 
2030.''.
SEC. 111. <<NOTE: 21 USC 822a note.>> GUIDANCE ON AT-HOME DRUG 
DISPOSAL SYSTEMS.

(a) <<NOTE: Deadline. Publication.>> 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) <<NOTE: Recommenda- tions. Standards.>> 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

[[Page 139 STAT. 679]]

(4) recommended use of licensed health providers for the 
dissemination of education, instruction, and at-home drug 
disposal systems, as appropriate.
SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.

(a) <<NOTE: Web posting. Reports.>> 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. 113. <<NOTE: 42 USC 290ee-3a note.>> 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.

[[Page 139 STAT. 680]]

TITLE II--TREATMENT

SEC. 201. 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) <<NOTE: Time periods.>> 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 2026 through 
2030''.
SEC. 202. 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. 203. <<NOTE: Time periods.>> 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 2026 through 2030''.
SEC. 204. <<NOTE: Time periods.>> 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 2026 
through 2030''.
SEC. 205. 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. 206. 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.'';

[[Page 139 STAT. 681]]

(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 
``2030''.
SEC. 207. 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. 208. <<NOTE: 42 USC 300x note.>> STATE GUIDANCE RELATED TO 
INDIVIDUALS WITH SERIOUS MENTAL ILLNESS 
AND CHILDREN WITH SERIOUS EMOTIONAL 
DISTURBANCE.

(a) <<NOTE: Deadline.>> 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.
(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.

[[Page 139 STAT. 682]]

SEC. 209. <<NOTE: 21 USC 812 note.>> 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) <<NOTE: Regulations.>> 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).
SEC. 210. <<NOTE: 42 USC 290ee note.>> REFERENCES TO OPIOID 
OVERDOSE REVERSAL AGENTS IN HHS GRANT 
PROGRAMS.

(a) In General.--The Secretary of Health and Human Services shall 
ensure that, as appropriate, whenever the Department of Health and Human 
Services issues a regulation or guidance for any grant program 
addressing opioid misuse and use disorders, any reference to an opioid 
overdose reversal drug (such as a reference to naloxone) is inclusive of 
any opioid overdose reversal drug that has been approved under section 
505 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355) for 
emergency treatment of a known or suspected opioid overdose.
(b) Existing References.--
(1) <<NOTE: Deadline.>> Update.--Not later than one year 
after the date of enactment of this Act, the Secretary of Health 
and Human Services shall update all references described in 
paragraph (2) to be inclusive of any opioid overdose reversal 
drug that has been approved or otherwise authorized for use by 
the Food and Drug Administration.
(2) References.--A reference described in this paragraph is 
any reference to an opioid overdose reversal drug (such as 
naloxone) in any regulation or guidance of the Department of 
Health and Human Services that--
(A) was issued before the date of enactment of this 
Act; and
(B) is included in--
(i) the grant program for State and Tribal 
response to opioid use disorders under section 
1003 of the 21st Century Cures Act (42 U.S.C. 
290ee-3 note) (commonly referred to as ``State 
Opioid Response Grants'' and ``Tribal Opioid 
Response Grants''); or
(ii) the grant program for priority substance 
use disorder prevention needs of regional and 
national significance under section 516 of the 
Public Health Service Act (42 U.S.C. 290bb-22).

[[Page 139 STAT. 683]]

SEC. 211. ROUNDTABLE ON USING HEALTH INFORMATION TECHNOLOGY TO 
IMPROVE MENTAL HEALTH AND SUBSTANCE USE 
CARE OUTCOMES.

(a) <<NOTE: Deadline. Public 
information. Examination.>> Roundtable.--Not later than 180 days after 
the date of enactment of this Act, the National Coordinator for Health 
Information Technology shall convene a public roundtable to examine--
(1) how the expanded use of electronic health records among 
mental health and substance use service providers can improve 
outcomes for patients in mental health and substance use 
settings; and
(2) how best to increase electronic health record adoption 
among such providers.

(b) Participants.--The National Coordinator for Health Information 
Technology shall ensure that the participants in the roundtable under 
subsection (a) include private and public sector stakeholders, including 
patients, providers (including providers of inpatient services and 
providers of outpatient services), and representatives of payors, health 
information exchanges, professional associations, health information 
technology vendors, health information technology certification 
organizations, and State and Federal agencies.
(c) Report.--Not later than 180 days after the conclusion of the 
public stakeholder roundtable under subsection (a), the National 
Coordinator for Health Information Technology shall 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 outlining information gathered from the roundtable under 
subsection (a). Such report shall include an examination of--
(1) recommendations from the roundtable participants;
(2) unique considerations for using electronic health record 
systems in mental health and substance use treatment settings;
(3) unique considerations for developers of health 
information technology relating to certification of electronic 
health record systems for use in mental health and substance use 
treatment settings where the applicable health information 
technology is not subject to certification requirements;
(4) current usage of electronic health record systems by 
mental health and substance use disorder service providers, and 
the scope and magnitude of such providers that do not use 
electronic health record systems;
(5) examples of how electronic health record systems enable 
coordinated care and care management;
(6) how electronic health record systems advance appropriate 
patient and provider access to secure, usable electronic 
information exchange;
(7) how electronic health record systems can be connected to 
or support existing systems, which may include the 9-8-8 
National Suicide Prevention Lifeline, mobile crisis response 
systems, and co-responder programs, to facilitate connectivity, 
response, and integrated care;
(8) any existing programs to support greater adoption of 
electronic health record systems among mental health and 
substance use service providers;
(9) any limitations to greater adoption of electronic health 
record systems among mental health and substance use service 
providers;

[[Page 139 STAT. 684]]

(10) the costs of adoption of electronic health record 
systems by mental health and substance use disorder service 
providers; and
(11) best practices implemented by States and other entities 
to support adoption of use of electronic health records among 
mental health and substance use disorder service providers.

TITLE III--RECOVERY

SEC. 301. <<NOTE: Time periods.>> 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 ``$17,000,000 for each of fiscal years 2026 
through 2030''.
SEC. 302. 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) <<NOTE: Establishment.>> 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) <<NOTE: Reports.>> 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.

[[Page 139 STAT. 685]]

``(3) Termination.--This subsection shall terminate on 
September 30, 2030.''; and
(4) <<NOTE: Time periods.>> 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 2026 through 2030''.
SEC. 303. 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 ``2026 through 2030''.
SEC. 304. 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 110(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).'';

[[Page 139 STAT. 686]]

(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 
``2028''; and
(7) by amending paragraph (9) to read as follows:
``(9) <<NOTE: Time periods.>> Authorization of 
appropriations.--To carry out this subsection, there are 
authorized to be appropriated--
``(A) $10,000,000 for fiscal year 2026;
``(B) $12,000,000 for fiscal year 2027;
``(C) $13,000,000 for fiscal year 2028;
``(D) $14,000,000 for fiscal year 2029; and
``(E) $15,000,000 for fiscal year 2030.''.
SEC. 305. 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) <<NOTE: Time periods.>> 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

[[Page 139 STAT. 687]]

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.'';
(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, 2030''; and
(ii) in subparagraph (A), by striking 
``(g)(3)'' and inserting ``(g)(1)(C)''; and
(7) <<NOTE: Time periods.>> 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 2026 through 
2030''.

(b) Reauthorization of the CAREER Act; Recovery Housing Pilot 
Program.--

[[Page 139 STAT. 688]]

(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 2030'';
(C) in subsection (b)--
(i) <<NOTE: Deadline.>> 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.''.

[[Page 139 STAT. 689]]

SEC. 306. 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 
``2030''.
SEC. 307. REVIEW OF INFORMATION RELATED TO FUNDING OPPORTUNITIES 
UNDER PROGRAMS ADMINISTERED BY SAMHSA.

(a) <<NOTE: Deadline. Public information.>> 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 convene a public meeting for purposes of improving 
awareness of, and access to, information related to current and future 
funding opportunities under programs administered by the Substance Abuse 
and Mental Health Services Administration (in this section referred to 
as ``SAMHSA funding opportunities'').

(b) Topics.--The public meeting under subsection (a) shall include--
(1) opportunities to improve the utility and functionality 
of internet websites maintained by the Secretary that provide 
information related to SAMHSA funding opportunities, such as 
Grants.gov;
(2) other models for displaying and disseminating 
information related to SAMHSA funding opportunities, such as 
interactive dashboards; and
(3) <<NOTE: Strategies.>> strategies to improve the ability 
of entities to apply for SAMHSA funding opportunities, including 
entities that have not traditionally applied for SAMHSA funding 
opportunities.

(c) <<NOTE: 42 USC 290aa note.>> Website Improvements.--The 
Secretary shall implement improvements to Grants.gov related to SAMHSA 
funding opportunities based on stakeholder feedback received at the 
public meeting under subsection (a), as appropriate, to the maximum 
extent feasible.

(d) Report.--Not later than one year after the date on which the 
public meeting under subsection (a) is convened, the Secretary shall 
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 summarizing the findings of such meeting, 
including how the Secretary has taken into account the feedback received 
through such meeting and implemented--
(1) improvements to internet websites maintained by the 
Secretary that provide information related to SAMHSA funding 
opportunities; and
(2) strategies to improve awareness of SAMHSA funding 
opportunities.

TITLE IV--MISCELLANEOUS MATTERS

SEC. 401. 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:

[[Page 139 STAT. 690]]

``(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. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED 
SUBSTANCES.

(a) In General.--Section 303 of the Controlled Substances Act (21 
U.S.C. 823) is amended--
(1) by redesignating the second subsection designated as 
subsection (l) as subsection (m); and
(2) in subsection (m)(1), as so redesignated--
(A) in subparagraph (A)--
(i) in clause (iv)--
(I) in subclause (I)--
(aa) 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'';
(bb) by striking ``or the 
Commission'' and inserting ``, 
the Commission''; and
(cc) 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
(ii) 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
(B) in subparagraph (B)--
(i) 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
(ii) in clause (ii)--
(I) by striking ``or accredited 
school'' and inserting ``, an accredited 
school''; and

[[Page 139 STAT. 691]]

(II) by inserting ``, or an 
accredited school of pharmacy'' before 
``in the United States''.

(b) <<NOTE: 21 USC 823 note.>> Effective Date.--The amendment made 
by subsection (a) shall take effect as if enacted on December 29, 2022.

Approved December 1, 2025.

LEGISLATIVE HISTORY--H.R. 2483:
---------------------------------------------------------------------------

HOUSE REPORTS: No. 119-114, Pt. 1 (Comm. on Energy and Commerce).
CONGRESSIONAL RECORD, Vol. 171 (2025):
June 4, considered and passed House.
Sept. 18, considered and passed Senate.

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