To direct the Commandant of the Coast Guard to update the policy of the Coast Guard regarding the use of medication to treat drug overdose, and for other purposes.

HR 2351 requires the Coast Guard Commandant to update policies ensuring naloxone (a medication for opioid overdoses) is available for Coast Guard personnel. It mandates naloxone access at all Coast Guard installations and in all operational settings, including vessels and facilities. The bill also requires a two-year report to Congress detailing implementation progress, Coast Guard substance abuse trends (including fentanyl), and naloxone usage data. All provisions must comply with federal privacy laws like the Privacy Act.