Healthcare (Substance Abuse)

HR 5630 amends the Public Health Service Act to require states receiving Substance Use Prevention, Treatment, and Recovery Services block grants to include specific new information in their state plans. The bill mandates that states describe four key elements: the types of drugs used in medication-assisted treatment (MAT) within their system, their protocols to prevent MAT diversion or misuse, data on misuse (including mixing MAT drugs with other prescriptions), and their drug screening protocols for MAT patients. These requirements apply directly to states administering the block grant programs. The change focuses on improving transparency and data collection around MAT services without altering existing grant funding or treatment protocols.

HR 5381, the Opioid Treatment Providers Act, expands eligibility for Health Professions Opportunity Grants (HPOG) to include opioid treatment programs (OTPs) and other high-quality addiction care providers. This change modifies the Social Security Act to allow these programs to apply for HPOG funding, which supports workforce development and training for health care workers. The bill directly affects OTPs and similar addiction treatment facilities by enabling them to access federal grants for staff training and program enhancement. The amendment takes effect on October 1, 2025.

HR 4342, the CURE Act, requires states receiving federal grants for opioid use disorder treatment to submit detailed quarterly reports on how funds are spent. It mandates states to report specific data - including recipient names, locations, taxpayer IDs, and the number of people served - through a new standardized federal tracking system. The bill also updates congressional reporting requirements to include more transparency about grant recipients and funding levels. These changes apply 180 days after the bill's enactment and aim to improve oversight of opioid grant programs without altering funding levels or treatment access.

The FAMILY Act would establish a national paid family and medical leave insurance program that provides wage replacement benefits for workers needing time off for caregiving or medical reasons. It defines "qualified caregiving" to include caring for a family member with a serious health condition, personal medical needs, or recovery from violence (including domestic violence, sexual assault, or stalking). Benefits would be calculated based on earnings, with a minimum monthly benefit of $580 and maximum of $4,000, administered by a new Office of Paid Family and Medical Leave within the Social Security Administration. Eligible individuals would need to have worked for at least 8 quarters in the previous year and file an application with required documentation, while existing state paid leave programs would continue to operate alongside this federal program.

The Health Care Cybersecurity and Resiliency Act of 2025 requires the Department of Health and Human Services (HHS) to develop a cybersecurity incident response plan within one year, including strategies for risk assessment, prevention, detection, and recovery. It mandates new cybersecurity standards for healthcare entities, such as multifactor authentication for systems holding protected health information, encryption requirements, and mandatory audit protocols. The bill also updates breach reporting rules to require public disclosure of corrective actions and security practices considered during investigations, while creating grants to help rural healthcare providers adopt cybersecurity best practices. Additionally, it establishes training programs for healthcare cybersecurity staff and requires HHS to issue guidance on recognizing security practices that may reduce fines for covered entities. These provisions directly affect hospitals, clinics, and health organizations handling protected health information.

HR 6249, the "Addressing Addiction After Disasters Act," updates federal disaster relief guidelines to explicitly include substance use and alcohol use disorders in crisis counseling services. It amends the Robert T. Stafford Disaster Relief Act to allow FEMA-funded programs to address these issues alongside mental health needs for disaster survivors. The bill requires FEMA to revise application forms and guidance within 180 days to reflect these changes and mandates a GAO report on program duration and compliance with using funds only for disaster-related substance/alcohol issues. This directly affects disaster survivors facing substance use or alcohol challenges by expanding access to covered support services.

This bill would prohibit the detention of pregnant women, lactating women, and postpartum mothers (within one year of childbirth) in immigration custody, requiring their immediate release except in rare circumstances involving public safety threats. It bans the use of physical restraints on these individuals during pregnancy, labor, delivery, and postpartum recovery, with only extremely limited exceptions. The bill mandates that facilities provide comprehensive reproductive health care including prenatal care, labor and delivery services, postpartum care, and access to abortion services. It requires facilities to maintain medical records, obtain informed consent for medical procedures, and conduct weekly reviews of any detained individuals under exceptional circumstances. The bill also establishes reporting requirements for facilities and creates transparency through public reporting of detention practices.

Veterans' Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 This bill addresses the administration of the Veterans Community Care Program (VCCP) and other Department of Veterans Affairs (VA) health care matters. Among other provisions regarding the VCCP, the bill establishes in statute access standards that determine when a veteran is eligible to receive non-VA care through the VCCP, requires the VA to notify veterans regarding their eligibility for care within two business days after the VA is aware the veteran is seeking care, and extends the deadline for the submittal of claims under the VCCP by health care entities and providers. The VA must address its mental health treatment programs by establishing a standardized screening process to determine whether a veteran satisfies criteria for priority or routine admission to a mental health residential rehabilitation treatment program or a program for residential care for mental health and substance abuse disorders, tracking the performance of medical facilities and Veterans Integrated Service Networks in meeting the requirements for mental health treatment screenings and timely admission to treatment programs under such screenings, and establishing an appeal process for when a veteran is denied admission to a covered treatment program or is accepted into a program but not offered bed placement in a timely manner. Additionally, the VA must establish an online self-service module for veterans to request and manage appointments, track referrals, and appeal and track decisions related to requests for care.

The HANDS Act (HR 5120) requires Medicare, Medicaid, and TRICARE to cover opioid overdose reversal drugs (such as naloxone) at no cost for patients at risk of opioid overdose who are being discharged from hospitals, emergency departments, or ambulatory surgical centers. Starting January 1, 2026, these drugs must be provided at the time of discharge along with administration instructions, eliminating all cost-sharing (like deductibles or copays) for eligible patients. The bill defines "preventive opioid overdose reversal drugs" as intranasal or intramuscular medications administered by healthcare providers (e.g., doctors or nurses) to at-risk patients during discharge. This policy aims to increase access to life-saving medication at critical care transition points without mandating provider administration.

HR 6407, the RCORP Authorization Act, authorizes $165 million annually (2026-2030) to fund the Rural Communities Opioid Response Program. This program provides grants to states, tribes, rural health offices, and other eligible entities to expand prevention, treatment, and recovery services for opioid and substance use disorders in rural areas. Funds can support planning, evidence-based service models, and coordination with local communities but cannot be used for real property acquisition. The bill directly affects rural communities facing opioid crises and the organizations delivering care through these grants.