Healthcare (Substance Abuse)

HR 5629 would prevent the Department of Health and Human Services' final rule on opioid treatment medications from taking effect, except for changes to accreditation standards for opioid treatment programs. The rule, published in February 2024, aimed to expand access to certain medications for opioid use disorder by modifying treatment protocols. This bill would maintain current regulations for medication-assisted treatment by blocking the rule's implementation, while leaving accreditation requirements unchanged. As a result, existing treatment guidelines would remain in place, but program accreditation standards would still be updated per the rule's exception.

The Jobs and Opportunities for Medicaid Act would require most Medicaid recipients aged 18 to 65 to work or volunteer at least 20 hours per week (averaged monthly) to maintain health coverage, starting January 1, 2026. Exemptions include individuals who are pregnant, primary caregivers for children under 6, medically unable to work, or enrolled in substance abuse treatment programs. States would need to verify each month whether recipients meet this work requirement to continue receiving Medicaid benefits.

The MOSSA Act (HR 4878) directs federal agencies to prioritize funding for local governments enforcing laws against public drug use, camping, and loitering, while requiring homelessness programs to link participants with mental health/substance use treatment as a condition of aid. It mandates that federal grant programs for homelessness services end support for "housing first" approaches and "harm reduction" initiatives, instead requiring evidence-based treatment programs and stricter accountability for service providers. The bill also directs agencies to address sex offenders in homeless programs by restricting their housing with children and to review funding recipients operating drug injection sites for legal violations. These provisions collectively shift federal funding toward enforcement-focused and treatment-oriented homelessness strategies, affecting state/local governments, homeless service providers, and individuals accessing federal housing assistance.

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.

Building Resources and Access for Veterans' Mental Health Engagement Act of 2025 or the BRAVE Act of 2025 This bill addresses mental health services and care provided by the Department of Veterans Affairs (VA), including matters related to personnel, Vet Center administration, care for women veterans, and access to care. The bill authorizes the VA to waive the licensure or certification requirement for individual licensed professional mental health counselor appointees for a reasonable period of time. The bill also extends the Staff Sergeant Parker Gordon Fox Suicide Prevention Grant Program and increases the maximum annual grant amount. The VA must provide Vet Centers with guidance for assessing outreach activities and implement processes to periodically assess the extent to which (1) veterans and eligible members of the Armed Forces experience barriers to obtaining services at Vet Centers, and (2) Vet Center staff may encounter barriers to providing services. Among other requirements, the VA must also survey and host listening sessions with women veterans to gauge the effectiveness of the VA’s suicide prevention, lethal-means safety, and mental health resources and messaging campaigns; initiate efforts to modify the Recovery Engagement and Coordination for Health-Veterans Enhanced Treatment (REACH VET) program to incorporate risk factors weighted for women; annually offer a mental health consultation to veterans who are receiving compensation for a service-connected disability relating to a mental health diagnosis; and implement a pilot program to provide access to mental health residential treatment programs for veterans with a spinal cord injury or disorder.

This bill amends the WIC program to replace "drug abuse" with "substance use disorder" throughout its provisions, directly affecting WIC participants who may have substance use disorder. Key mechanisms include creating new nutrition education materials for pregnant individuals with substance use disorder and infants affected by prenatal exposure, establishing an online clearinghouse for these resources, and authorizing $1 million for fiscal year 2026. The changes aim to provide evidence-based, non-judgmental support through updated program materials and outreach. The bill specifically targets WIC participants impacted by substance use disorder, not broader population changes.

This bill establishes a pilot program to help prisons and jails identify incarcerated veterans by improving their documentation systems. It directs the Attorney General and VA to provide grants and technical assistance to state/local facilities, aiming to connect veterans in the justice system with VA benefits and veterans treatment courts. The program prioritizes facilities in states with high veteran populations, high veteran poverty rates, or existing veterans court programs. This directly affects over 180,000 incarcerated veterans who face barriers to accessing mental health care, substance abuse treatment, and reentry support.