Healthcare (Substance Abuse)

Alternatives to Prevent Addiction In the Nation Act or the Alternatives to PAIN Act This bill reduces cost-sharing and prohibits the imposition of certain utilization requirements under the Medicare prescription drug benefit for certain non-opioid pain management drugs. Specifically, the bill requires such drugs to be covered without a deductible and to be placed on the lowest cost-sharing tier (if any). The bill also prohibits the imposition of prior authorization requirements (i.e., requiring prior approval from a plan) or step therapy requirements (i.e., requiring the use of alternative drugs before a drug is covered under a plan) with respect to such drugs.

This resolution designates June 6, 2025, as National Naloxone Awareness Day to raise public awareness about naloxone, a life-saving medication that reverses opioid overdoses. It urges federal, state, local governments, and organizations to improve access to naloxone and educate communities on its use, without creating new laws or funding. The resolution focuses on recognition and education, not policy changes or mandates.

Veterans' Assuring Critical Care Expansions to Support Servicemembers Act of 2025 or the Veterans' 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.

HR 1141 establishes federal funding to address gambling addiction through grants for states and research. It allocates 37.5% of annual gambling tax revenue (from IRS Section 4401) to states for treatment programs, using the same formula as existing substance abuse grants, and directs 12.5% to fund gambling addiction research via the National Institute on Drug Abuse. The bill requires states to apply for grants, with unclaimed funds redistributed proportionally, and mandates a 3-year report on program effectiveness to Congress. This directly affects states receiving funds and individuals seeking gambling addiction treatment or research services. The law authorizes funding for fiscal years 2025-2034.

This bill amends the Family and Medical Leave Act (FMLA) and federal employee leave rules to clarify that recovery from organ donation surgery qualifies as a "serious health condition." It directly affects private-sector workers covered by the FMLA and federal civil service employees. The key change adds "including recovery from surgery related to organ donation" to the definitions of serious health conditions in both the FMLA and federal leave statutes. This ensures eligible employees can use their existing family and medical leave benefits to recover after donating an organ, without requiring new leave entitlements.

HR 1064, the "Stopping Overdoses of Fentanyl Analogues Act," adds all fentanyl-related substances to the federal Schedule I list of controlled substances without requiring separate listing. It defines these substances broadly as any chemical structure similar to fentanyl - such as modifications to its phenyl, piperidine, or aniline rings - to automatically cover new synthetic fentanyl analogues created by drug manufacturers. This change treats these substances as illegal fentanyl analogues under existing penalties, meaning law enforcement can prosecute them without proving they meet the current legal definition of a "controlled substance analogue." The bill directly affects drug manufacturers, distributors, and law enforcement by streamlining the regulation of new fentanyl-like compounds designed to evade current laws.

This bill clarifies that equipment designed to detect fentanyl or xylazine in substances is exempt from certain restrictions under the Controlled Substances Act. It amends Section 422 to explicitly state that possessing, selling, or transporting such testing equipment does not violate federal law. The change directly affects harm reduction organizations, first responders, and public health groups using these tools to identify dangerous substances and prevent overdoses.

HR 3757, the Pride In Mental Health Act of 2025, provides $20 million annually (2026-2030) to fund grants for mental health services targeting LGBTQ+ youth, including nonbinary, intersex, and Two Spirit youth, and their families/caregivers. The bill mandates grantees to provide trauma-informed care, cultural competency training, school bullying prevention guidelines, and evidence-based practices while explicitly prohibiting the use of funds for conversion therapy or its promotion. It also requires the federal government to restore mental health reports on LGBTQ+ youth, conduct a national survey measuring mental health distress, and produce a report on mental health services for LGBTQ+ youth in foster care. The law directly affects these youth populations by expanding access to tailored mental health resources and data collection, with funding administered through the Substance Abuse and Mental Health Administration.

The PEER Support Act creates a new federal job classification for peer support specialists - individuals with lived experience in mental health or substance use recovery who provide support to others - by 2026. It establishes an Office of Recovery within the Substance Abuse and Mental Health Services Administration (SAMHSA) to lead training, certification, and career development for these specialists, including sharing best practices with states. The bill also requires a federal report analyzing state criminal background check laws for peer support specialists and recommending ways to reduce barriers to certification. This legislation directly affects peer support specialists, state certification programs, and federal agencies managing mental health services.

This bill amends the Department of Defense's Transition Assistance Program (TAP) and the Department of Veterans Affairs' Solid Start Program to enhance mental health support during military-to-civilian transitions. It requires TAP to provide specific information on suicide risk factors (including depression, homelessness, and relationship strain), treatment options for conditions like PTSD and substance abuse, and the impact of losing social support systems. The Solid Start Program must now assist veterans in enrolling in VA healthcare and educate them about available mental health resources. The Secretaries of Defense and Veterans Affairs must jointly report to Congress within one year on the materials developed under these changes.