Healthcare (Substance Abuse)

The SAFE Act requires Medicare to cover falls risk assessments and fall prevention services for seniors aged 65+ who have fallen in the previous year. These services, provided by physical or occupational therapists, will be included in Medicare's annual wellness visits and initial preventive physical exams starting January 1, 2026. The bill also mandates annual reports to Congress beginning in 2027 on falls among seniors aged 65+ that required treatment for fall-related injuries. This policy directly affects Medicare beneficiaries with a documented history of falls by adding targeted preventive care to their covered benefits.

The PROVIDE Act creates a new priority category for processing veterans' disability claims when a major disaster (like floods or fires) impacts their area. It directly affects veterans living in regions where the President has declared a major disaster under the Stafford Act. The bill requires the VA to establish flexible evidence rules and extended filing deadlines for these veterans, while also adding them to the existing list of priority claimants (e.g., those facing homelessness or terminal illness). The VA must post this new eligibility information on its website within 60 days of the bill becoming law. This change aims to help veterans affected by disasters access benefits faster to aid their recovery.

HR 3655, the STAR Plus Scholarship Act, creates a federal scholarship program to address shortages in mental health and substance use disorder treatment workforces. It provides tuition and educational expense coverage to students enrolled in approved programs leading to careers as psychiatrists, social workers, addiction counselors, or other mental health professionals. In exchange, recipients must work full-time in designated mental health professional shortage areas or counties with high overdose death rates for one year per scholarship year. The program authorizes $75 million annually (2026-2030) and prioritizes applicants from underrepresented groups or those likely to continue serving in shortage areas after their obligation ends.

HR 5252, the HOPE Act, amends the 21st Century Cures Act to allow states and tribes using federal grant funds to purchase and distribute public access opioid overdose reversal kits. These kits contain opioid reversal medication and clear instructions for use. The bill specifically permits grant funds previously designated for prevention to also cover acquiring, making available, and maintaining these kits. It directly affects state and tribal health agencies administering the relevant federal grants.

Fentanyl Awareness for Children and Teens in Schools Act or the FACTS Act This bill establishes grant programs and requires strategies and studies to address the misuse of synthetic opioids (i.e., laboratory-derived substances such as fentanyl and its derivatives) among youth. The bill requires the Department of Health and Human Services (HHS) to award grants to partnerships between educational and health organizations for prevention, treatment, and recovery efforts related to the use of synthetic opioids by middle and high school-aged children. It also allows school-based health centers to use existing HHS grants to purchase naloxone to reverse the effects of opioid overdoses and to establish programs to address misuse of synthetic opioids.   Also, the bill authorizes state educational agencies to use certain Department of Education (ED) grant funds to provide training to school personnel on addressing students’ misuse of synthetic opioids. State and local educational agencies must also address such misuse in their educational plans in order to qualify for certain ED grants. Finally, the bill (1) establishes an interagency taskforce to coordinate federal efforts to address synthetic opioid misuse among youth, (2) requires an evaluation of the State Unintentional Drug Overdose Reporting System’s effectiveness in identifying the specific synthetic opioids causing youth overdoses, (3) expands the data reported by the National Center for Education Statistics to include information about the use of synthetic opioids in schools, and (4) requires two recurring HHS surveys to include questions on youth exposure to synthetic opioids.

This bill sets new registration requirements for opioid treatment clinics operating under the Controlled Substances Act. It directly affects clinics seeking to provide maintenance or detoxification treatment by requiring them to: avoid locating within 0.5 miles of schools/daycares, appoint community liaisons, promote telehealth use, and track community impact data. Key provisions include mandatory community outreach to stakeholders, developing neighborhood engagement plans, establishing community advisory boards, and creating plans to address issues like public drug use or discarded needles. Clinics must also report treatment outcomes, telehealth effectiveness, and community engagement metrics to the Secretary annually, with comprehensive reports submitted to Congress starting one year after enactment.

SUPPORT for Patients and Communities Reauthorization Act of 2025 This act reauthorizes and revises programs and activities relating to addressing substance use disorders, overdoses, and mental health. (For additional information on each section of this act, see CRS Report R48864 .) TITLE I--PREVENTION (Sec. 101) This section reauthorizes through FY2030 Centers for Disease Control and Prevention (CDC) programs that provide information, grants, and technical assistance relating to studying and preventing prenatal and postnatal substance use disorders. (Sec. 102) This section reauthorizes through FY2030 CDC programs that carry out and provide grants for surveillance, treatment, and education relating to infections associated with illicit drug use. (Sec. 103) This section reauthorizes through FY2030 and expands CDC programs that carry out activities and provide grants relating to monitoring drug use and overdoses (e.g., supporting state prescription drug monitoring programs), preventing and responding to substance use disorders, and raising awareness regarding opioids and other substances.  The section authorizes additional activities, including wastewater surveillance and collecting data on risk factors associated with overdoses. (Sec. 104) This section reestablishes, expands, and provides statutory authority for Department of Health and Human Services (HHS) activities addressing fetal alcohol spectrum disorders (i.e., conditions caused by prenatal alcohol exposure), including carrying out and providing grants for research, education and public awareness, and intervention and support services for affected individuals. (Sec. 105) This section specifies that, in providing grants to support state prescription drug monitoring programs, the CDC is not authorized to require states to use specific vendors or interoperability systems other than to align with general, consensus-based standards for interoperability.   (Sec. 106) This section reauthorizes through FY2030 and expands grants to government entities to provide first responders with opioid overdose reversal drugs (e.g., naloxone) and related training. The grant program is administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). The section expands the program to include (1) treatment and training for overdoses from other drugs besides opioids, and (2) treatment with drugs or devices that are legally marketed under applicable law. Current law limits the program to addressing opioid overdoses and to drugs or devices that are officially approved or cleared by the Food and Drug Administration (FDA). (Sec. 107) This section reauthorizes through FY2030 and revises the National Child Traumatic Stress Initiative and related activities, which are administered by SAMHSA. Under the initiative, SAMHSA provides grants and other support to improve the quality of and increase access to services addressing psychological trauma in youth and families.  The section requires grant recipients to develop training and other resources for collaborative implementation of best practices. (Sec. 108) This section requires SAMHSA to undertake efforts to protect the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats. (The lifeline is a three-digit number that connects callers in suicidal crisis or mental health distress to a national network of crisis centers.) The section includes requirements for the lifeline’s network administrator and participating local and regional crisis centers to report identified cybersecurity incidents and vulnerabilities. The Government Accountability Office must conduct a study that evaluates cybersecurity risks and vulnerabilities associated with the lifeline and report the findings to Congress. (Sec. 109) This section reauthorizes through FY2030 CDC activities to collect and report certain public health data relating to potentially traumatic childhood experiences. (Sec. 110) This section reauthorizes through FY2030 an interdepartmental committee on substance use disorders, establishes an interagency work group on fentanyl contamination of illegal drugs, and expands certain SAMHSA activities to include supporting strategies to raise awareness about the dangers of synthetic opioids for youth. (Sec. 111) This section requires HHS to publish guidance regarding at-home safe drug disposal systems. (Sec. 112) This section requires HHS to publish a plan for assessing approved opioid analgesic drugs (i.e., opioid pain relievers) that addresses the public health effects of these drugs, including updates on actions by the FDA with respect to risk-benefit assessments and supporting development and approval of nonaddictive medical products. HHS must provide an opportunity for public input on the FDA’s regulation of opioid analgesic drugs. (Sec. 113) This section provides statutory authority for SAMHSA’s State Opioid Response and Tribal Opioid Response Grants to be used for facilitating access to drug checking technologies, such as fentanyl and xylazine test strips, to the extent permitted by federal and state law. TITLE II--TREATMENT (Sec. 201) This section reauthorizes through FY2030 the Residential Treatment for Pregnant and Postpartum Women program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program awards grants to fund services for pregnant and postpartum women with substance use disorders, including services for treatment, recovery support, and case management.  The section also specifically allows grant recipients to conduct outreach that is targeted at women disproportionately impacted by maternal substance use disorders. (Sec. 202) This section provides statutory authority for the Minority Fellowship Program to include fellowships for training in the field of addiction medicine. The Minority Fellowship Program, administered by SAMHSA, funds fellowships for individuals seeking graduate degrees and planning to work on addressing mental or substance use disorders in racial and ethnic minority populations. (Sec. 203) This section reauthorizes through FY2030 the Behavioral Health Workforce Education and Training Program for Professionals, which is administered by the Health Resources and Services Administration (HRSA). This program provides grants to educational organizations and programs to recruit and educate students in mental and behavioral health. (Sec. 204) This section reauthorizes through FY2030 the Substance Use Disorder Treatment and Recovery Loan Repayment Program, which is administered by HRSA. This program provides repayment of educational loans for health care practitioners who agree to provide direct treatment or recovery support for substance use disorders in certain areas with shortages of health professionals or high rates of overdose. (Sec. 206) This section reauthorizes through FY2030 and expands an interagency task force that must develop recommendations relating to (1) best practices for preventing and mitigating trauma in youth and (2) coordinating the federal response to families impacted by substance use disorders and other trauma. (Sec. 208) This section requires SAMHSA to conduct a review of how states use funds under the Community Mental Health Services Block Grant program to address first episode psychosis, including the use of evidence-based services for individuals with early serious mental illness and children with serious emotional disturbance. SAMHSA must report to Congress on the findings of the review and update the guidance for the block grant program based on such findings. (Sec. 209) This section requires HHS to review relevant data and, if determined appropriate, request that the Drug Enforcement Administration (DEA) revise the scheduling of approved products containing a combination of buprenorphine and naloxone under the Controlled Substances Act. The DEA must review such requests and determine whether to revise the schedules. (Sec. 210) This section requires that, when HHS issues new regulations or guidance on grant programs addressing opioid use disorders, references to an opioid overdose reversal drug (e.g., naloxone) must broadly include any opioid overdose reversal drug approved by the FDA. Within one year after the act’s enactment, HHS must update all references accordingly in regulations or guidance issued prior to the act’s enactment that are applicable to State Opioid Response Grants, Tribal Opioid Response Grants, or certain other grants relating to substance use disorder prevention. (Sec. 211) This section requires HHS to convene a public roundtable with public and private stakeholders on expanding the use of electronic health records among mental health and substance use disorder service providers. HHS must report to Congress on the results of the roundtable with respect to specified topics. TITLE III--RECOVERY (Sec. 301) This section reauthorizes through FY2030 the Building Communities of Recovery program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program provides grants to certain community nonprofit organizations for developing and delivering coordinated community and statewide recovery support services for individuals with substance use disorders. (Sec. 302) This section reauthorizes through FY2030 and expands the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support, which is administered by SAMHSA. The center provides training and resources to public and private nonprofit entities relating to recovery support services for substance use disorders and co-occurring conditions (i.e., mental health conditions coexisting with substance use disorders). The section expands the center's functions to include professional development of peer support specialists and recovery support services in nonclinical settings. It also authorizes through FY2030 a regional technical assistance center to support the ability of the center to meet a particular region's needs. (Sec. 303) This section reauthorizes through FY2030 grants to nonprofits for establishing or operating opioid recovery centers providing comprehensive treatment and recovery support services. The grant program is administered by SAMHSA. (Sec. 304) This section reauthorizes through FY2030 and revises the Preventing Youth Overdose: Treatment, Recovery, Education, Awareness, and Training (PYO-TREAT) program, which is administered by SAMHSA. The PYO-TREAT program provides grants and other support to educational and public entities for substance use disorder prevention, treatment, and recovery for children and young adults. The section revises the program to provide statutory authority for (1) requiring applicants to submit plans for sustaining activities under the program after the grant has ended, and (2) expanding eligible grant recipients to include consortia of local educational agencies. SAMHSA must report to Congress on the PYO-TREAT program’s effectiveness. (Sec. 305) This section reauthorizes through FY2030 and expands the Treatment, Recovery, and Workforce Support program, which is administered by SAMHSA. This program provides grants to public and private nonprofit entities to support individuals in treatment and recovery for substance use disorders and co-occurring conditions to live independently and participate in the workforce. The section authorizes using 5% of such grant funds for transportation services and requires grant recipients to report on the employment and earnings outcomes of program participants. Also, the section reauthorizes through FY2030 the Recovery Housing Pilot Program, which assists states in providing individuals in recovery from a substance use disorder with stable, temporary housing for up to two years. This program is administered by the Department of Housing and Urban Development. (Sec. 306) This section reauthorizes through FY2030 the Support to Communities: Fostering Opioid Recovery through Workforce Development program, which is administered by the Department of Labor. This program provides grants to public entities to address the economic and workforce-related impacts of substance use disorders through activities such as screening and support services, training, and engaging with employers. (Sec. 307) This section requires HHS to convene a public meeting relating to improving awareness of and access to grants provided by SAMHSA. Based on the stakeholder feedback received at the meeting, HHS must implement improvements to relevant websites and report to Congress. TITLE IV--MISCELLANEOUS MATTERS (Sec. 401) This section allows pharmacies to deliver to prescribing practitioners schedule III-V controlled substances that are not directly administered by the practitioner (i.e., self-administered), provided the controlled substances are subject to a risk evaluation and mitigation strategy to assure safe use by the patient, including post-administration monitoring by a health care provider.  (Sec. 402) This section expands the types of organizations that may provide training or education required for practitioners registering with the DEA to dispense (i.e., prescribe or administer) schedule II-V controlled substances. This section applies retroactively, taking effect as if enacted on December 29, 2022.

This bill (S 1912) expands the Veterans Community Care Program to ensure veterans can access mental health and substance-use services in the community when they cannot get timely care through VA residential treatment programs. It requires community providers to meet state licensing and accreditation standards, prohibits the VA from denying care solely because community providers cannot meet wait-time standards, and mandates the VA to track and report on mental health care requests (including approvals, denials, and veteran preferences). The bill also ensures veterans can choose their preferred care option and prevents VA referrals from overriding timely community care access. These changes directly affect veterans seeking mental health services who face delays in VA programs, aiming to improve immediate access to critical care.

HR 3689, the TREAT Youth Act, amends the SUPPORT for Patients and Communities Act to authorize specific annual funding for youth prevention and recovery programs. It sets mandatory funding levels from fiscal years 2026 through 2030, starting at $10 million in 2026 and increasing to $15 million by 2030. The bill does not create new programs but specifies exact funding amounts for existing youth-focused initiatives under the SUPPORT Act. It directly affects federal programs delivering prevention, recovery, education, and awareness services to young people. This is a procedural funding authorization, not a policy change altering program scope or eligibility.

The SEEK HELP Act provides legal protections for individuals responding to opioid overdoses. It shields people who administer reversal drugs (like naloxone) in good faith from civil lawsuits, and protects those who call for help (e.g., 911) from drug possession charges related to the overdose. States can use federal funds to run public awareness campaigns about these protections and train law enforcement and healthcare workers. The bill also requires a federal report to assess how well these protections are working across states and their impact on overdose outcomes.