IB 
Union Calendar No. 199 
119TH CONGRESS 
1ST SESSION H. R. 2591 
[Report No. 119–242] 
To require the Administrator of the Federal Aviation Administration to revise 
regulations for certain individuals carrying out aviation activities who 
disclose a mental health diagnosis or condition, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 2, 2025 
Mr. CASTEN (for himself, Mr. STAUBER, Mr. LARSEN of Washington, and Mr. 
MANN) introduced the following bill; which was referred to the Committee 
on Transportation and Infrastructure 
SEPTEMBER 8, 2025 
Additional sponsors: Ms. WILSON of Florida, Mr. BERGMAN, Ms. DAVIDS of 
Kansas, Mr. FITZPATRICK, Ms. KING-HINDS, Ms. NORTON, Mr. NADLER, 
Mr. BACON, Mrs. HINSON, Mr. CARBAJAL, Mrs. WATSON COLEMAN, Mr. 
KEAN, Mr. MOYLAN, Ms. TITUS, Mr. MCDOWELL, Mr. RYAN, Mr. CAR-
SON, Mr. OWENS, Mr. JOHNSON of Georgia, Mr. OBERNOLTE, Mr. VAN 
DREW, Mr. DELUZIO, Mr. VALADAO, Ms. SCHOLTEN, Mrs. MCIVER, Mr. 
TURNER of Ohio, Mr. GARBARINO, Mr. GARCIA of California, Mr. 
KNOTT, Mr. BEGICH, Ms. TOKUDA, Mr. KRISHNAMOORTHI, Mr. WIED, 
Ms. LOFGREN, Mr. LALOTA, Mr. STANTON, Mr. EVANS of Colorado, Mr. 
SUOZZI, Mr. LAWLER, and Ms. CRAIG 
SEPTEMBER 8, 2025 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on April 2, 2025] 
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A BILL 
To require the Administrator of the Federal Aviation Admin-
istration to revise regulations for certain individuals car-
rying out aviation activities who disclose a mental health 
diagnosis or condition, and for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Mental Health in Avia-
tion Act of 2025’’. 
SEC. 2. REGULATIONS FOR INDIVIDUALS CARRYING OUT 
AVIATION ACTIVITIES. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Administrator of the Fed-
eral Aviation Administration shall update regulations, in-
cluding in part 67 of title 14 of Code of Federal Regula-
tions, as appropriate, to encourage individuals to— 
(1) seek help for mental health conditions or 
symptoms of mental health conditions; and 
(2) disclose conditions or symptoms described in 
paragraph (1). 
(b) CONSULTATION; REPORT REQUIREMENTS.—Sec-
tion 411(d) of the FAA Reauthorization Act of 2024 (49 
U.S.C. 44703 note(d)) is amended— 
(1) in paragraph (4)— 
(A) in subparagraph (A) by striking ‘‘and’’ 
at the end; 
(B) in subparagraph (B) by striking ‘‘and’’ 
at the end; 
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(C) in subparagraph (C) by striking the pe-
riod at the end and inserting a semicolon; and 
(D) by adding at the end the following: 
‘‘(D) a review and evaluation of any rec-
ommendations reached by the National Trans-
portation Safety Board related to aviation work-
force mental health; and 
‘‘(E) a description of relevant clinical stud-
ies, research, diagnostic manuals, and protocols 
used by the licensed professionals as of the date 
of enactment of this Act.’’; and 
(2) by adding at the end the following: 
‘‘(5) CONSULTATION.—In carrying out this sub-
section, the task group shall consult with relevant 
stakeholders from the aviation and medical commu-
nities, as necessary, including— 
‘‘(A) the certified exclusive bargaining rep-
resentatives of air traffic controllers of the Ad-
ministration certified under section 7111 of title 
5, United States Code; 
‘‘(B) organizations representing certified 
collective bargaining representatives of airline 
pilots; 
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‘‘(C) aviation medical examiners, as de-
scribed in section 183.21 of title 14, Code of Fed-
eral Regulations; and 
‘‘(D) any other stakeholder determined rel-
evant by the task group, including any stake-
holders described in paragraph (3)(B).’’. 
(c) IMPLEMENTATION.— 
(1) IN GENERAL.—Not later than 180 days after 
the submission of the report required under section 
411(f) of the FAA Reauthorization Act of 2024 (49 
U.S.C. 44703 note), the Administrator shall take such 
actions as are necessary to implement the mental 
health-related recommendations of such report. 
(2) JUSTIFICATION.—If the Administrator de-
cides not to implement any of the recommendations 
described in paragraph (1), the Administrator shall 
submit to the appropriate committees of Congress the 
justification for such decision. 
SEC. 3. ANNUAL REVIEW OF MENTAL HEALTH SPECIAL 
ISSUANCE PROCESS. 
The Administrator shall conduct an annual review, 
and update, as appropriate, the applicable regulations, 
policies, orders, and guidance on mental health-related spe-
cial issuance for pilots and air traffic controllers to— 
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(1) reclassify and approve additional medica-
tions that may be safely prescribed to airmen to treat 
mental health conditions; 
(2) improve mental health knowledge and train-
ing for aviation medical examiners; 
(3) if the Administrator determines appropriate, 
delegate additional authority to aviation medical ex-
aminers consistent with the recommendation of the 
Mental Health Aviation Rulemaking Committee de-
scribed in section 5; and 
(4) improve the special issuance process for pi-
lots and air traffic controllers. 
SEC. 4. AUTHORIZATION OF APPROPRIATION FOR ADDI-
TIONAL AVIATION MEDICAL EXAMINERS. 
Of the amounts made available pursuant to section 
106(k)(1) of title 49, United States Code, the Administrator 
shall set aside $13,740,000 for each of fiscal years 2026 
through 2028 to— 
(1) recruit, select, train, and delegate the nec-
essary authorities to additional aviation medical ex-
aminers and human intervention motivation study 
aviation medical examiners, including those who are 
psychiatrists; 
(2) expand capacity to provide oversight of avia-
tion medical examiners and clear the backlog of spe-
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cial issuance requests and cases awaiting review at 
the Office of Aerospace Medicine; and 
(3) support any other related activities, as the 
Administrator determines appropriate. 
SEC. 5. IMPLEMENTATION OF AVIATION RULEMAKING COM-
MITTEE RECOMMENDATIONS. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Administrator shall im-
plement, to the greatest extent practicable, the recommenda-
tions of the Mental Health and Aviation Medical Clearances 
Aviation Rulemaking Committee which were submitted to 
the Administrator on April 1, 2024. 
(b) CONSULTATION.—In carrying out subsection (a), 
the Administrator shall consult with the parties described 
in section 411(d)(5) of the FAA Reauthorization Act of 
2024 (as added by this Act). 
(c) JUSTIFICATION.—If the Administrator decides not 
to implement any of the recommendations described in sub-
section (a), the Administrator shall submit to the appro-
priate committees of Congress the justification for such deci-
sion. 
SEC. 6. PUBLIC INFORMATION CAMPAIGN. 
(a) IN GENERAL.—Of the amounts made available 
under section 106(k)(1) of title 49, United States Code, the 
Administrator shall set aside $1,500,000 for each of fiscal 
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years 2026 through 2028 for a public information cam-
paign or similar public education efforts to destigmatize in-
dividuals in (or interested in joining) the aviation industry 
who seek mental health care, to broaden awareness of avail-
able supportive services, and establish trust with pilots and 
air traffic controllers. 
(b) REPORT.—Not later than 1 year after the Adminis-
trator creates the public information campaign described 
in subsection (a), the Administrator shall submit to appro-
priate committees of Congress a report describing the ac-
tions taken to develop such campaign and the plans for im-
plementation. 
SEC. 7. DEFINITIONS. 
In this Act: 
(1) APPROPRIATE COMMITTEES OF CONGRESS.— 
The term ‘‘appropriate committees of Congress’’ 
means— 
(A) the Committee on Transportation and 
Infrastructure of the House of Representatives; 
and 
(B) the Committee on Commerce, Science, 
and Transportation of the Senate. 
(2) SPECIAL
ISSUANCE.—The term ‘‘special 
issuance’’ has the meaning given the term in section 
67.401 of title 14, Code of Federal Regulations. 
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Union Calendar No. 199 
119TH CONGRESS 
1ST SESSION 
H. R. 2591 
[Report No. 119–242] 
A BILL 
To require the Administrator of the Federal Avia-
tion Administration to revise regulations for cer-
tain individuals carrying out aviation activities 
who disclose a mental health diagnosis or condi-
tion, and for other purposes. 
SEPTEMBER 8, 2025 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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