I 
119TH CONGRESS 
1ST SESSION H. R. 2483 
To reauthorize certain programs that provide for opioid use disorder 
prevention, treatment, and recovery, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 31, 2025 
Mr. GUTHRIE (for himself and Ms. PETTERSEN) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committees on Education and Workforce, the Judiciary, 
and Financial Services, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To reauthorize certain programs that provide for opioid use 
disorder prevention, treatment, and recovery, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘SUPPORT for Patients and Communities Reauthoriza-
tion Act of 2025’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
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Sec. 1. Short title; table of contents. 
TITLE I—PREVENTION 
Sec. 101. Prenatal and postnatal health. 
Sec. 102. Monitoring and education regarding infections associated with illicit 
drug use and other risk factors. 
Sec. 103. Preventing overdoses of controlled substances. 
Sec. 104. Support for individuals and families impacted by fetal alcohol spec-
trum disorder. 
Sec. 105. Promoting state choice in PDMP systems. 
Sec. 106. First responder training program. 
Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative. 
Sec. 108. Protecting suicide prevention lifeline from cybersecurity incidents. 
Sec. 109. Monitoring and reporting of child, youth, and adult trauma. 
Sec. 110. Bruce’s law. 
Sec. 111. Guidance on at-home drug disposal systems. 
Sec. 112. Assessment of opioid drugs and actions. 
Sec. 113. Grant program for State and Tribal response to opioid use disorders. 
TITLE II—TREATMENT 
Sec. 201. Residential treatment program for pregnant and postpartum women. 
Sec. 202. Improving access to addiction medicine providers. 
Sec. 203. Mental and behavioral health education and training grants. 
Sec. 204. Loan repayment program for substance use disorder treatment work-
force. 
Sec. 205. Development and dissemination of model training programs for sub-
stance use disorder patient records. 
Sec. 206. Task force on best practices for trauma-informed identification, refer-
ral, and support. 
Sec. 207. Grants to enhance access to substance use disorder treatment. 
Sec. 208. State guidance related to individuals with serious mental illness and 
children with serious emotional disturbance. 
Sec. 209. Reviewing the scheduling of approved products containing a combina-
tion of buprenorphine and naloxone. 
TITLE III—RECOVERY 
Sec. 301. Building communities of recovery. 
Sec. 302. Peer support technical assistance center. 
Sec. 303. Comprehensive opioid recovery centers. 
Sec. 304. Youth prevention and recovery. 
Sec. 305. CAREER Act. 
Sec. 306. Addressing economic and workforce impacts of the opioid crisis. 
TITLE IV—MISCELLANEOUS MATTERS 
Sec. 401. Delivery of a controlled substance by a pharmacy to a prescribing 
practitioner. 
Sec. 402. Required training for prescribers of controlled substances. 
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TITLE I—PREVENTION 
SEC. 101. PRENATAL AND POSTNATAL HEALTH. 
Section 317L(d) of the Public Health Service Act (42 
U.S.C. 247b–13(d)) is amended by striking ‘‘such sums 
as may be necessary for each of the fiscal years 2019 
through 2023’’ and inserting ‘‘$4,250,000 for each of fis-
cal years 2026 through 2030’’. 
SEC. 102. MONITORING AND EDUCATION REGARDING IN-
FECTIONS ASSOCIATED WITH ILLICIT DRUG 
USE AND OTHER RISK FACTORS. 
Section 317N(d) of the Public Health Service Act (42 
U.S.C. 247b–15(d)) is amended by striking ‘‘fiscal years 
2019 through 2023’’ and inserting ‘‘fiscal years 2026 
through 2030’’. 
SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUB-
STANCES. 
(a) IN GENERAL.—Section 392A of the Public 
Health Service Act (42 U.S.C. 280b–1) is amended— 
(1) in subsection (a)(2)— 
(A) in subparagraph (C), by inserting ‘‘and 
associated risks’’ before the period at the end; 
and 
(B) in subparagraph (D), by striking 
‘‘opioids’’ and inserting ‘‘substances causing 
overdose’’; and 
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(2) in subsection (b)(2)— 
(A) in subparagraph (B), by inserting ‘‘, 
and associated risk factors,’’ after ‘‘such 
overdoses’’; 
(B) in subparagraph (C), by striking ‘‘cod-
ing’’ and inserting ‘‘monitoring and identi-
fying’’; 
(C) in subparagraph (E)— 
(i) by inserting a comma after ‘‘public 
health laboratories’’; and 
(ii) by inserting ‘‘and other emerging 
substances related’’ after ‘‘analogues’’; and 
(D) in subparagraph (F), by inserting 
‘‘and associated risk factors’’ after ‘‘overdoses’’. 
(b) ADDITIONAL GRANTS.—Section 392A(a)(3) of 
the Public Health Service Act (42 U.S.C. 280b–1(a)(3)) 
is amended— 
(1) in the matter preceding subparagraph (A), 
by striking ‘‘and Indian Tribes—’’ and inserting 
‘‘and Indian Tribes for the following purposes:’’; 
(2) by amending subparagraph (A) to read as 
follows: 
‘‘(A) To carry out innovative projects for 
grantees to detect, identify, and rapidly respond 
to controlled substance misuse, abuse, and 
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overdoses, and associated risk factors, including 
changes in patterns of such controlled sub-
stance use. Such projects may include the use 
of innovative, evidence-based strategies for de-
tecting such patterns, such as wastewater sur-
veillance, if proven to support actionable pre-
vention strategies, in a manner consistent with 
applicable Federal and State privacy laws.’’; 
and 
(3) in subparagraph (B), by striking ‘‘for any’’ 
and inserting ‘‘For any’’. 
(c) AUTHORIZATION OF APPROPRIATIONS.—Section 
392A(e) of the Public Health Service Act (42 U.S.C. 
280b–1(e)) is amended by striking ‘‘$496,000,000 for 
each of fiscal years 2019 through 2023’’ and inserting 
‘‘$505,579,000 for each of fiscal years 2026 through 
2030’’. 
SEC. 104. SUPPORT FOR INDIVIDUALS AND FAMILIES IM-
PACTED BY FETAL ALCOHOL SPECTRUM DIS-
ORDER. 
(a) IN GENERAL.—Part O of title III of the Public 
Health Service Act (42 U.S.C. 280f et seq.) is amended 
to read as follows: 
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‘‘PART 
O—FETAL 
ALCOHOL 
SPECTRUM 
DIS-
ORDER PREVENTION AND SERVICES PRO-
GRAM 
‘‘SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PRE-
VENTION, INTERVENTION, AND SERVICES DE-
LIVERY PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish or 
continue activities to support a comprehensive fetal alcohol 
spectrum disorders (referred to in this section as ‘FASD’) 
education, prevention, identification, intervention, and 
services delivery program, which may include— 
‘‘(1) an education and public awareness pro-
gram to support, conduct, and evaluate the effective-
ness of— 
‘‘(A) 
educational 
programs 
targeting 
health professions schools, social and other sup-
portive services, educators and counselors and 
other service providers in all phases of child-
hood development, and other relevant service 
providers, concerning the prevention, identifica-
tion, and provision of services for infants, chil-
dren, adolescents and adults with FASD; 
‘‘(B) strategies to educate school-age chil-
dren, including pregnant and high-risk youth, 
concerning FASD; 
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‘‘(C) public and community awareness pro-
grams concerning FASD; and 
‘‘(D) strategies to coordinate information 
and services across affected community agen-
cies, including agencies providing social services 
such as foster care, adoption, and social work, 
agencies providing health services, and agencies 
involved in education, vocational training and 
civil and criminal justice; 
‘‘(2) supporting and conducting research on 
FASD, as appropriate, including to— 
‘‘(A) develop appropriate medical diag-
nostic methods for identifying FASD; and 
‘‘(B) develop effective culturally and lin-
guistically appropriate evidence-based or evi-
dence-informed interventions and appropriate 
supports for preventing prenatal alcohol expo-
sure, which may co-occur with exposure to other 
substances; 
‘‘(3) building State and Tribal capacity for the 
identification, treatment, and support of individuals 
with FASD and their families, which may include— 
‘‘(A) utilizing and adapting existing Fed-
eral, State, or Tribal programs to include 
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FASD identification and FASD-informed sup-
port; 
‘‘(B) developing and expanding screening 
and diagnostic capacity for FASD; 
‘‘(C) developing, implementing, and evalu-
ating targeted FASD-informed intervention 
programs for FASD; 
‘‘(D) providing training with respect to 
FASD for professionals across relevant sectors; 
and 
‘‘(E) 
disseminating 
information 
about 
FASD and support services to affected individ-
uals and their families; and 
‘‘(4) an applied research program concerning 
intervention and prevention to support and conduct 
service demonstration projects, clinical studies and 
other research models providing advocacy, edu-
cational and vocational training, counseling, medical 
and mental health, and other supportive services, as 
well as models that integrate and coordinate such 
services, that are aimed at the unique challenges fac-
ing individuals with fetal alcohol spectrum disorder 
or fetal alcohol effect and their families. 
‘‘(b) GRANTS AND TECHNICAL ASSISTANCE.— 
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‘‘(1) IN GENERAL.—The Secretary may award 
grants, cooperative agreements and contracts and 
provide technical assistance to eligible entities to 
carry out subsection (a). 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant, or enter into a cooperative agreement 
or contract, under this section, an entity shall— 
‘‘(A) be a State, Indian Tribe or Tribal or-
ganization, local government, scientific or aca-
demic institution, or nonprofit organization; 
and 
‘‘(B) prepare and submit to the Secretary 
an application at such time, in such manner, 
and containing such information as the Sec-
retary may require, including a description of 
the activities that the entity intends to carry 
out using amounts received under this section. 
‘‘(3) ADDITIONAL
APPLICATION
CONTENTS.— 
The Secretary may require that an eligible entity in-
clude in the application submitted under paragraph 
(2)(B)— 
‘‘(A) a designation of an individual to 
serve as a FASD State or Tribal coordinator of 
activities such eligible entity proposes to carry 
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out through a grant, cooperative agreement, or 
contract under this section; and 
‘‘(B) a description of an advisory com-
mittee the entity will establish to provide guid-
ance for the entity on developing and imple-
menting a statewide or Tribal strategic plan to 
prevent FASD and provide for the identifica-
tion, treatment, and support of individuals with 
FASD and their families. 
‘‘(c) DEFINITION OF FASD-INFORMED.—For pur-
poses of this section, the term ‘FASD-informed’, with re-
spect to support or an intervention program, means that 
such support or intervention program uses culturally and 
linguistically informed evidence-based or practice-based 
interventions and appropriate resources to support an im-
proved quality of life for an individual with FASD and 
the family of such individual. 
‘‘SEC. 399I. STRENGTHENING CAPACITY AND EDUCATION 
FOR 
FETAL 
ALCOHOL 
SPECTRUM 
DIS-
ORDERS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants, contracts, or cooperative agreements, as the Sec-
retary determines appropriate, to public or nonprofit pri-
vate entities with demonstrated expertise in the field of 
fetal alcohol spectrum disorders (referred to in this section 
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as ‘FASD’). Such awards shall be for the purposes of 
building local, Tribal, State, and nationwide capacities to 
prevent the occurrence of FASD by carrying out the pro-
grams described in subsection (b). 
‘‘(b) PROGRAMS.—An entity receiving an award 
under subsection (a) may use such award for the following 
purposes: 
‘‘(1) Developing and supporting public edu-
cation and outreach activities to raise public aware-
ness of the risks associated with alcohol consumption 
during pregnancy. 
‘‘(2) Acting as a clearinghouse for evidence- 
based resources on FASD prevention, identification, 
and culturally and linguistically appropriate best 
practices to help inform systems of care for individ-
uals with FASD across their lifespan. 
‘‘(3) Increasing awareness and understanding 
of efficacious, evidence-based screening tools and 
culturally and linguistically appropriate evidence- 
based intervention services and best practices, which 
may include improving the capacity for State, Trib-
al, and local affiliates. 
‘‘(4) Providing technical assistance to recipients 
of grants, cooperative agreements, or contracts 
under section 399H, as appropriate. 
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