IB 
Union Calendar No. 84 
119TH CONGRESS 
1ST SESSION H. R. 2483 
[Report No. 119–114, Part I] 
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 
MAY 29, 2025 
Reported from the Committee on Energy and Commerce with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
MAY 29, 2025 
Committees on Education and Workforce, the Judiciary, and Financial Serv-
ices discharged; committed to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
[For text of introduced bill, see copy of bill as introduced on March 31, 2025] 
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A BILL 
To reauthorize certain programs that provide for opioid use 
disorder prevention, treatment, and recovery, 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; 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: 
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, referral, 
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. 
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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 prac-
titioner. 
Sec. 402. Required training for prescribers of controlled substances. 
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 fiscal 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)— 
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(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 
(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— 
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(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 
overdoses, and associated risk factors, including 
changes in patterns of such controlled substance 
use. Such projects may include the use of innova-
tive, evidence-based strategies for detecting such 
patterns, such as wastewater surveillance, if 
proven to support actionable prevention strate-
gies, 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 fis-
cal years 2019 through 2023’’ and inserting ‘‘$505,579,000 
for each of fiscal years 2026 through 2030’’. 
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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: 
‘‘PART O—FETAL ALCOHOL SPECTRUM DISORDER 
PREVENTION AND SERVICES PROGRAM 
‘‘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 program 
to support, conduct, and evaluate the effectiveness 
of— 
‘‘(A) educational programs targeting health 
professions schools, social and other supportive 
services, educators and counselors and other serv-
ice providers in all phases of childhood develop-
ment, and other relevant service providers, con-
cerning the prevention, identification, and provi-
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sion of services for infants, children, adolescents, 
and adults with FASD; 
‘‘(B) strategies to educate school-age chil-
dren, including pregnant and high-risk youth, 
concerning FASD; 
‘‘(C) public and community awareness pro-
grams concerning FASD; and 
‘‘(D) strategies to coordinate information 
and services across affected community agencies, 
including agencies providing social services such 
as foster care, adoption, and social work, agen-
cies providing health services, and agencies in-
volved 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; 
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‘‘(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 FASD 
identification and FASD-informed support; 
‘‘(B) developing and expanding screening 
and diagnostic capacity for FASD; 
‘‘(C) developing, implementing, and evalu-
ating targeted FASD-informed intervention pro-
grams 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, educational 
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 facing indi-
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viduals with fetal alcohol spectrum disorder or fetal 
alcohol effect and their families. 
‘‘(b) GRANTS AND TECHNICAL ASSISTANCE.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants, cooperative agreements and contracts and pro-
vide 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 include 
in the application submitted under paragraph 
(2)(B)— 
‘‘(A) a designation of an individual to serve 
as a FASD State or Tribal coordinator of activi-
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