119TH CONGRESS 
1ST SESSION H. R. 2591 
AN ACT 
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. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
‘‘(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 imple-
ment 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 
special issuance for pilots and air traffic controllers to— 
(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 Adminis-
trator 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 
aviation medical examiners and clear the backlog of 
special 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 
COMMITTEE 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 rec-
ommendations 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 subsection (a), the Administrator shall submit to the 
appropriate committees of Congress the justification for 
such decision. 
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 years 2026 through 2028 for a public information 
campaign 
or 
similar 
public 
education 
efforts 
to
destigmatize individuals in (or interested in joining) the 
aviation industry who seek mental health care, to broaden 
awareness of available supportive services, and establish 
trust with pilots and air traffic controllers. 
(b) REPORT.—Not later than 1 year after the Admin-
istrator 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 
implementation. 
SEC. 7. DEFINITIONS. 
In this Act: 
(1) 
APPROPRIATE
COMMITTEES
OF
CON-
GRESS.—The term ‘‘appropriate committees of Con-
gress’’ 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. 
Passed the House of Representatives September 8, 
2025. 
Attest: 
Clerk.
119TH CONGRESS 
1ST SESSION 
H. R. 2591 
AN ACT 
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.