IB Union Calendar No. 118 119th CONGRESS 1st Session H. R. 2351 [Report No. 119–149] IN THE HOUSE OF REPRESENTATIVES March 26, 2025 Mr. McDowell introduced the following bill; which was referred to the Committee on Transportation and Infrastructure June 6, 2025 Additional sponsors: Mr. Goldman of Texas and Ms. Gillen June 6, 2025 Committed to the Committee of the Whole House on the State of the Union and ordered to be printed A BILL To direct the Commandant of the Coast Guard to update the policy of the Coast Guard regarding the use of medication to treat drug overdose, and for other purposes.

1. Controlled substance onboard vessels Section 70503(a) of title 46, United States Code, is amended— (1) in the matter preceding paragraph (1) by striking While on board a covered vessel, an and inserting An ; (2) by amending paragraph (1) to read as follows: (1) manufacture or distribute, possess with intent to manufacture or distribute, or place or cause to be placed with intent to manufacture or distribute a controlled substance on board a covered vessel; ; (3) in paragraph (2) by inserting on board a covered vessel before the semicolon; and (4) in paragraph (3) by inserting while on board a covered vessel after such individual . 2. Policy and briefing on availability of naloxone to treat opioid overdoses (a) Policy Not later than 1 year after the date of enactment of this Act, the Commandant of the Coast Guard shall update the policy of the Coast Guard regarding the use of medication to treat drug overdoses, including the use of naloxone or other similar medication to treat opioid, including fentanyl, overdoses. (b) Availability The updated policy required under subsection (a) shall require naloxone or other similar medication be available for members of the Coast Guard— (1) on all Coast Guard installations; and (2) in each operational environment. (c) Participation in tracking system Not later than 1 year after the earlier of the date of enactment of this Act or the date on which the tracking system established under section 706 of the National Defense Authorization Act for Fiscal Year 2024 ( 10 U.S.C. 1090 note) is established, the Commandant shall ensure the participation of the Coast Guard in the such tracking system. (d) Memorandum of understanding Not later than 1 year after the earlier of the date of enactment of this Act or the date on which the tracking system established under section 706 of the National Defense Authorization Act for Fiscal Year 2024 ( 10 U.S.C. 1090 note) is established, the Secretary of the department in which the Coast Guard is operating when not operating as a service in the Navy and the Secretary of Defense shall finalize a memorandum of understanding to facilitate Coast Guard access such tracking system. (e) Briefing (1) In general Not later than 2 years after the date of enactment of this Act, the Commandant shall provide the Committee on Transportation and Infrastructure of the House of Representatives and the Committee on Commerce, Science, and Transportation of the Senate a briefing on the use, by members and personnel of the Coast Guard at Coast Guard facilities, onboard Coast Guard assets, and during Coast Guard operations, of— (A) naloxone or other similar medication to treat opioid, including fentanyl, overdoses; and (B) opioids, including fentanyl. (2) Elements The briefing required under paragraph (1) shall include the following: (A) A description of— (i) the progress made in the implementation of the updated policy required under subsection (a); (ii) the prevalence and incidence of the illegal use of fentanyl and other controlled substances in the Coast Guard during the 5-year period preceding the briefing; (iii) processes of the Coast Guard to mitigate substance abuse in the Coast Guard, particularly with respect to fentanyl; and (iv) the status of the memorandum of understanding required under subsection (d). (B) For the 5-year period preceding the briefing, a review of instances in which naloxone or other similar medication was used to treat opioid, including fentanyl, overdoses at a Coast Guard facility, onboard a Coast Guard asset, or during a Coast Guard operation. (f) Privacy In carrying out the requirements of this section, the Commandant shall ensure compliance with all applicable privacy law, including section 552a of title 5, United States Code (commonly referred to as the Privacy Act ), and the privacy regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act ( 42 U.S.C. 1320d–2 note). (g) Rule of construction For purposes of the availability requirement under subsection (b), with respect to a Coast Guard installation comprised of multiple Coast Guard facilities or units, naloxone or other similar medication available at a single Coast Guard facility within the installation shall be considered to be available to all Coast Guard facilities or units on the installation if appropriate arrangements are in place to ensure access, at all times during operations, to the naloxone or other similar medication contained within such single Coast Guard facility.

June 6, 2025 Committed to the Committee of the Whole House on the State of the Union and ordered to be printed