PEER Support Act

This bill aims to boost the behavioral health workforce by supporting “peer support specialists” — people with lived experience in recovery from mental health or substance use challenges, or caregivers with similar experience. It defines who qualifies, requires certification, and says their services should follow national guidelines for peer support and core competencies set by SAMHSA. It also tells the federal government to officially recognize this job by creating a separate occupational category by January 1, 2026.

The bill creates an Office of Recovery within SAMHSA, led by someone with lived experience. This office would help states, tribes, and communities build strong recovery supports; share best practices; train and grow the peer workforce; and develop career paths. These duties begin once the law takes effect . It also directs HHS, with the Justice Department, to study state background check rules for peer specialists and recommend ways to reduce unfair barriers. The report must review state laws, look at Medicaid and federal grant requirements, note any exemptions or recent changes, and offer recommendations; it must be posted online and sent to key agencies within one year of enactment.

• Who is affected: People in recovery and their families; peer support specialists; state, local, and tribal agencies; SAMHSA and CMS .
• What changes: A clear definition and standards for peer support; a new federal Office of Recovery; an official job category; and a federal report on background checks with recommendations to reduce barriers .
• When: Job category by January 1, 2026; Office duties begin at enactment; background check report due within one year of enactment .