SUPPORT for Patients and Communities Reauthorization Act of 2025 (HR-2483)

Sponsors (2)

House Votes

Senate Votes

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Text Versions

Text as it was Enrolled Bill

September 20, 2025•23 pages

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Text as it was Referred in Senate

June 5, 2025•58 pages

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Text as it was Engrossed in House

June 4, 2025•60 pages

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Text as it was Reported in House

May 29, 2025•52 pages

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Amendments

HAMDT 25June 4, 2025An amendment numbered 3 printed in Part A of House Report 119-130 to codify Biden-era guidance to ensure that budget neutrality requirements for Section 1115 Waivers take into account downstream savings.

HAMDT 26June 4, 2025An amendment numbered 4 printed in Part A of House Report 119-130 to require HHS to convene a public meeting to improve awareness of, access to, and information related to funding opportunities related to mental health and SUD programs of SAMHSA grant programs.

HAMDT 24June 4, 2025An amendment numbered 2 printed in Part A of House Report 119-130 to require the Office of the National Coordinator to convene a public roundtable to examine how the expanded use of electronic health records among mental health and substance use service providers can improve outcomes for patients in mental health and substance use disorder settings and how best to increase Electronic Health Record adoption among such providers.

This bill renews and updates national efforts to prevent drug overdoses and support mental health. It keeps key health programs going from 2026 through 2030, including help for pregnant and postpartum women, youth prevention and recovery, recovery housing, community recovery groups, training and loan repayment to grow the addiction-care workforce, overdose prevention, and services for children facing trauma.

It also makes practical changes. First responders can use federal support to buy medicines and devices to treat non‑opioid overdoses. Certain recovery grants can now help pay for rides to work, job training, and treatment to support people in recovery. States keep the freedom to choose their own prescription drug monitoring system vendors while following open standards. The 9‑8‑8 Suicide & Crisis Lifeline must take steps to guard against cyberattacks and report incidents. A new federal work group will target fentanyl contamination in illegal drugs and share ways to prevent overdoses. The bill also expands work to prevent and respond to fetal alcohol spectrum disorders through grants and public education.

Key points

Who is affected: People with substance use disorders and their families; pregnant and postpartum women; teens and schools; first responders; doctors, students, and community groups; States and Tribes; and 9‑8‑8 crisis centers.
What changes: Many prevention, treatment, and recovery programs continue through 2026–2030; updates include transportation help in certain recovery grants, ongoing support for recovery housing and peer services, and child trauma supports . Overdose‑prevention grants can use innovative tools, like wastewater testing, to spot drug trends faster. SAMHSA must improve how it shares information about grants, including upgrades to Grants.gov. The law also calls for a review of how the buprenorphine/naloxone treatment is classified under federal drug rules.
When: Most extensions run from fiscal years 2026 through 2030. A federal study of 9‑8‑8 cybersecurity is due within 180 days after the law takes effect, and a public meeting to improve access to SAMHSA grants must be held within one year .