Summary

Makes broad changes to federal efforts on substance use disorders by funding and updating prevention, treatment, and recovery programs through 2026–2030, adding reporting and guidance deadlines, strengthening cybersecurity and training for crisis lines, and changing some controlled‑substance delivery and prescriber education rules. It directs HHS and other agencies to produce reports, reviews (including a review of certain buprenorphine–naloxone scheduling), and guidance on fentanyl contamination, program performance, and use of federal grant funds, and sets programmatic deadlines and an evaluation/termination checkpoint in 2030.

Key Points

• Reauthorizes and updates prevention, treatment, and recovery programs for substance use disorders through FY2026–FY2030 with new funding levels and program rules.
• Requires multiple new reports, guidance documents, and working-group activities on fentanyl contamination, family supports, program performance, and crisis-line cybersecurity.
• Strengthens cybersecurity and operational standards for crisis-line systems (including 988) and requires improved training and technical safeguards.
• Directs HHS to review the federal scheduling of certain buprenorphine–naloxone products and report findings, which could affect access to opioid-use-disorder medication.
• Expands or clarifies residential treatment rules and funding for pregnant and postpartum people in treatment programs.
• Updates delivery rules allowing pharmacies to deliver certain Schedule III–V injectable/implantable drugs to prescribing practitioners in defined circumstances.
• Adds or adjusts training/education requirements for prescribers (including explicit inclusion of podiatric medicine), with those amendments treated as effective Dec 29, 2022.
• Imposes new reporting, evaluation, and termination/evaluation deadlines for recovery grant programs, with a major evaluation checkpoint on Sept 30, 2030.
• Increases administrative and compliance duties for HHS components, grant recipients, and health providers to meet new data, cybersecurity, and program-quality standards.

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