Sponsors (9)
This is not an official government website.
Copyright © 2026 PLEJ LC. All rights reserved.
Expands and reauthorizes a wide set of federal programs aimed at preventing and treating substance misuse, overdoses, and related harms. It updates funding authorizations for prevention, first-responder training, child trauma services, recovery support, and maternal treatment programs for FY2026–FY2030; broadens program language to cover all substances causing overdose (not just opioids); allows certain surveillance tools (including wastewater monitoring) where privacy law permits; and requires new reports, guidance, and cybersecurity requirements for crisis lifeline networks. Also revises parts of the Controlled Substances Act and FDA/DEA interactions: narrows when pharmacies may deliver certain controlled substances for administration, updates educational accreditation language, directs HHS/FDA reviews of opioid analgesic public health effects, requires guidance on at‑home drug disposal, and authorizes facilitation of access to fentanyl/xylazine test strips consistent with law. The bill adds and updates program definitions, monitoring, reporting, and interagency coordination, and sets several statutory end dates for committees and centers.
The bill directs substantial new federal funding, prevention tools, and regulatory reviews to expand overdose prevention, recovery, and crisis-response capacity—improving access and safety for many communities—while increasing federal spending obligations, imposing new compliance burdens, and raising privacy and access risks that could limit effectiveness or create implementation challenges.
States, Tribal entities, and local overdose-prevention and treatment programs receive large, sustained federal funding increases for prevention, response, recovery, maternal treatment, youth programs, and first-responder training, expanding service capacity across communities.
People with substance use disorders gain expanded peer-support and community recovery services plus CAREER Act flexibility (transportation support), lowering barriers to treatment and employment for participants.
Crisis and emergency response capacity is strengthened through increased first-responder training funding and new cybersecurity and reporting protections for the 9-8-8 suicide lifeline network, improving service continuity and safety for callers.
The bill authorizes substantial new federal spending across many programs (prevention, recovery, maternal treatment, youth grants, training), increasing budgetary commitments that could pressure taxpayers or require offsets elsewhere.
Expanded surveillance tools (including wastewater monitoring) and distribution of detection technologies raise privacy and civil‑liberties concerns for communities if legal limits and safeguards are insufficiently specified or enforced.
Administrative, technical, and compliance burdens (cybersecurity incident reporting for 9-8-8 centers, new reporting/application requirements, REMS verification, documentation standards) could strain or exclude smaller crisis centers, community providers, pharmacies, and state agencies with limited capacity.
Introduced June 18, 2025 by Bill Cassidy · Last progress June 18, 2025