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Replaces an existing funding authorization amount by striking "$5,000,000 for each of fiscal years 2019 through 2023" and inserting "7,000,000 for each of fiscal years 2026 through 2030."
Multiple amendments: revises subsection (b)(4) language, redesignates subsections (d) and (e) as (e) and (f), inserts a new subsection (d) establishing authority for one regional technical assistance center ("Regional Center"), requires an evaluation and report within 4 years of enactment, and provides for termination of that subsection on September 30, 2030; also modifies text in the redesignated subsection (f) to update fiscal-year funding language (some numeric text in the provided markup is corrupt).
Amends section 552: modifies subsection (d)(2) to require applications to contain specified information and assurances, revises language in subparagraph (A) to require demonstrated capability via referral or contractual arrangements, restructures subsection (h) (redesignating paragraphs as subparagraphs and adding an additional reporting requirement under new paragraph (2) for entities carrying out activities via referral/contractual arrangements), and updates subsection (j) to change coverage from "2019 through 2023" to "2026 through 2030."
Amends subsection 7102(c) of the SUPPORT Act: makes various definitional and stylistic edits (including capitalization of "Tribe"/"Tribal"), adds a definition for "Secondary school" referencing 20 U.S.C. 7801, modifies terminology (e.g., "peer mentoring" to "peer-to-peer support"), requires grant applicants to include a plan to sustain activities after the grant ends, and establishes an authorization of appropriations of specified amounts for fiscal years 2026 through 2030 ($10M FY2026, $12M FY2027, $13M FY2028, $14M FY2029, $15M FY2030).
Amends the CAREER Act provisions: adjusts rate calculations to use average rates for calendar years 2018 through 2022 (including CDC and BLS data where specified), redesignates and reorganizes several paragraphs and subparagraphs, allows grantees to use not more than 5% of grant funds for transportation to or from work/training/treatment, clarifies limitations on Secretary authority regarding permitted uses of funds, revises reporting timetable (replacing a relative 2-year timing with a September 30, 2030 date in one place), and replaces a prior authorization amount of "$5,000,000 for each of fiscal years 2019 through 2023" with "2,000,000 for each of fiscal years 2026 through 2030" (inserted as written).
Amends Section 8041(g)(1) of the SUPPORT Act (29 U.S.C. 3225a(g)(1)) by striking existing text and inserting new text (exact replacement text not provided in the section excerpt).
Strikes paragraph (2) of 21 U.S.C. 829a(a) and inserts a revised paragraph (2) specifying the circumstances under which a pharmacy may deliver a schedule III, IV, or V controlled substance to a practitioner for administration, including (A) administration by injection or implantation for maintenance or detoxification treatment, and (B) drugs subject to a risk evaluation and mitigation strategy pursuant to section 505–1 of the Federal Food, Drug, and Cosmetic Act that includes elements to assure safe use including a requirement for post-administration monitoring by a health care provider.
Redesignates the second subsection designated as subsection (l) as subsection (m) and makes textual amendments in the redesignated subsection (m)(1), including inserting references to 'podiatric medicine' in curriculum and professional descriptors and making punctuation/wording adjustments in specified clauses.
Amends Section 508 of the Public Health Service Act: (d)(11)(C) replace the phrase 'providing health services' with 'providing health care services'; in subsection (g) insert text and add at the end that 'Such plan may include a description of how such applicant will target outreach to women disproportionately impacted by maternal substance use disorder.'; in subsection (s) replace prior funding amount for specified fiscal years with a new amount.
Amends Section 597 by inserting text into subsection (a)(1) and inserting text into subsection (b) (specific inserted text not shown in section).
And 3 more affected sections...
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.
Safe Response Act
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Introduced June 18, 2025 by Bill Cassidy · Last progress June 18, 2025
CAREER Act of 2025
MATE Improvement Act
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Introduced in Senate