H. Res. 458

This rule currently governs H.R. 2483, H.R. 2931, H.R. 2966, and 1 more.

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Overview

Floor outcome, , and debate structure.

Floor adoption

217-208

Floor vote date

Jun 4, 2025

h149-1-119

9-3

213-206

one hour of general debate equally divided and controlled by the chair and ranking minority member of the Committee on Energy and Commerce or their respective designees.

Committee motion

Motion by Mrs. Fischbach to report the rule. Adopted: 9-3

Who Ran The Debate?

The and the original source documents.

Measures Governed

The bills and resolutions linked to this special rule entry.

H.R. 2483

View legislation

SUPPORT for Patients and Communities Reauthorization Act of 2025

H.R. 2931

View legislation

Save SBA from Sanctuary Cities Act of 2025

H.R. 2966

View legislation

American Entrepreneurs First Act of 2025

Rule Instructions

Numbered parsed from the source rule text.

No.	Provision text
2	Waives all points of order against consideration of the bill.
3	Provides one hour of general debate equally divided and controlled by the chair and ranking minority member of the Committee on Energy and Commerce or their respective designees.
4	Provides that, in lieu of the amendment in the nature of a substitute recommended by the Committee on Energy and Commerce now printed in the bill, an amendment in the nature of a substitute consisting of the text of Rules Committee Print 119-4 shall be considered as adopted and the bill, as amended, shall be considered as read.
5

Rules Committee Vote

Recorded votes on the .

Member	Vote	Party bloc
Mrs. Fischbach	yea	Majority
Mr. Norman	yea	Majority

Amendment	Sponsor	Summary
6	Elfreth (MD)	Ensures that supplemental healthcare services that women being treated for substance use disorders receive would include testing for preeclampsia.
7	McClellan (VA), McClain Delaney (MD), Dexter (OR), Amo (RI)	Prevents federal funds from being used for mass layoffs of SAMHSA employees under reduction in force or similar processes.
8	Vindman (VA), Nunn (IA), Thompson (PA)	Adds requirements for USDA and HHS to leverage the WIC program to support and educate mothers impacted by substance use during pregnancy and postpartum and who may be caring for an infant impacted by prenatal substance exposure. Identical to H.R. 5312 (118th Congress), the bipartisan Supporting Healthy Mothers and Infants Act (removes appropriations).
9	Vindman (VA)	Requires HHS and DOJ to conduct a study of the impact of opioid sales to minors over social media, including in the form of opioid-contaminated pressed pills, on opioid morbidity and mortality among children 18 years and under. The study must include an evaluation of the effectiveness of current law and existing moderation techniques by these websites to identify, report, and prosecute these cases.
10	Vindman (VA)	Requires HHS to disseminate educational materials on emerging synthetic opioids, such as nitazenes, for EMS, law enforcement, hospitals, clinics, FQHCs, homeless shelters, and other institutions on the front lines of the opioid crisis.
11	Vindman (VA)	Renames the working group created by the bill to the “Federal Interagency Work Group on Opioid Contamination of Illegal Drugs” and broadens its scope to include emerging synthetic opioids, such as nitazenes, which are also contaminating the drug supply and leading to overdoses and deaths.
12	Hill (AR)	Withdrawn Clarifies the definition of “qualifying drug” to ensure continued access to non-opioid treatments for pain relief.
13	Moore (WI)	Requires the GAO to conduct a study on the extent to which Tribes and Tribal organizations can access the programs authorized or reauthorized by this Act, including efforts by implementing agencies to consult with tribes in the development of program rules and guidance.
14	Peters (CA)	Requires a study on the impacts of the requirement that mobile pharmacies operated by local governments obtain separate registration from the Drug Enforcement Agency, distinct from the pharmacy license held by the local government, to operate.
15	Lieu (CA), Barragán (CA)	Directs the Secretary of Health and Human Services to complete a study and issue guidance on implementing fentanyl testing in hospital emergency departments. Identical to H.R. 2004 (119th Congress).
16	Kaptur (OH), Hinson (IA)	Ensures funds from opioid related settlements are used to address the opioid crisis and are not being used for unrelated projects.
17	Salinas (OR), Tokuda (HI)	Revised Creates a scholarship program for students pursuing degrees in substance use disorder treatment, behavioral, and mental health services to bolster the workforce and make it easier for more students to enter these career paths. Identical to H.R. 3655 in the 119th Congress.
18	Kiggans (VA)	Requires 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.
19	Wittman (VA)	Revised Requires 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.
20	Ocasio-Cortez (NY), Dexter (OR)	Requires the Secretary of the Department of Health and Human Services to release funds for the Mental Health and Substance Use Block Grants.
21	Bresnahan (PA), Kean (NJ)	Requires all HHS regulations or guidance documentation to use language that is inclusive of all opioid overdose reversal drugs that have been approved by FDA, instead of referring to brand names.
22	Salinas (OR)	Establishes the Office of Recovery within the Substance Abuse and Mental Health Services Administration (SAMHSA) and to define peer support services. Provision is pulled from H.R. 7212 in the 118th Congress.
23	Salinas (OR)	Directs the U.S. Department of Health and Human Services and the U.S. Department of Justice to develop a report on research and recommendations with respect to criminal background check processes for individuals becoming peer support specialists and defines the definition of peer support specialists. Provision is pulled from H.R. 7212 in the 118th Congress.
24	Tokuda (HI)	Enhances mental health support by ensuring first responders have access to specialized services tailored to their unique occupational challenges, integrating these supports within existing federal mental health and substance use programs to better address their needs. Identical to the text of H.R. 6415, the CARE for First Responders Act.
25	Pallone (NJ), Amo (RI)	Adds a Sense of Congress regarding the importance of the Medicaid program to mental health and substance use disorder treatment access and the devastating impact that One Big Beautiful Bill Act will have on the millions of Americans with substance use disorder who rely on Medicaid to access much-needed health care services.
26	Salinas (OR), Pettersen (CO), Amo (RI)	Halts efforts to eliminate or substantially impair certain public health programs by the Secretary of Health and Human Services or the United States Department of Government Efficiency Service until a federal law is enacted that specifically authorizes such elimination or impairment.
27	Golden (ME)	Requires the Secretary of the Department of Health and Human Services to provide annually a report to Congress on the impacts of opioid use disorder on residents of rural areas and the effectiveness of programs authorized or reauthorized by this Act for prevention of, treatment of, and recovery from opioid use disorder in rural communities.
28	Bonamici (OR), Bacon (NE)	Revised Amends the SUPPORT for Patients and Communities Act to reauthorize and expand the pilot program to help individuals in recovery from a substance use disorder become stably housed.
29	Williams (GA)	Revised Includes an expansion of services available to families affected by substance use disorders (SUD) and implements protections for parents seeking SUD treatment, including requirements for health centers funded through the Community Health Center Fund (CHC Fund) to provide mental health and SUD treatment.
30	Tokuda (HI)	Late Directs the Secretary of Health and Human Services to improve the collection and reporting of data on the effectiveness of substance use disorder treatment and recovery initiatives in rural and frontier areas, with a focus on identifying service gaps, workforce shortages, and access disparities, including the use of telehealth, medication-assisted treatment, and harm reduction programs.
31	Pettersen (CO)	Late Codifies Biden-era guidance to ensure that budget neutrality requirements for Section 1115 Waivers take into account downstream savings.
32	Trahan (MA), Amo (RI)	Late Ensures that the bill only takes effect if the Secretary of HHS certifies that workforce cuts or reorganizations at HHS or FDA will not delay or reduce efforts to review, approve, or expand access to opioid overdose reversal drugs and treatments for opioid use disorder. Protects critical public health work like naloxone approvals, MAT access, and oversight of opioid-related interventions from being undermined.
33	DeGette (CO)	Late Rescinds the March 4, 2025 guidance titled "Rescission of Guidance on Health-Related Social Needs."
34	DeGette (CO)	Late Rescinds the April 10, 2025 State Medicaid Director Letter titled "Designated State Health Programs and Designated State Investment Programs."
35	Sykes (OH)	Late Requires the Secretary of Health and Human Services to conduct nutrition and food security education and outreach activities for individuals who are impacted by a substance use disorder or may be at risk of a substance use disorder.
36	Sykes (OH)	Late Requires a study on federal efforts to monitor and treat individuals who engage in polysubstance use.
37	Davis (IL), Steil (WI)	Late Reauthorizes through 2030 the SUPPORT Act Section 7134 grants for trauma-informed services in educational settings.
1	Crockett (TX)	Requires HHS to develop, and make public, research and marketing frameworks for developing, improving, and evaluating drug identification technology. It also would require the HHS Secretary (in consultation with the NIH, FDA, DEA, and the Office of National Drug Control Policy) to study the impact of the availability, accessibility, and usage of drug identifitication supplies on the frequency of overdoses, overdose deaths, and engagements with substance use disorder treatment.
2	Bynum (OR)	Requires Secretary of Labor to annually evaluate and disseminate information on promising and proven practices for addressing the economic and workforce impacts associated with higher rates of opioid addiction and other substance use disorders in state and local areas. Expands the eligibility criteria for Opioid Crisis National Dislocated Worker Grants under WIOA to include dislocated workers, long-term unemployed individuals, those unemployed or underemployed due to widespread opioid use in their area, and individuals employed or seeking employment in health care professions involved in the prevention and treatment of opioid use disorders.
3	Crockett (TX)	Allows funds under the First Responder Training Program to be used for training and resources for first responders and members of other relevant community sectors on carrying and facilitating access to test strips.
4	Tonko (NY), Dexter (OR), Amo (RI)	Revised Halts all efforts for HHS or DOGE to reorganize the Substance Abuse and Mental Health Services Administration until the date on which a Federal law is enacted that specifically authorizes such a reorganization.
5	Elfreth (MD)	Adds that the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall carry out programs to collect, analyze, and make available data on preeclampsia, including the heightened risk of complications from smoking and alcohol and other substance abuse and misuse.

Amendment

Sponsor

Summary

Elfreth (MD)

Ensures that supplemental healthcare services that women being treated for substance use disorders receive would include testing for preeclampsia.

McClellan (VA), McClain Delaney (MD), Dexter (OR), Amo (RI)

Prevents federal funds from being used for mass layoffs of SAMHSA employees under reduction in force or similar processes.

Vindman (VA), Nunn (IA), Thompson (PA)

Adds requirements for USDA and HHS to leverage the WIC program to support and educate mothers impacted by substance use during pregnancy and postpartum and who may be caring for an infant impacted by prenatal substance exposure. Identical to H.R. 5312 (118th Congress), the bipartisan Supporting Healthy Mothers and Infants Act (removes appropriations).

Vindman (VA)

Requires HHS and DOJ to conduct a study of the impact of opioid sales to minors over social media, including in the form of opioid-contaminated pressed pills, on opioid morbidity and mortality among children 18 years and under. The study must include an evaluation of the effectiveness of current law and existing moderation techniques by these websites to identify, report, and prosecute these cases.

Vindman (VA)

Requires HHS to disseminate educational materials on emerging synthetic opioids, such as nitazenes, for EMS, law enforcement, hospitals, clinics, FQHCs, homeless shelters, and other institutions on the front lines of the opioid crisis.

Vindman (VA)

Renames the working group created by the bill to the “Federal Interagency Work Group on Opioid Contamination of Illegal Drugs” and broadens its scope to include emerging synthetic opioids, such as nitazenes, which are also contaminating the drug supply and leading to overdoses and deaths.

Hill (AR)

Withdrawn Clarifies the definition of “qualifying drug” to ensure continued access to non-opioid treatments for pain relief.

Moore (WI)

Requires the GAO to conduct a study on the extent to which Tribes and Tribal organizations can access the programs authorized or reauthorized by this Act, including efforts by implementing agencies to consult with tribes in the development of program rules and guidance.

Peters (CA)

Requires a study on the impacts of the requirement that mobile pharmacies operated by local governments obtain separate registration from the Drug Enforcement Agency, distinct from the pharmacy license held by the local government, to operate.

Lieu (CA), Barragán (CA)

Directs the Secretary of Health and Human Services to complete a study and issue guidance on implementing fentanyl testing in hospital emergency departments. Identical to H.R. 2004 (119th Congress).

Kaptur (OH), Hinson (IA)

Ensures funds from opioid related settlements are used to address the opioid crisis and are not being used for unrelated projects.

Salinas (OR), Tokuda (HI)

Revised Creates a scholarship program for students pursuing degrees in substance use disorder treatment, behavioral, and mental health services to bolster the workforce and make it easier for more students to enter these career paths. Identical to H.R. 3655 in the 119th Congress.

Kiggans (VA)

Requires 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.

Wittman (VA)

Revised Requires 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.

Ocasio-Cortez (NY), Dexter (OR)

Requires the Secretary of the Department of Health and Human Services to release funds for the Mental Health and Substance Use Block Grants.

Bresnahan (PA), Kean (NJ)

Requires all HHS regulations or guidance documentation to use language that is inclusive of all opioid overdose reversal drugs that have been approved by FDA, instead of referring to brand names.

Salinas (OR)

Establishes the Office of Recovery within the Substance Abuse and Mental Health Services Administration (SAMHSA) and to define peer support services. Provision is pulled from H.R. 7212 in the 118th Congress.

Salinas (OR)

Directs the U.S. Department of Health and Human Services and the U.S. Department of Justice to develop a report on research and recommendations with respect to criminal background check processes for individuals becoming peer support specialists and defines the definition of peer support specialists. Provision is pulled from H.R. 7212 in the 118th Congress.

Tokuda (HI)

Enhances mental health support by ensuring first responders have access to specialized services tailored to their unique occupational challenges, integrating these supports within existing federal mental health and substance use programs to better address their needs. Identical to the text of H.R. 6415, the CARE for First Responders Act.

Pallone (NJ), Amo (RI)

Adds a Sense of Congress regarding the importance of the Medicaid program to mental health and substance use disorder treatment access and the devastating impact that One Big Beautiful Bill Act will have on the millions of Americans with substance use disorder who rely on Medicaid to access much-needed health care services.

Salinas (OR), Pettersen (CO), Amo (RI)

Halts efforts to eliminate or substantially impair certain public health programs by the Secretary of Health and Human Services or the United States Department of Government Efficiency Service until a federal law is enacted that specifically authorizes such elimination or impairment.

Golden (ME)

Requires the Secretary of the Department of Health and Human Services to provide annually a report to Congress on the impacts of opioid use disorder on residents of rural areas and the effectiveness of programs authorized or reauthorized by this Act for prevention of, treatment of, and recovery from opioid use disorder in rural communities.

Bonamici (OR), Bacon (NE)

Revised Amends the SUPPORT for Patients and Communities Act to reauthorize and expand the pilot program to help individuals in recovery from a substance use disorder become stably housed.

Williams (GA)

Revised Includes an expansion of services available to families affected by substance use disorders (SUD) and implements protections for parents seeking SUD treatment, including requirements for health centers funded through the Community Health Center Fund (CHC Fund) to provide mental health and SUD treatment.

Tokuda (HI)

Late Directs the Secretary of Health and Human Services to improve the collection and reporting of data on the effectiveness of substance use disorder treatment and recovery initiatives in rural and frontier areas, with a focus on identifying service gaps, workforce shortages, and access disparities, including the use of telehealth, medication-assisted treatment, and harm reduction programs.

Pettersen (CO)

Late Codifies Biden-era guidance to ensure that budget neutrality requirements for Section 1115 Waivers take into account downstream savings.

Trahan (MA), Amo (RI)

Late Ensures that the bill only takes effect if the Secretary of HHS certifies that workforce cuts or reorganizations at HHS or FDA will not delay or reduce efforts to review, approve, or expand access to opioid overdose reversal drugs and treatments for opioid use disorder. Protects critical public health work like naloxone approvals, MAT access, and oversight of opioid-related interventions from being undermined.

DeGette (CO)

Late Rescinds the March 4, 2025 guidance titled "Rescission of Guidance on Health-Related Social Needs."

DeGette (CO)

Late Rescinds the April 10, 2025 State Medicaid Director Letter titled "Designated State Health Programs and Designated State Investment Programs."

Sykes (OH)

Late Requires the Secretary of Health and Human Services to conduct nutrition and food security education and outreach activities for individuals who are impacted by a substance use disorder or may be at risk of a substance use disorder.

Sykes (OH)

Late Requires a study on federal efforts to monitor and treat individuals who engage in polysubstance use.

Davis (IL), Steil (WI)

Late Reauthorizes through 2030 the SUPPORT Act Section 7134 grants for trauma-informed services in educational settings.

Crockett (TX)

Requires HHS to develop, and make public, research and marketing frameworks for developing, improving, and evaluating drug identification technology. It also would require the HHS Secretary (in consultation with the NIH, FDA, DEA, and the Office of National Drug Control Policy) to study the impact of the availability, accessibility, and usage of drug identifitication supplies on the frequency of overdoses, overdose deaths, and engagements with substance use disorder treatment.

Bynum (OR)

Requires Secretary of Labor to annually evaluate and disseminate information on promising and proven practices for addressing the economic and workforce impacts associated with higher rates of opioid addiction and other substance use disorders in state and local areas. Expands the eligibility criteria for Opioid Crisis National Dislocated Worker Grants under WIOA to include dislocated workers, long-term unemployed individuals, those unemployed or underemployed due to widespread opioid use in their area, and individuals employed or seeking employment in health care professions involved in the prevention and treatment of opioid use disorders.

Crockett (TX)

Allows funds under the First Responder Training Program to be used for training and resources for first responders and members of other relevant community sectors on carrying and facilitating access to test strips.

Tonko (NY), Dexter (OR), Amo (RI)

Revised Halts all efforts for HHS or DOGE to reorganize the Substance Abuse and Mental Health Services Administration until the date on which a Federal law is enacted that specifically authorizes such a reorganization.

Elfreth (MD)

Adds that the Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall carry out programs to collect, analyze, and make available data on preeclampsia, including the heightened risk of complications from smoking and alcohol and other substance abuse and misuse.