SUPPORT for Patients and Communities Reauthorization Act of 2025
Sponsored By: Senator Bill Cassidy
Introduced
Summary
Reauthorizes and expands federal prevention, treatment, and recovery programs through 2030. This bill would set specific funding levels and broaden programs for overdose prevention, fetal alcohol spectrum disorder (FASD), workforce support, and 9-8-8 cybersecurity.
Show full summary
- Families and children would get a new FASD prevention, intervention, and services program and prenatal/postnatal health funding at about $4.3 million per year.
- People at risk of overdose would see expanded overdose-prevention grants that allow wastewater and other surveillance approaches and an increased authorization of about $505.6 million per year, plus grant authority to facilitate legal access to test strips where allowed by law.
- Providers, first responders, and recovery workers would gain more training and workforce support, including a $40 million annual loan repayment pool and $57 million per year for first responder training, and the bill would add cybersecurity protections and reporting requirements for the 9-8-8 Lifeline.
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 7 benefits, 0 costs, 0 mixed.
More overdose prevention and detection funding
If enacted, the bill would raise the overdose prevention program authorization to about $505.6 million per year for FY2026–2030. It would authorize grants for rapid detection and response projects, including wastewater surveillance when done under privacy laws. Grantees could also support access to detection products like fentanyl test strips where buying and owning them is legal. The bill would also extend infection-monitoring program authority through FY2026–2030.
More loan help and training for providers
If enacted, the bill would authorize $40 million per year for FY2026–2030 for loan repayment for substance use disorder treatment workers. It would authorize $57 million per year for first responder training for FY2026–2030. The bill would add addiction medicine to credentialing language and update recognized prescriber accreditation bodies. It would allow pharmacies to deliver certain injectable schedule III–V drugs to prescribing practitioners for maintenance or detox and require HHS review of buprenorphine/naloxone scheduling.
New drug safety and fentanyl coordination
If enacted, the bill would require HHS to publish a plan within one year on assessing opioid pain drugs and supporting nonaddictive alternatives. It would require HHS and DEA to publish guidance within one year on safe at-home drug disposal systems. The bill would also create a federal work group on fentanyl contamination to consult stakeholders and report recommendations each year.
Stronger cybersecurity for 9-8-8 hotline
If enacted, the bill would require steps to protect the 9-8-8 National Suicide Prevention Lifeline from cyber incidents and known vulnerabilities. Network administrators who get federal funding would have to report vulnerabilities and incidents quickly. Local and regional crisis centers must report issues to their network administrators. The Comptroller General would study 9-8-8 cybersecurity risks and report to Congress within 180 days.
More support for pregnant people and recovery
If enacted, the bill would authorize $4.25 million per year for prenatal and postnatal programs for FY2026–2030. It would raise residential treatment funding for pregnant and postpartum women to $38.931 million per year and require applicants to describe outreach plans. The Building Communities of Recovery program would be authorized $17 million per year for FY2026–2030. The bill would create or continue a FASD prevention and services program and expand peer support technical assistance funding to $2 million per year.
More youth and child mental health help
If enacted, the bill would reorganize the National Child Traumatic Stress Initiative and authorize about $98.9 million per year for FY2026–2028 and $100 million per year for FY2029–2030. It would expand youth prevention and recovery grants to allow more school applicants and fund the program from $10 million in 2026 up to $15 million in 2030. The bill would require HHS to review State block grant use for first-episode psychosis within one year and extend trauma monitoring funding to $9 million per year through FY2026–2030.
State choice for prescription monitoring
If enacted, the bill would clarify that the federal government may not require States to use a specific prescription monitoring vendor or a specific network connection. States could still be required to align with nationally recognized, consensus-based open standards for interoperability.
Sponsors & CoSponsors
Sponsor
Bill Cassidy
LA • R
Cosponsors
Bernie Sanders
VT • I
Sponsored 6/18/2025
Lisa Murkowski
AK • R
Sponsored 6/18/2025
Tammy Baldwin
WI • D
Sponsored 6/18/2025
Markwayne Mullin
OK • R
Sponsored 6/18/2025
Maggie Hassan
NH • D
Sponsored 6/18/2025
Tommy Tuberville
AL • R
Sponsored 6/18/2025
John Hickenlooper
CO • D
Sponsored 6/18/2025
Jon Husted
OH • R
Sponsored 7/16/2025
Roll Call Votes
No roll call votes available for this bill.
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