# 119-hr-2591: Mental Health in Aviation Act of 2025

119-hr-2591, Mental Health in Aviation Act of 2025, is a 119th Congress bill sponsored by Rep. Casten, Sean [D-IL-6] (D-IL); status passed_house; PRIA reads it as touching household money (as of 2026-10-02).

- Canonical: https://policyrisk.com/legislation/119-hr-2591
- As of: 2026-10-02
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2591
- Congress: 119
- Title: Mental Health in Aviation Act of 2025
- Status: passed_house
- Introduced: 2025-04-02
- Sponsor: Rep. Casten, Sean [D-IL-6] (D-IL)
- Cosponsors: 43
- Policy area: Transportation and Public Works
- Touches household money: yes
- Last recorded action: 2026-10-02

## Summary

**Encourages help-seeking and mental-health disclosure among pilots and air traffic controllers.** The bill would direct the FAA to rewrite medical rules and reporting requirements to lower barriers to care, expand consultation with stakeholders, and require regular reviews of aviation mental-health practices. - Pilots and air traffic controllers: Would change the special-issuance process, require annual reviews, and push the FAA to reclassify and approve additional medications so more airmen can safely get treatment. - Aviation medical examiners and Office of Aerospace Medicine: Would expand training, allow more delegation to examiners, and fund recruitment and backlog clearance with about $13.7 million per year for 2026–2028. - Oversight, consultations, and public outreach: Would force review of National Transportation Safety Board recommendations and clinical protocols, require stakeholder consultation, and fund a destigmatization public information campaign at $1.5 million per year for 2026–2028. *Authorizes roughly $13.7 million per year plus $1.5 million per year for a public campaign for 2026–2028, increasing federal spending over those years.*

## Cosponsors (43)

- Rep. Stauber, Pete [R-MN-8] (R-MN), 2025-04-02T00:00:00.000Z
- Rep. Larsen, Rick [D-WA-2] (D-WA), 2025-04-02T00:00:00.000Z
- Rep. Mann, Tracey [R-KS-1] (R-KS), 2025-04-02T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2025-05-15T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2025-05-15T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-05-15T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-05-15T00:00:00.000Z
- Del. King-Hinds, Kimberlyn [R-MP-At Large] (R-MP), 2025-05-21T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-05-21T00:00:00.000Z
- Rep. Nadler, Jerrold [D-NY-12] (D-NY), 2025-05-23T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-05-23T00:00:00.000Z
- Rep. Hinson, Ashley [R-IA-2] (R-IA), 2025-06-02T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2025-06-02T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2025-06-04T00:00:00.000Z
- Rep. Kean, Thomas H. [R-NJ-7] (R-NJ), 2025-06-04T00:00:00.000Z
- Del. Moylan, James C. [R-GU-At Large] (R-GU), 2025-06-09T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2025-06-09T00:00:00.000Z
- Rep. McDowell, Addison P. [R-NC-6] (R-NC), 2025-06-09T00:00:00.000Z
- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2025-06-09T00:00:00.000Z
- Rep. Carson, André [D-IN-7] (D-IN), 2025-06-10T00:00:00.000Z
- Rep. Owens, Burgess [R-UT-4] (R-UT), 2025-06-10T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-06-11T00:00:00.000Z
- Rep. Obernolte, Jay [R-CA-23] (R-CA), 2025-06-11T00:00:00.000Z
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2025-06-11T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2025-06-11T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2025-06-17T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2025-06-17T00:00:00.000Z
- Rep. McIver, LaMonica [D-NJ-10] (D-NJ), 2025-06-20T00:00:00.000Z
- Rep. Turner, Michael R. [R-OH-10] (R-OH), 2025-06-20T00:00:00.000Z
- Rep. Garbarino, Andrew R. [R-NY-2] (R-NY), 2025-07-10T00:00:00.000Z
- Rep. Garcia, Robert [D-CA-42] (D-CA), 2025-07-10T00:00:00.000Z
- Rep. Knott, Brad [R-NC-13] (R-NC), 2025-07-14T00:00:00.000Z
- Rep. Begich, Nicholas J. [R-AK-At Large] (R-AK), 2025-07-15T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-07-15T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-07-15T00:00:00.000Z
- Rep. Wied, Tony [R-WI-8] (R-WI), 2025-07-22T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2025-07-22T00:00:00.000Z
- Rep. LaLota, Nick [R-NY-1] (R-NY), 2025-08-08T00:00:00.000Z
- Rep. Stanton, Greg [D-AZ-4] (D-AZ), 2025-08-08T00:00:00.000Z
- Rep. Evans, Gabe [R-CO-8] (R-CO), 2025-08-29T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-08-29T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-09-08T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-09-08T00:00:00.000Z

## Provisions PRIA read

- Easier FAA medical rules for pilots and controllers: benefit, medium. The FAA would update Part 67 and related rules within two years to encourage help-seeking and require honest disclosure of mental health conditions. The FAA would review these policies every year and could allow more safe medications, improve examiner training, delegate decisions when appropriate,…
- Faster FAA mental health action and consultation: benefit, medium. The FAA would have to carry out mental health recommendations from a 2024 report within 180 days after that report is submitted or explain why not. The FAA would aim to implement committee recommendations sent on April 1, 2024 within two years after enactment, and justify any it does not adopt. Whi…
- Mental health info campaign for aviation workers: benefit, low. The FAA would set aside $1.5 million each year for FY2026–FY2028 for a public information campaign on mental health. The campaign would work to reduce stigma and raise awareness of support for pilots and air traffic controllers. Within one year after starting the campaign, the FAA would report acti…

## Related bills

- 119-hr-2102: Major Richard Star Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-2048: Metastatic Breast Cancer Access to Care Act
- 119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act
- 119-hr-4206: CONNECT for Health Act of 2025

## Sources
- [119-hr-2591 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2591)

## Related
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-2048: Metastatic Breast Cancer Access to Care Act](https://policyrisk.com/legislation/119-hr-2048)
- [119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-hr-1993)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2591 (as of 2026-10-02).