119-s2121

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2121 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 2121

 To reauthorize certain programs that provide for opioid use disorder 
 prevention, treatment, and recovery, and for other purposes.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 June 18, 2025

Mr. Cassidy (for himself, Mr. Sanders, Ms. Murkowski, Ms. Baldwin, Mr. 
 Mullin, Ms. Hassan, Mr. Tuberville, and Mr. Hickenlooper) introduced 
the following bill; which was read twice and referred to the Committee 
 on Health, Education, Labor, and Pensions

_______________________________________________________________________

 A BILL

 To reauthorize certain programs that provide for opioid use disorder 
 prevention, treatment, and recovery, and for other purposes.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``SUPPORT for 
Patients and Communities Reauthorization Act of 2025''.

    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
 TITLE I--PREVENTION

Sec. 101. Prenatal and postnatal health.

Sec. 102. Monitoring and education regarding infections associated with 
 illicit drug use and other risk factors.

Sec. 103. Preventing overdoses of controlled substances.

Sec. 104. Support for individuals and families impacted by fetal 
 alcohol spectrum disorder.

Sec. 105. Promoting state choice in PDMP systems.

Sec. 106. First responder training program.

Sec. 107. Donald J. Cohen National Child Traumatic Stress Initiative.

Sec. 108. Protecting suicide prevention lifeline from cybersecurity 
 incidents.

Sec. 109. Monitoring and reporting of child, youth, and adult trauma.

Sec. 110. Bruce's law.

Sec. 111. Guidance on at-home drug disposal systems.

Sec. 112. Assessment of opioid drugs and actions.

Sec. 113. Grant program for State and Tribal response to opioid use 
 disorders.
 TITLE II--TREATMENT

Sec. 201. Residential treatment program for pregnant and postpartum 
 women.

Sec. 202. Improving access to addiction medicine providers.

Sec. 203. Mental and behavioral health education and training grants.

Sec. 204. Loan repayment program for substance use disorder treatment 
 workforce.

Sec. 205. Development and dissemination of model training programs for 
 substance use disorder patient records.

Sec. 206. Task force on best practices for trauma-informed 
 identification, referral, and support.

Sec. 207. Grants to enhance access to substance use disorder treatment.

Sec. 208. State guidance related to individuals with serious mental 
 illness and children with serious emotional 
 disturbance.

Sec. 209. Reviewing the scheduling of approved products containing a 
 combination of buprenorphine and naloxone.
 TITLE III--RECOVERY

Sec. 301. Building communities of recovery.

Sec. 302. Peer support technical assistance center.

Sec. 303. Comprehensive opioid recovery centers.

Sec. 304. Youth prevention and recovery.

Sec. 305. CAREER Act.

Sec. 306. Addressing economic and workforce impacts of the opioid 
 crisis.
 TITLE IV--MISCELLANEOUS MATTERS

Sec. 401. Delivery of a controlled substance by a pharmacy to a 
 prescribing practitioner.

Sec. 402. Required training for prescribers of controlled substances.

 TITLE I--PREVENTION

SEC. 101. PRENATAL AND POSTNATAL HEALTH.

 

Section 317L
            (d) of the Public Health Service Act (42 U.S.C. 247b-
13
            (d) ) is amended by striking ``such sums as may be necessary for each 
of the fiscal years 2019 through 2023'' and inserting ``$4,250,000 for 
each of fiscal years 2026 through 2030''.

SEC. 102. MONITORING AND EDUCATION REGARDING INFECTIONS ASSOCIATED WITH 
 ILLICIT DRUG USE AND OTHER RISK FACTORS.

 

Section 317N
            (d) of the Public Health Service Act (42 U.S.C. 247b-
15
            (d) ) is amended by striking ``fiscal years 2019 through 2023'' and 
inserting ``fiscal years 2026 through 2030''.

SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUBSTANCES.

    (a) In General.--

Section 392A of the Public Health Service Act (42 
U.S.C. 280b-1) is amended--

    (1) in subsection

    (a)

    (2) --
        (A) in subparagraph
            (C) , by inserting ``and 
 associated risks'' before the period at the end; and
        (B) in subparagraph
            (D) , by striking ``opioids'' 
 and inserting ``substances causing overdose''; and

    (2) in subsection

    (b)

    (2) --
        (A) in subparagraph
        (B) , by inserting ``, and 
 associated risk factors,'' after ``such overdoses'';
        (B) in subparagraph
            (C) , by striking ``coding'' and 
 inserting ``monitoring and identifying'';
            (C) in subparagraph
        (E) --
            (i) by inserting a comma after ``public 
 health laboratories''; and
            (ii) by inserting ``and other emerging 
 substances related'' after ``analogues''; and
            (D) in subparagraph
        (F) , by inserting ``and 
 associated risk factors'' after ``overdoses''.

    (b) Additional Grants.--

Section 392A

    (a)

    (3) of the Public Health 
Service Act (42 U.S.C. 280b-1

    (a)

    (3) ) is amended--

    (1) in the matter preceding subparagraph
        (A) , by striking 
 ``and Indian Tribes--'' and inserting ``and Indian Tribes for 
 the following purposes:'';

    (2) by amending subparagraph
        (A) to read as follows:
 ``
        (A) To carry out innovative projects for grantees 
 to detect, identify, and rapidly respond to controlled 
 substance misuse, abuse, and overdoses, and associated 
 risk factors, including changes in patterns of such 
 controlled substance use. Such projects may include the 
 use of innovative, evidence-based strategies for 
 detecting such patterns, such as wastewater 
 surveillance, if proven to support actionable 
 prevention strategies, in a manner consistent with 
 applicable Federal and State privacy laws.''; and

    (3) in subparagraph
        (B) , by striking ``for any'' and 
 inserting ``For any''.
            (c) Authorization of Appropriations.--

Section 392A

    (e) of the Public 
Health Service Act (42 U.S.C. 280b-1

    (e) ) is amended by striking 
``$496,000,000 for each of fiscal years 2019 through 2023'' and 
inserting ``$505,579,000 for each of fiscal years 2026 through 2030''.

SEC. 104. SUPPORT FOR INDIVIDUALS AND FAMILIES IMPACTED BY FETAL 
 ALCOHOL SPECTRUM DISORDER.

    (a) In General.--Part O of title III of the Public Health Service 
Act (42 U.S.C. 280f et seq.) is amended to read as follows:

 ``PART O--FETAL ALCOHOL SPECTRUM DISORDER PREVENTION AND SERVICES 
 PROGRAM

``

SEC. 399H. FETAL ALCOHOL SPECTRUM DISORDERS PREVENTION, INTERVENTION, 
 AND SERVICES DELIVERY PROGRAM.

 ``

    (a) In General.--The Secretary shall establish or continue 
activities to support a comprehensive fetal alcohol spectrum disorders 
(referred to in this section as `FASD') education, prevention, 
identification, intervention, and services delivery program, which may 
include--
 ``

    (1) an education and public awareness program to support, 
 conduct, and evaluate the effectiveness of--
 ``
        (A) educational programs targeting health 
 professions schools, social and other supportive 
 services, educators and counselors and other service 
 providers in all phases of childhood development, and 
 other relevant service providers, concerning the 
 prevention, identification, and provision of services 
 for infants, children, adolescents, and adults with 
 FASD;
 ``
        (B) strategies to educate school-age children, 
 including pregnant and high-risk youth, concerning 
 FASD;
 ``
            (C) public and community awareness programs 
 concerning FASD; and
 ``
            (D) strategies to coordinate information and 
 services across affected community agencies, including 
 agencies providing social services such as foster care, 
 adoption, and social work, agencies providing health 
 services, and agencies involved in education, 
 vocational training, and civil and criminal justice;
 ``

    (2) supporting and conducting research on FASD, as 
 appropriate, including to--
 ``
        (A) develop appropriate medical diagnostic 
 methods for identifying FASD; and
 ``
        (B) develop effective culturally and 
 linguistically appropriate evidence-based or evidence-
 informed interventions and appropriate supports for 
 preventing prenatal alcohol exposure, which may co-
 occur with exposure to other substances;
 ``

    (3) building State and Tribal capacity for the 
 identification, treatment, and support of individuals with FASD 
 and their families, which may include--
 ``
        (A) utilizing and adapting existing Federal, 
 State, or Tribal programs to include FASD 
 identification and FASD-informed support;
 ``
        (B) developing and expanding screening and 
 diagnostic capacity for FASD;
 ``
            (C) developing, implementing, and evaluating 
 targeted FASD-informed intervention programs for FASD;
 ``
            (D) providing training with respect to FASD for 
 professionals across relevant sectors; and
 ``
        (E) disseminating information about FASD and 
 support services to affected individuals and their 
 families; and
 ``

    (4) an applied research program concerning intervention 
 and prevention to support and conduct service demonstration 
 projects, clinical studies and other research models providing 
 advocacy, educational and vocational training, counseling, 
 medical and mental health, and other supportive services, as 
 well as models that integrate and coordinate such services, 
 that are aimed at the unique challenges facing individuals with 
 FASD and their families.
 ``

    (b) Grants and Technical Assistance.--
 ``

    (1) In general.--The Secretary may award grants, 
 cooperative agreements, and contracts and provide technical 
 assistance to eligible entities to carry out subsection

    (a) .
 ``

    (2) Eligible entities.--To be eligible to receive a 
 grant, or enter into a cooperative agreement or contract, under 
 this section, an entity shall--
 ``
        (A) be a State, Indian Tribe or Tribal 
 organization, local government, scientific or academic 
 institution, or nonprofit organization; and
 ``
        (B) prepare and submit to the Secretary an 
 application at such time, in such manner, and 
 containing such information as the Secretary may 
 require, including a description of the activities that 
 the entity intends to carry out using amounts received 
 under this section.
 ``

    (3) Additional application contents.--The Secretary may 
 require that an eligible entity include in the application 
 submitted under paragraph

    (2)
        (B) --
 ``
        (A) a designation of an individual to serve as a 
 FASD State or Tribal coordinator of activities such 
 eligible entity proposes to carry out through a grant, 
 cooperative agreement, or contract under this section; 
 and
 ``
        (B) a description of an advisory committee the 
 entity will establish to provide guidance for the 
 entity on developing and implementing a statewide or 
 Tribal strategic plan to prevent FASD and provide for 
 the identification, treatment, and support of 
 individuals with FASD and their families.
 ``
            (c) Definition of FASD Informed.--For purposes of this section, 
the term `FASD-informed', with respect to support or an intervention 
program, means that such support or intervention program uses 
culturally and linguistically informed evidence-based or practice-based 
interventions and appropriate resources to support an improved quality 
of life for an individual with FASD and the family of such individual.

``

SEC. 399I. STRENGTHENING CAPACITY AND EDUCATION FOR FETAL ALCOHOL 
 SPECTRUM DISORDERS.

 ``

    (a) In General.--The Secretary shall award grants, contracts, or 
cooperative agreements, as the Secretary determines appropriate, to 
public or nonprofit private entities with demonstrated expertise in the 
field of fetal alcohol spectrum disorders (referred to in this section 
as `FASD'). Such awards shall be for the purposes of building local, 
Tribal, State, and nationwide capacities to prevent the occurrence of 
FASD by carrying out the programs described in subsection

    (b) .
 ``

    (b) Programs.--An entity receiving an award under subsection

    (a) may use such award for the following purposes:
 ``

    (1) Developing and supporting public education and 
 outreach activities to raise public awareness of the risks 
 associated with alcohol consumption during pregnancy.
 ``

    (2) Acting as a clearinghouse for evidence-based 
 resources on FASD prevention, identification, and culturally 
 and linguistically appropriate best practices to help inform 
 systems of care for individuals with FASD across their 
 lifespan.
 ``

    (3) Increasing awareness and understanding of 
 efficacious, evidence-based screening tools and culturally and 
 linguistically appropriate evidence-based intervention services 
 and best practices, which may include improving the capacity 
 for State, Tribal, and local affiliates.
 ``

    (4) Providing technical assistance to recipients of 
 grants, cooperative agreements, or contracts under 

section 399H, as appropriate.
 ``
            (c) Application.--To be eligible for a grant, contract, or 
cooperative agreement under this section, an entity shall submit to the 
Secretary an application at such time, in such manner, and containing 
such information as the Secretary may require.
 ``
            (d) Subcontracting.--A public or private nonprofit entity may 
carry out the following activities required under this section through 
contracts or cooperative agreements with other public and private 
nonprofit entities with demonstrated expertise in FASD:
 ``

    (1) Resource development and dissemination.
 ``

    (2) Intervention services.
 ``

    (3) Training and technical assistance.

``

SEC. 399J. AUTHORIZATION OF APPROPRIATIONS.

 ``There are authorized to be appropriated to carry out this part 
$12,500,000 for each of fiscal years 2026 through 2030.''.

    (b) Report.--Not later than 4 years after the date of enactment of 
this Act, and every year thereafter, the Secretary of Health and Human 
Services shall prepare and submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives a report 
containing--

    (1) a review of the activities carried out pursuant to 
 sections 399H and 399I of the Public Health Service Act, as 
 amended by subsection

    (a) , to advance public education and 
 awareness of fetal alcohol spectrum disorders (referred to in 
 this section as ``FASD'');

    (2) a description of--
        (A) the activities carried out pursuant to such 
 sections 399H and 399I to identify, prevent, and treat 
 FASD; and
        (B) methods used to evaluate the outcomes of such 
 activities; and

    (3) an assessment of activities carried out pursuant to 
 such sections 399H and 399I to support individuals with FASD.

SEC. 105. PROMOTING STATE CHOICE IN PDMP SYSTEMS.

 

Section 399O

    (h) of the Public Health Service Act (42 U.S.C. 280g-
3

    (h) ) is amended by adding at the end the following:
 ``

    (5) Promoting state choice.--Nothing in this section 
 shall be construed to authorize the Secretary to require States 
 to use a specific vendor or a specific interoperability 
 connection other than to align with nationally recognized, 
 consensus-based open standards, such as in accordance with 
 sections 3001 and 3004.''.

SEC. 106. FIRST RESPONDER TRAINING PROGRAM.

 

Section 546 of the Public Health Service Act (42 U.S.C. 290ee-1) is 
amended--

    (1) in subsection

    (a) , by striking ``tribes and tribal'' 
 and inserting ``Tribes and Tribal'';

    (2) in subsections

    (a) ,
            (c) , and
            (d) --
        (A) by striking ``approved or cleared'' each place 
 it appears and inserting ``approved, cleared, or 
 otherwise legally marketed''; and
        (B) by striking ``opioid'' each place it appears;

    (3) in subsection

    (f) --
        (A) by striking ``approved or cleared'' each place 
 it appears and inserting ``approved, cleared, or 
 otherwise legally marketed'';
        (B) in paragraph

    (1) , by striking ``opioid'';
            (C) in paragraph

    (2) --
            (i) by striking ``opioid and heroin'' and 
 inserting ``opioid, heroin, and other drug''; 
 and
            (ii) by striking ``opioid overdose'' and 
 inserting ``overdose''; and
            (D) in paragraph

    (3) , by striking ``opioid and 
 heroin''; and

    (4) in subsection

    (h) , by striking ``$36,000,000 for each 
 of fiscal years 2019 through 2023'' and inserting ``$57,000,000 
 for each of fiscal years 2026 through 2030''.

SEC. 107. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS INITIATIVE.

    (a) Technical Amendment.--The second part G of title V of the 
Public Health Service Act (42 U.S.C. 290kk et seq.), as added by 

section 144 of the Community Renewal Tax Relief Act of 2000 (Public Law 
106-554), is amended--

    (1) by redesignating such part as part J; and

    (2) by redesignating sections 581 through 584 as sections 
 596 through 596C, respectively.

    (b) In General.--

Section 582 of the Public Health Service Act (42 
U.S.C. 290hh-1) is amended--

    (1) in the section heading, by striking ``violence related 
 stress'' and inserting ``traumatic events'';

    (2) in subsection

    (a) --
        (A) in the matter preceding paragraph

    (1) , by 
 striking ``tribes and tribal'' and inserting ``Tribes 
 and Tribal''; and
        (B) in paragraph

    (2) , by inserting ``and 
 dissemination'' after ``the development'';

    (3) in subsection

    (b) , by inserting ``and dissemination'' 
 after ``the development'';

    (4) in subsection
            (d) --
        (A) by striking ``The NCTSI'' and inserting the 
 following:
 ``

    (1) Coordinating center.--The NCTSI''; and
        (B) by adding at the end the following:
 ``

    (2) NCTSI grantees.--In carrying out subsection

    (a)

    (2) , 
 NCTSI grantees shall develop trainings and other resources, as 
 applicable and appropriate, to support implementation of the 
 evidence-based practices developed and disseminated under such 
 subsection.'';

    (5) in subsection

    (e) --
        (A) by redesignating paragraphs

    (1) and

    (2) as 
 subparagraphs
        (A) and
        (B) , respectively, and adjusting 
 the margins accordingly;
        (B) in subparagraph
        (A) , as so redesignated, by 
 inserting ``and implementation'' after ``the 
 dissemination'';
            (C) by striking ``The NCTSI'' and inserting the 
 following:
 ``

    (1) Coordinating center.--The NCTSI''; and
            (D) by adding at the end the following:
 ``

    (2) NCTSI grantees.--NCTSI grantees shall, as 
 appropriate, collaborate with other such grantees, the NCTSI 
 coordinating center, and the Secretary in carrying out 
 subsections

    (a)

    (2) and
            (d) (2) .'';

    (6) by amending subsection

    (h) to read as follows:
 ``

    (h) Application and Evaluation.--To be eligible to receive a 
grant, contract, or cooperative agreement under subsection

    (a) , a 
public or nonprofit private entity or an Indian Tribe or Tribal 
organization shall submit to the Secretary an application at such time, 
in such manner, and containing such information and assurances as the 
Secretary may require, including--
 ``

    (1) a plan for the evaluation of the activities funded 
 under the grant, contract, or agreement, including both process 
 and outcomes evaluation, and the submission of an evaluation at 
 the end of the project period; and
 ``

    (2) a description of how such entity, Indian Tribe, or 
 Tribal organization will support efforts led by the Secretary 
 or the NCTSI coordinating center, as applicable, to evaluate 
 activities carried out under this section.''; and

    (7) by amending subsection

    (j) to read as follows:
 ``

    (j) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section--
 ``

    (1) $98,887,000 for fiscal year 2026;
 ``

    (2) $98,887,000 for fiscal year 2027;
 ``

    (3) $98,887,000 for fiscal year 2028;
 ``

    (4) $100,000,000 for fiscal year 2029; and
 ``

    (5) $100,000,000 for fiscal year 2030.''.

SEC. 108. PROTECTING SUICIDE PREVENTION LIFELINE FROM CYBERSECURITY 
 INCIDENTS.

    (a) National Suicide Prevention Lifeline Program.--

Section 520E-
3

    (b) of the Public Health Service Act (42 U.S.C. 290bb-36c

    (b) ) is 
amended--

    (1) in paragraph

    (4) , by striking ``and'' at the end;

    (2) in paragraph

    (5) , by striking the period at the end and 
 inserting ``; and''; and

    (3) by adding at the end the following:
 ``

    (6) taking such steps as may be necessary to ensure the 
 suicide prevention hotline is protected from cybersecurity 
 incidents and eliminates known cybersecurity 
 vulnerabilities.''.

    (b) Reporting.--

Section 520E-3 of the Public Health Service Act (42 
U.S.C. 290bb-36c) is amended--

    (1) by redesignating subsection

    (f) as subsection

    (g) ; and

    (2) by inserting after subsection

    (e) the following:
 ``

    (f) Cybersecurity Reporting.--
 ``

    (1) Notification.--
 ``
        (A) In general.--The program's network 
 administrator receiving Federal funding pursuant to 
 subsection

    (a) shall report to the Assistant Secretary, 
 in a manner that protects personal privacy, consistent 
 with applicable Federal and State privacy laws--
 ``
            (i) any identified cybersecurity 
 vulnerabilities to the program within a 
 reasonable amount of time after identification 
 of such a vulnerability; and
 ``
            (ii) any identified cybersecurity 
 incidents to the program within a reasonable 
 amount of time after identification of such 
 incident.
 ``
        (B) Local and regional crisis centers.--Local and 
 regional crisis centers participating in the program 
 shall report to the program's network administrator 
 identified under subparagraph
        (A) , in a manner that 
 protects personal privacy, consistent with applicable 
 Federal and State privacy laws--
 ``
            (i) any identified cybersecurity 
 vulnerabilities to the program within a 
 reasonable amount of time after identification 
 of such vulnerability; and
 ``
            (ii) any identified cybersecurity 
 incidents to the program within a reasonable 
 amount of time after identification of such 
 incident.
 ``

    (2) Notification.--If the program's network administrator 
 receiving funding pursuant to subsection

    (a) discovers, or is 
 informed by a local or regional crisis center pursuant to 
 paragraph

    (1)
        (B) of, a cybersecurity vulnerability or incident, 
 within a reasonable amount of time after such discovery or 
 receipt of information, such entity shall report the 
 vulnerability or incident to the Assistant Secretary.
 ``

    (3) Clarification.--
 ``
        (A) Oversight.--
 ``
            (i) Local and regional crisis centers.--
 Except as provided in clause
            (ii) , local and 
 regional crisis centers participating in the 
 program shall oversee all technology each 
 center employs in the provision of services as 
 a participant in the program.
 ``
            (ii) Network administrator.--The 
 program's network administrator receiving 
 Federal funding pursuant to subsection

    (a) shall oversee the technology each crisis center 
 employs in the provision of services as a 
 participant in the program if such oversight 
 responsibilities are established in the 
 applicable network participation agreement.
 ``
        (B) Supplement, not supplant.--The cybersecurity 
 incident reporting requirements under this subsection 
 shall supplement, and not supplant, cybersecurity 
 incident reporting requirements under other provisions 
 of applicable Federal law that are in effect on the 
 date of the enactment of the SUPPORT for Patients and 
 Communities Reauthorization Act of 2025.''.
            (c) Study.--Not later than 180 days after the date of the enactment 
of this Act, the Comptroller General of the United States shall--

    (1) conduct and complete a study that evaluates 
 cybersecurity risks and vulnerabilities associated with the 9-
 8-8 National Suicide Prevention Lifeline; and

    (2) submit a report on the findings of such study to the 
 Committee on Health, Education, Labor, and Pensions of the 
 Senate and the Committee on Energy and Commerce of the House of 
 Representatives.

SEC. 109. MONITORING AND REPORTING OF CHILD, YOUTH, AND ADULT TRAUMA.

 

Section 7131

    (e) of the SUPPORT for Patients and Communities Act (42 
U.S.C. 242t

    (e) ) is amended by striking ``$2,000,000 for each of fiscal 
years 2019 through 2023'' and inserting ``$9,000,000 for each of fiscal 
years 2026 through 2030''.

SEC. 110. BRUCE'S LAW.

    (a) Youth Prevention and Recovery.--

Section 7102
            (c) of the SUPPORT 
for Patients and Communities Act (42 U.S.C. 290bb-7a
            (c) ) is amended--

    (1) in paragraph

    (3)
        (A)
            (i) , by inserting ``, which may 
 include strategies to increase education and awareness of the 
 potency and dangers of synthetic opioids (including drugs 
 contaminated with fentanyl) and, as appropriate, other emerging 
 drug use or misuse issues'' before the semicolon; and

    (2) in paragraph

    (4)
        (A) , by inserting ``and strategies to 
 increase education and awareness of the potency and dangers of 
 synthetic opioids (including drugs contaminated with fentanyl) 
 and, as appropriate, emerging drug use or misuse issues'' 
 before the semicolon.

    (b) Interdepartmental Substance Use Disorders Coordinating 
Committee.--

Section 7022 of the SUPPORT for Patients and Communities 
Act (42 U.S.C. 290aa note) is amended--

    (1) by striking subsection

    (g) and inserting the following:
 ``

    (g) Working Groups.--
 ``

    (1) In general.--The Committee may establish working 
 groups for purposes of carrying out the duties described in 
 subsection

    (e) . Any such working group shall be composed of 
 members of the Committee (or the designees of such members) and 
 may hold such meetings as are necessary to carry out the duties 
 delegated to the working group.
 ``

    (2) Additional federal interagency work group on fentanyl 
 contamination of illegal drugs.--
 ``
        (A) Establishment.--The Secretary, acting through 
 the Committee, shall establish a Federal Interagency 
 Work Group on Fentanyl Contamination of Illegal Drugs 
 (referred to in this paragraph as the `Work Group') 
 consisting of representatives from relevant Federal 
 departments and agencies on the Committee.
 ``
        (B) Consultation.--The Work Group shall consult 
 with relevant stakeholders and subject matter experts, 
 including--
 ``
            (i) State, Tribal, and local subject 
 matter experts in reducing, preventing, and 
 responding to drug overdose caused by fentanyl 
 contamination of illicit drugs; and
 ``
            (ii) family members of both adults and 
 youth who have overdosed by fentanyl 
 contaminated illicit drugs.
 ``
            (C) Duties.--The Work Group shall--
 ``
            (i) examine Federal efforts to reduce and 
 prevent drug overdose by fentanyl-contaminated 
 illicit drugs;
 ``
            (ii) identify strategies to improve 
 State, Tribal, and local responses to overdose 
 by fentanyl-contaminated illicit drugs;
 ``
            (iii) coordinate with the Secretary, as 
 appropriate, in carrying out activities to 
 raise public awareness of synthetic opioids and 
 other emerging drug use and misuse issues;
 ``
            (iv) make recommendations to Congress for 
 improving Federal programs, including with 
 respect to the coordination of efforts across 
 such programs; and
 ``
            (v) make recommendations for educating 
 youth on the potency and dangers of drugs 
 contaminated by fentanyl.
 ``
            (D) Annual report to secretary.--The Work Group 
 shall annually prepare and submit to the Secretary, the 
 Committee on Health, Education, Labor, and Pensions of 
 the Senate, and the Committee on Energy and Commerce 
 and the Committee on Education and Workforce of the 
 House of Representatives, a report on the activities 
 carried out by the Work Group under subparagraph
            (C) , 
 including recommendations to reduce and prevent drug 
 overdose by fentanyl contamination of illegal drugs, in 
 all populations, and specifically among youth at risk 
 for substance misuse.''; and

    (2) by striking subsection
            (i) and inserting the following:
 ``
            (i) Sunset.--The Committee shall terminate on September 30, 
2030.''.

SEC. 111. GUIDANCE ON AT-HOME DRUG DISPOSAL SYSTEMS.

    (a) In General.--Not later than one year after the date of 
enactment of this Act, the Secretary of Health and Human Services, in 
consultation with the Administrator of the Drug Enforcement 
Administration, shall publish guidance to facilitate the use of at-home 
safe disposal systems for applicable drugs.

    (b) Contents.--The guidance under subsection

    (a) shall include--

    (1) recommended standards for effective at-home drug 
 disposal systems to meet applicable requirements enforced by 
 the Food and Drug Administration;

    (2) recommended information to include as instructions for 
 use to disseminate with at-home drug disposal systems;

    (3) best practices and educational tools to support the use 
 of an at-home drug disposal system, as appropriate; and

    (4) recommended use of licensed health providers for the 
 dissemination of education, instruction, and at-home drug 
 disposal systems, as appropriate.

SEC. 112. ASSESSMENT OF OPIOID DRUGS AND ACTIONS.

    (a) In General.--Not later than one year after the date of 
enactment of this Act, the Secretary of Health and Human Services 
(referred to in this section as the ``Secretary'') shall publish on the 
website of the Food and Drug Administration (referred to in this 
section as the ``FDA'') a report that outlines a plan for assessing 
opioid analgesic drugs that are approved under 

section 505 of the 
Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355) that addresses the 
public health effects of such opioid analgesic drugs as part of the 
benefit-risk assessment and the activities of the FDA that relate to 
facilitating the development of nonaddictive medical products intended 
to treat pain or addiction. Such report shall include--

    (1) an update on the actions taken by the FDA to consider 
 the effectiveness, safety, benefit-risk profile, and use of 
 approved opioid analgesic drugs;

    (2) a timeline for an assessment of the potential need, as 
 appropriate, for labeling changes, revised or additional 
 postmarketing requirements, enforcement actions, or withdrawals 
 for opioid analgesic drugs;

    (3) an overview of the steps that the FDA has taken to 
 support the development and approval of nonaddictive medical 
 products intended to treat pain or addiction, and actions 
 planned to further support the development and approval of such 
 products; and

    (4) an overview of the consideration by the FDA of clinical 
 trial methodologies for analgesic drugs, including the enriched 
 enrollment randomized withdrawal methodology, and the benefits 
 and drawbacks associated with different trial methodologies for 
 such drugs, incorporating any public input received under 
 subsection

    (b) .

    (b) Public Input.--In carrying out subsection

    (a) , the Secretary 
shall provide an opportunity for public input concerning the regulation 
by the FDA of opioid analgesic drugs, including scientific evidence 
that relates to conditions of use, safety, or benefit-risk assessment 
(including consideration of the public health effects) of such opioid 
analgesic drugs.

SEC. 113. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID USE 
 DISORDERS.

 The activities carried out pursuant to 

section 1003

    (b)

    (4)
        (A) of the 
21st Century Cures Act (42 U.S.C. 290ee-3a

    (b)

    (4)
        (A) ) may include 
facilitating access to products used to prevent overdose deaths by 
detecting the presence of one or more substances, such as fentanyl and 
xylazine test strips, to the extent the purchase and possession of such 
products is consistent with Federal and State law.

 TITLE II--TREATMENT

SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND POSTPARTUM 
 WOMEN.

 

Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended--

    (1) in subsection
            (d) (11)
            (C) , by striking ``providing 
 health services'' and inserting ``providing health care 
 services'';

    (2) in subsection

    (g) --
        (A) by inserting ``a plan describing'' after ``will 
 provide''; and
        (B) by adding at the end the following: ``Such plan 
 may include a description of how such applicant will 
 target outreach to women disproportionately impacted by 
 maternal substance use disorder.''; and

    (3) in subsection

    (s) , by striking ``$29,931,000 for each 
 of fiscal years 2019 through 2023'' and inserting ``$38,931,000 
 for each of fiscal years 2026 through 2030''.

SEC. 202. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.

 

Section 597 of the Public Health Service Act (42 U.S.C. 290ll) is 
amended--

    (1) in subsection

    (a)

    (1) , by inserting ``diagnosis,'' after 
 ``related to''; and

    (2) in subsection

    (b) , by inserting ``addiction medicine,'' 
 after ``psychiatry,''.

SEC. 203. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING GRANTS.

 

Section 756

    (f) of the Public Health Service Act (42 U.S.C. 294e-
1

    (f) ) is amended by striking ``fiscal years 2023 through 2027'' and 
inserting ``fiscal years 2026 through 2030''.

SEC. 204. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT 
 WORKFORCE.

 

Section 781

    (j) of the Public Health Service Act (42 U.S.C. 295h

    (j) ) 
is amended by striking ``$25,000,000 for each of fiscal years 2019 
through 2023'' and inserting ``$40,000,000 for each of fiscal years 
2026 through 2030''.

SEC. 205. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR 
 SUBSTANCE USE DISORDER PATIENT RECORDS.

 

Section 7053 of the SUPPORT for Patients and Communities Act (42 
U.S.C. 290dd-2 note) is amended by striking subsection

    (e) .

SEC. 206. TASK FORCE ON BEST PRACTICES FOR TRAUMA-INFORMED 
 IDENTIFICATION, REFERRAL, AND SUPPORT.

 

Section 7132 of the SUPPORT for Patients and Communities Act 
(Public Law 115-271; 132 Stat. 4046) is amended--

    (1) in subsection

    (b)

    (1) --
        (A) by redesignating subparagraph
            (CC) as 
 subparagraph
            (DD) ; and
        (B) by inserting after subparagraph

    (BB) the 
 following:
 ``
            (CC) The Administration for Community Living.'';

    (2) in subsection
            (d) (1) , in the matter preceding 
 subparagraph
        (A) , by inserting ``, developmental disability 
 service providers'' before ``, individuals who are''; and

    (3) in subsection
            (i) , by striking ``2023'' and inserting 
 ``2030''.

SEC. 207. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER TREATMENT.

 

Section 3203 of the SUPPORT for Patients and Communities Act (21 
U.S.C. 823 note) is amended--

    (1) by striking subsection

    (b) ; and

    (2) by striking ``

    (a) In General.--The Secretary'' and 
 inserting the following: ``The Secretary''.

SEC. 208. STATE GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS MENTAL 
 ILLNESS AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE.

    (a) Review of Use of Certain Funding.--Not later than 1 year after 
the date of enactment of this Act, the Secretary of Health and Human 
Services (referred to in this section as the ``Secretary''), acting 
through the Assistant Secretary for Mental Health and Substance Use, 
shall conduct a review of State use of funds made available under the 
Community Mental Health Services Block Grant program under subpart I of 
part B of title XIX of the Public Health Service Act (42 U.S.C. 300x et 
seq.) (referred to in this section as the ``block grant program'') for 
first episode psychosis activities. Such review shall consider the 
following:

    (1) How States use funds for evidence-based treatments and 
 services according to the standard of care for individuals with 
 early serious mental illness and children with a serious 
 emotional disturbance.

    (2) The percentages of the State funding under the block 
 grant program expended on early serious mental illness and 
 first episode psychosis, and the number of individuals served 
 under such funds.

    (b) Report and Guidance.--

    (1) Report.--Not later than 180 days after the completion 
 of the review under subsection

    (a) , the Secretary shall submit 
 to the Committee on Health, Education, Labor, and Pensions and 
 the Committee on Appropriations of the Senate and the Committee 
 on Energy and Commerce and the Committee on Appropriations of 
 the House of Representatives a report describing--
        (A) the findings of the review under subsection

    (a) ; and
        (B) any recommendations for changes to the block 
 grant program that would facilitate improved outcomes 
 for individuals with serious mental illness and 
 children with serious emotional disturbance.

    (2) Guidance.--Not later than 1 year after the date on 
 which the report is submitted under paragraph

    (1) , the 
 Secretary shall update the guidance provided to States under 
 the block grant program on coordinated specialty care and other 
 evidence-based mental health care services for individuals with 
 serious mental illness and children with a serious emotional 
 disturbance, based on the findings and recommendations of such 
 report.

SEC. 209. REVIEWING THE SCHEDULING OF APPROVED PRODUCTS CONTAINING A 
 COMBINATION OF BUPRENORPHINE AND NALOXONE.

    (a) Secretary of HHS.--The Secretary of Health and Human Services 
shall, consistent with the requirements and procedures set forth in 
sections 201 and 202 of the Controlled Substances Act (21 U.S.C. 811, 
812)--

    (1) review the relevant data pertaining to the scheduling 
 of products containing a combination of buprenorphine and 
 naloxone that have been approved under 

section 505 of the 
 Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355); and

    (2) if appropriate, request that the Attorney General 
 initiate rulemaking proceedings to revise the schedules 
 accordingly with respect to such products.

    (b) Attorney General.--The Attorney General shall review any 
request made by the Secretary of Health and Human Services under 
subsection

    (a)

    (2) and determine whether to initiate proceedings to 
revise the schedules in accordance with the criteria set forth in 
sections 201 and 202 of the Controlled Substances Act (21 U.S.C. 811, 
812).

 TITLE III--RECOVERY

SEC. 301. BUILDING COMMUNITIES OF RECOVERY.

 

Section 547

    (f) of the Public Health Service Act (42 U.S.C. 290ee-
2

    (f) ) is amended by striking ``$5,000,000 for each of fiscal years 2019 
through 2023'' and inserting ``$17,000,000 for each of fiscal years 
2026 through 2030''.

SEC. 302. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.

 

Section 547A of the Public Health Service Act (42 U.S.C. 290ee-2a) 
is amended--

    (1) in subsection

    (b)

    (4) , by striking ``building; and'' and 
 inserting the following: ``building, such as--
 ``
        (A) professional development of peer support 
 specialists; and
 ``
        (B) making recovery support services available in 
 nonclinical settings; and'';

    (2) by redesignating subsections
            (d) and

    (e) as subsections

    (e) and

    (f) , respectively;

    (3) by inserting after subsection
            (c) the following:
 ``
            (d) Regional Centers.--
 ``

    (1) In general.--The Secretary may establish one regional 
 technical assistance center (referred to in this subsection as 
 the `Regional Center'), with existing resources, to assist the 
 Center in carrying out activities described in subsection

    (b) within the geographic region of such Regional Center in a 
 manner that is tailored to the needs of such region.
 ``

    (2) Evaluation.--Not later than 4 years after the date of 
 enactment of the SUPPORT for Patients and Communities 
 Reauthorization Act of 2025, the Secretary shall evaluate the 
 activities of the Regional Center and submit to the Committee 
 on Health, Education, Labor, and Pensions of the Senate and the 
 Committee on Energy and Commerce of the House of 
 Representatives a report on the findings of such evaluation, 
 including--
 ``
        (A) a description of the distinct roles and 
 responsibilities of the Regional Center and the Center;
 ``
        (B) available information relating to the 
 outcomes of the Regional Center under this subsection, 
 such as any impact on the operations and efficiency of 
 the Center relating to requests for technical 
 assistance and support within the region of such 
 Regional Center;
 ``
            (C) a description of any gaps or areas of 
 duplication relating to the activities of the Regional 
 Center and the Center within such region; and
 ``
            (D) recommendations relating to the modification, 
 expansion, or termination of the Regional Center under 
 this subsection.
 ``

    (3) Termination.--This subsection shall terminate on 
 September 30, 2030.''; and

    (4) in subsection

    (f) , as so redesignated, by striking 
 ``$1,000,000 for each of fiscal years 2019 through 2023'' and 
 inserting ``$2,000,000 for each of fiscal years 2026 through 
 2030''.

SEC. 303. COMPREHENSIVE OPIOID RECOVERY CENTERS.

 

Section 552 of the Public Health Service Act (42 U.S.C. 290ee-7) is 
amended--

    (1) in subsection
            (d) (2) --
        (A) in the matter preceding subparagraph
        (A) , by 
 striking ``and in such manner'' and inserting ``, in 
 such manner, and containing such information and 
 assurances, including relevant documentation,''; and
        (B) in subparagraph
        (A) , by striking ``is capable 
 of coordinating with other entities to carry out'' and 
 inserting ``has the demonstrated capability to carry 
 out, through referral or contractual arrangements'';

    (2) in subsection

    (h) --
        (A) by redesignating paragraphs

    (1) through

    (4) as 
 subparagraphs
        (A) through
            (D) , respectively, and 
 adjusting the margins accordingly;
        (B) by striking ``With respect to'' and inserting 
 the following:
 ``

    (1) In general.--With respect to''; and
            (C) by adding at the end the following:
 ``

    (2) Additional reporting for certain eligible entities.--
 An entity carrying out activities described in subsection

    (g) through referral or contractual arrangements shall include in 
 the submissions required under paragraph

    (1) information 
 related to the status of such referrals or contractual 
 arrangements, including an assessment of whether such referrals 
 or contractual arrangements are supporting the ability of such 
 entity to carry out such activities.''; and

    (3) in subsection

    (j) , by striking ``2019 through 2023'' 
 and inserting ``2026 through 2030''.

SEC. 304. YOUTH PREVENTION AND RECOVERY.

 

Section 7102
            (c) of the SUPPORT for Patients and Communities Act (42 
U.S.C. 290bb-7a
            (c) ) (as amended by 

section 110

    (a) ) is amended--

    (1) in paragraph

    (2) --
        (A) in subparagraph
        (A) --
            (i) in clause
            (i) --
            (I) by inserting ``, or a 
 consortium of local educational 
 agencies,'' after ``a local educational 
 agency''; and
            (II) by striking ``high schools'' 
 and inserting ``secondary schools''; 
 and
            (ii) in clause
            (vi) , by striking ``tribe, 
 or tribal'' and inserting ``Tribe, or Tribal'';
        (B) by amending subparagraph
        (E) to read as 
 follows:
 ``
        (E) Indian tribe; tribal organization.--The terms 
 `Indian Tribe' and `Tribal organization' have the 
 meanings given such terms in 

section 4 of the Indian 
 Self-Determination and Education Assistance Act (25 
 U.S.C. 5304).'';
            (C) by redesignating subparagraph
        (K) as 
 subparagraph
            (L) ; and
            (D) by inserting after subparagraph
        (J) the 
 following:
 ``
        (K) Secondary school.--The term `secondary 
 school' has the meaning given such term in 

section 8101 
 of the Elementary and Secondary Education Act of 1965 
 (20 U.S.C. 7801).'';

    (2) in paragraph

    (3)
        (A) , in the matter preceding clause
            (i) --
        (A) by striking ``and abuse''; and
        (B) by inserting ``at increased risk for substance 
 misuse'' after ``specific populations'';

    (3) in paragraph

    (4) --
        (A) in the matter preceding subparagraph
        (A) , by 
 striking ``Indian tribes'' and inserting ``Indian 
 Tribes'';
        (B) in subparagraph
        (A) , by striking ``and abuse''; 
 and
            (C) in subparagraph
        (B) , by striking ``peer 
 mentoring'' and inserting ``peer-to-peer support'';

    (4) in paragraph

    (5) , by striking ``tribal'' and inserting 
 ``Tribal'';

    (5) in paragraph

    (6)
        (A) --
        (A) in clause
            (iv) , by striking ``; and'' and 
 inserting a semicolon; and
        (B) by adding at the end the following:
 ``
            (vi) a plan to sustain the activities 
 carried out under the grant program, after the 
 grant program has ended; and'';

    (6) in paragraph

    (8) , by striking ``2022'' and inserting 
 ``2028''; and

    (7) by amending paragraph

    (9) to read as follows:
 ``

    (9) Authorization of appropriations.--To carry out this 
 subsection, there are authorized to be appropriated--
 ``
        (A) $10,000,000 for fiscal year 2026;
 ``
        (B) $12,000,000 for fiscal year 2027;
 ``
            (C) $13,000,000 for fiscal year 2028;
 ``
            (D) $14,000,000 for fiscal year 2029; and
 ``
        (E) $15,000,000 for fiscal year 2030.''.

SEC. 305. CAREER ACT.

    (a) In General.--

Section 7183 of the SUPPORT for Patients and 
Communities Act (42 U.S.C. 290ee-8) is amended--

    (1) in the section heading, by inserting ``; treatment, 
 recovery, and workforce support grants'' after ``career act'';

    (2) in subsection

    (b) , by inserting ``each'' before ``for a 
 period'';

    (3) in subsection
            (c) --
        (A) in paragraph

    (1) , by striking ``the rates 
 described in paragraph

    (2) '' and inserting ``the 
 average rates for calendar years 2018 through 2022 
 described in paragraph

    (2) ''; and
        (B) by amending paragraph

    (2) to read as follows:
 ``

    (2) Rates.--The rates described in this paragraph are the 
 following:
 ``
        (A) The highest age-adjusted average rates of 
 drug overdose deaths for calendar years 2018 through 
 2022 based on data from the Centers for Disease Control 
 and Prevention, including, if necessary, provisional 
 data for calendar year 2022.
 ``
        (B) The highest average rates of unemployment for 
 calendar years 2018 through 2022 based on data provided 
 by the Bureau of Labor Statistics.
 ``
            (C) The lowest average labor force participation 
 rates for calendar years 2018 through 2022 based on 
 data provided by the Bureau of Labor Statistics.'';

    (4) in subsection

    (g) --
        (A) in each of paragraphs

    (1) and

    (3) , by 
 redesignating subparagraphs
        (A) and
        (B) as clauses
            (i) and
            (ii) , respectively, and adjusting the margins 
 accordingly;
        (B) by redesignating paragraphs

    (1) through

    (3) as 
 subparagraphs
        (A) through
            (C) , respectively, and 
 adjusting the margins accordingly;
            (C) in the matter preceding subparagraph
        (A) (as so 
 redesignated), by striking ``An entity'' and inserting 
 the following:
 ``

    (1) In general.--An entity''; and
            (D) by adding at the end the following:
 ``

    (2) Transportation services.--An entity receiving a grant 
 under this section may use not more than 5 percent of the funds 
 for providing transportation for individuals to participate in 
 an activity supported by a grant under this section, which 
 transportation shall be to or from a place of work or a place 
 where the individual is receiving vocational education or job 
 training services or receiving services directly linked to 
 treatment of or recovery from a substance use disorder.
 ``

    (3) Limitation.--The Secretary may not require an entity 
 to, or give priority to an entity that plans to, use the funds 
 of a grant under this section for activities that are not 
 specified in this subsection.'';

    (5) in subsection
            (i) (2) , by inserting ``, which shall 
 include employment and earnings outcomes described in 
 subclauses
            (I) and
            (III) of 

section 116

    (b)

    (2)
        (A)
            (i) of the 
 Workforce Innovation and Opportunity Act (29 U.S.C. 
 3141

    (b)

    (2)
        (A)
            (i) ) with respect to the participation of such 
 individuals with a substance use disorder in programs and 
 activities funded by the grant under this section'' after 
 ``subsection

    (g) '';

    (6) in subsection

    (j) --
        (A) in paragraph

    (1) , by inserting ``for grants 
 awarded prior to the date of enactment of the SUPPORT 
 for Patients and Communities Reauthorization Act of 
 2025'' after ``grant period under this section''; and
        (B) in paragraph

    (2) --
            (i) in the matter preceding subparagraph
        (A) , by striking ``2 years after submitting the 
 preliminary report required under paragraph

    (1) '' and inserting ``September 30, 2030''; and
            (ii) in subparagraph
        (A) , by striking 
 ``

    (g)

    (3) '' and inserting ``

    (g)

    (1)
            (C) ''; and

    (7) in subsection

    (k) , by striking ``$5,000,000 for each of 
 fiscal years 2019 through 2023'' and inserting ``$12,000,000 
 for each of fiscal years 2026 through 2030''.

    (b) Reauthorization of the CAREER Act; Recovery Housing Pilot 
Program.--

    (1) In general.--

Section 8071 of the SUPPORT for Patients 
 and Communities Act (42 U.S.C. 5301 note; Public Law 115-271) 
 is amended--
        (A) by striking the section heading and inserting 
 ``career act; recovery housing pilot program'';
        (B) in subsection

    (a) , by striking ``through 2023'' 
 and inserting ``through 2030'';
            (C) in subsection

    (b) --
            (i) in paragraph

    (1) , by striking ``not 
 later than 60 days after the date of enactment 
 of this Act'' and inserting ``not later than 60 
 days after the date of enactment of the SUPPORT 
 for Patients and Communities Reauthorization 
 Act of 2025''; and
            (ii) in paragraph

    (2)
        (B)
            (i) --
            (I) in subclause
            (I) --

    (aa) by striking ``for 
 calendar years 2013 through 
 2017''; and

    (bb) by inserting ``for 
 calendar years 2018 through 
 2022'' after ``rates of 
 unemployment'';
            (II) in subclause
            (II) --

    (aa) by striking ``for 
 calendar years 2013 through 
 2017''; and

    (bb) by inserting ``for 
 calendar years 2018 through 
 2022'' after ``participation 
 rates''; and
            (III) by striking subclause
            (III) and inserting the following:
 ``
            (III) The highest age-adjusted 
 average rates of drug overdose deaths 
 for calendar years 2018 through 2022 
 based on data from the Centers for 
 Disease Control and Prevention, 
 including, if necessary, provisional 
 data for calendar year 2022.''; and
            (D) in subsection

    (f) , by striking ``For the 2-year 
 period following the date of enactment of this Act, 
 the'' and inserting ``The''.

    (2) Conforming amendment.--Subtitle F of title VIII of the 
 SUPPORT for Patients and Communities Act (Public Law 115-271; 
 132 Stat. 4095) is amended by striking the subtitle heading and 
 inserting the following: ``CAREER Act; Recovery Housing Pilot 
 Program'' .
            (c) Clerical Amendments.--The table of contents in 

section 1

    (b) of 
the SUPPORT for Patients and Communities Act (Public Law 115-271; 132 
Stat. 3894) is amended--

    (1) by striking the item relating to 

section 7183 and 
 inserting the following:

``

Sec. 7183. CAREER Act; treatment, recovery, and workforce support 
 grants.'';

    (2) by striking the item relating to subtitle F of title 
 VIII and inserting the following:

 ``Subtitle F--CAREER Act; Recovery Housing Pilot Program''; and

    (3) by striking the item relating to 

section 8071 and 
 inserting the following:

``

Sec. 8071. CAREER Act; Recovery Housing Pilot Program.''.

SEC. 306. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF THE OPIOID 
 CRISIS.

 

Section 8041

    (g)

    (1) of the SUPPORT for Patients and Communities Act 
(29 U.S.C. 3225a

    (g)

    (1) ) is amended by striking ``2023'' and inserting 
``2030''.

 TITLE IV--MISCELLANEOUS MATTERS

SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A PHARMACY TO A 
 PRESCRIBING PRACTITIONER.

 

Section 309A

    (a) of the Controlled Substances Act (21 U.S.C. 
829a

    (a) ) is amended by striking paragraph

    (2) and inserting the 
following:
 ``

    (2) the controlled substance is a drug in schedule III, 
 IV, or V to be administered--
 ``
        (A) by injection or implantation for the purpose 
 of maintenance or detoxification treatment; or
 ``
        (B) subject to a risk evaluation and mitigation 
 strategy pursuant to 

section 505-1 of the Federal Food, 
 Drug, and Cosmetic Act (21 U.S.C. 355-1) that includes 
 elements to assure safe use of the drug described in 
 subsection

    (f)

    (3)
        (E) of such section, including a 
 requirement for post-administration monitoring by a 
 health care provider;''.

SEC. 402. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED SUBSTANCES.

    (a) In General.--

Section 303 of the Controlled Substances Act (21 
U.S.C. 823) is amended--

    (1) by redesignating the second subsection designated as 
 subsection
            (l) as subsection
            (m) ; and

    (2) in subsection
            (m) (1) , as so redesignated--
        (A) in subparagraph
        (A) --
            (i) in clause
            (iv) --
            (I) in subclause
            (I) --

    (aa) by inserting ``the 
 American Academy of Family 
 Physicians, the American 
 Podiatric Medical Association, 
 the Academy of General 
 Dentistry, the American 
 Optometric Association,'' 
 before ``or any other 
 organization'';

    (bb) by striking ``or the 
 Commission'' and inserting ``, 
 the Commission''; and
            (cc) by inserting ``, or 
 the Council on Podiatric 
 Medical Education'' before the 
 semicolon at the end; and
            (II) in subclause
            (III) , by 
 inserting ``or the American Academy of 
 Family Physicians'' after 
 ``Association''; and
            (ii) in clause
            (v) , in the matter preceding 
 subclause
            (I) --
            (I) by striking ``osteopathic 
 medicine, dental surgery'' and 
 inserting ``osteopathic medicine, 
 podiatric medicine, dental surgery''; 
 and
            (II) by striking ``or dental 
 medicine curriculum'' and inserting 
 ``or dental or podiatric medicine 
 curriculum''; and
        (B) in subparagraph
        (B) --
            (i) in clause
            (i) --
            (I) by inserting ``the American 
 Pharmacists Association, the 
 Accreditation Council on Pharmacy 
 Education, the American Psychiatric 
 Nurses Association, the American 
 Academy of Nursing, the American 
 Academy of Family Physicians,'' before 
 ``or any other organization''; and
            (II) by inserting ``, the American 
 Academy of Family Physicians,'' before 
 ``or the Accreditation Council''; and
            (ii) in clause
            (ii) --
            (I) by striking ``or accredited 
 school'' and inserting ``, an 
 accredited school''; and
            (II) by inserting ``, or an 
 accredited school of pharmacy'' before 
 ``in the United States''.

    (b) Effective Date.--The amendments made by subsection

    (a) shall 
take effect as if enacted on December 29, 2022.
 <all>