S. 3393 - To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes.

Overview

Title

To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes.

ELI5 AI

The bill S. 3393 is about making sure there is more help and money to tackle problems related to drug use, mental health, and helping communities in tough times. It wants to make sure emergency workers get better training and increase payments for special programs, but some worry that too much money is being spent without clear plans.

Summary AI

The bill S. 3393 aims to reauthorize the SUPPORT for Patients and Communities Act. It introduces various provisions to tackle substance use disorders, mental health issues, and community recovery efforts across the U.S. The bill addresses prevention, treatment, and recovery through funding programs, data collection, regulatory updates, and technical amendments, aiming to improve public health outcomes and access to health services.

Published

2024-02-01

Congress: 118

Session: 2

Chamber: SENATE

Status: Reported to Senate

Date: 2024-02-01

Package ID: BILLS-118s3393rs

Keywords AI

support for patients and communities act substance use disorders mental health funding programs public health opioid crisis fetal alcohol spectrum disorders first responder training prescribers of controlled substances controlled substances

Sources

Bill Text

Bill Metadata

Bill Statistics

Size

Sections:

Words:

35,633

Pages:

172

Sentences:

476

Language

Nouns: 10,366

Verbs: 2,716

Adjectives: 1,680

Adverbs: 210

Numbers: 1,789

Entities: 1,583

Complexity

Average Token Length:

4.27

Average Sentence Length:

74.86

Token Entropy:

5.55

Readability (ARI):

39.39

AnalysisAI

To reauthorize the SUPPORT for Patients and Communities Act, this bill presents a comprehensive set of updates, funding allocations, and amendments across various health and substance use-related initiatives in the United States. The legislation aims to address a wide spectrum of issues, from enhancing training programs for first responders to expanding mental and behavioral health education. The bill also seeks to improve access to treatment services and provide broader support networks for individuals affected by substance use disorders.

General Summary of the Bill

The bill is organized into several titles, each focusing on distinct areas related to public health and substance use prevention, treatment, and recovery. Title I concentrates on prevention, with initiatives aimed at training first responders and improving public health strategies for preventing overdoses. Title II emphasizes treatment, including funding for specialized programs for pregnant and postpartum women, as well as supporting the workforce in substance use disorders. Title III advances recovery efforts, particularly through increasing funding for community and peer support initiatives. Lastly, Title IV addresses technical amendments, including regulations and training for the management of controlled substances.

Summary of Significant Issues

The bill has raised several significant issues, primarily centered around increased funding allocations, ambiguous language, and a lack of detailed accountability measures. For instance, the bill proposes substantial funding increases across multiple sections, such as $56 million annually for first responder training, yet it often lacks detailed justification for these figures. This pattern extends to sections dealing with public health initiatives related to child traumatic stress and community recovery programs.

There is considerable complexity and potential vagueness in the bill's language, which could affect the clarity and ease of implementation. For instance, stakeholders face challenges understanding sections heavily laden with legal terminology or those that do not clearly define critical terms like "associated risk factors" or "culturally and linguistically appropriate" interventions.

Additionally, the bill contains broad and undefined spending directives in some areas, such as allowing for "such sums as may be necessary," which could lead to unchecked spending without proper oversight mechanisms in place. This lack of accountability measures might hinder the effective assessment of various programs' performances.

Impact on the Public

Broadly, the bill aims to positively impact public health by increasing resources and support for combating substance use disorders. Should the initiatives and funding be appropriately managed, they could lead to enhanced treatment accessibility, better-equipped first responders, and more robust supportive communities.

However, if ambiguities in implementation persist, the public may not fully benefit from these improvements. Effective use of the increased budgets could be compromised by unclear directives and insufficient accountability, potentially resulting in a gap between legislative intentions and actual outcomes.

Impact on Specific Stakeholders

Specific stakeholders, such as healthcare providers, treatment facilities, and government agencies, might find both opportunities and challenges in the bill's provisions. With increased funding, these groups could enhance their services and expand their reach. However, they may also face hurdles in navigating the bill's ambiguous requirements and potential overlap with existing programs, leading to administrative inefficiencies.

Individuals and families dealing with substance use disorders could benefit from stronger support systems and more comprehensive care options. Yet, these benefits hinge on effective implementation and clear guidance, which the bill currently lacks in some areas. If inefficiencies arise, stakeholders might experience delays or inconsistencies in accessing the promised resources and support.

In summary, while the bill contains laudable goals aiming to bolster public health efforts surrounding substance use, its success largely depends on the resolution of the identified issues, especially concerning budget justification, technical clarity, and program accountability.

Financial Assessment

The bill S. 3393 aims to reauthorize the SUPPORT for Patients and Communities Act, with several provisions to address issues related to substance use disorders, mental health, and community recovery efforts. Financial allocations and appropriations are a critical component of this reauthorization, and there are several notable aspects regarding fund allocation and expenditure described within the bill.

Summary of Financial Allocations

The bill proposes significant increases in funding across various sections. For example, the First Responder Training Program in Section 101 sees an increase from $36,000,000 to $56,000,000 per fiscal year. This substantial increment is intended for fiscal years 2024 through 2028, aiming to enhance support for first responders dealing with substance-related emergencies.

Similarly, Section 106, the Donald J. Cohen National Child Traumatic Stress Initiative, proposes substantial funding growth, increasing from $63,887,000 to $93,887,000 annually in the initial years, and further increases following that.

Further adjustments can be seen in the Building Communities of Recovery initiative in Section 303, where funding rises from $5,000,000 to $16,000,000. Additionally, the Loan Repayment Program for Substance Use Disorder Treatment Workforce in Section 202 doubles its funding authorization from $25,000,000 to $50,000,000.

Other sections reflect similar trends of increased appropriations, such as the Mental and Behavioral Health Education and Training Program in Section 204, with incremental funding allocations rising from $50,000,000 in fiscal year 2024 to $75,000,000 by fiscal year 2028.

Relation to Identified Issues

The substantial increase in appropriations across multiple sections raises concerns about potential over-allocation and wasteful spending, particularly given the lack of detailed justification or analysis of necessity. For instance, without clear criteria demonstrating the need for such dramatic increases, stakeholders might view these increments as potentially excessive.

Moreover, several sections employ broad terminology such as “such sums as may be necessary,” notably in Section 399J relating to Fetal Alcohol Spectrum Disorders Centers for Excellence. This vague language regarding financial caps or oversight mechanisms lacks specificity and may increase the risk of unchecked expenditures.

There is also a noted absence of robust accountability frameworks or explicit criteria for effectiveness evaluation. This oversight is particularly relevant in sections such as Comprehensive Opioid Recovery Centers and Preventing Adverse Childhood Experiences. Without these metrics, it becomes challenging to gauge the success and efficiency of increased outlays.

Furthermore, issues of potential duplicative efforts arise, particularly concerning funding overlaps within existing federal programs. For instance, the goals of the Support for Individuals and Families Impacted by Fetal Alcohol Spectrum Disorder could already be covered under current initiatives, leading to inefficiencies in financial distributions.

Lastly, the discussions indicate an overall lack of detailed budgetary implications or cost analysis backing significant financial adjustments, as seen in Guidance on At-home Drug Disposal Systems and other sections. This opacity leaves stakeholders uncertain about the precise financial impacts of these legislative updates.

In summary, while the bill aims to bolster support in critical health areas, the financial provisions reveal gaps in justification, transparency, and oversight that could affect its effectiveness and credibility.

Issues

The bill increases funding significantly across multiple sections without providing detailed justification or analysis of the necessity and effectiveness of the increased expenditures. For instance, the 'First responder training program' in Sec. 101 increases from $36,000,000 to $56,000,000 per fiscal year, and the 'Building communities of recovery' in Sec. 303 increases funding from $5,000,000 to $16,000,000, which might raise concerns about potential wasteful spending. Similar issues are found in Sec. 106 ('Donald J. Cohen National Child Traumatic Stress Initiative') and Sec. 202 ('Loan repayment program for substance use disorder treatment workforce').
There is a concern related to the complexity and lack of clarity in the language used, which might hinder understanding and compliance. This is particularly relevant for legal jargon-heavy sections such as Sec. 403 ('Required training for prescribers of controlled substances') and Sec. 211 ('Mental health parity'), potentially causing confusion among stakeholders not well-versed in legal terminology.
Ambiguity in terminology and scope could lead to varied interpretations and implementation inconsistencies. Terms like 'associated risk factors' in Sec. 103 ('Preventing overdoses of controlled substances') and 'culturally and linguistically appropriate' interventions in Sec. 110 ('Support for individuals and families impacted by fetal alcohol spectrum disorder') require clearer definitions to avoid misinterpretation.
The bill's amendments include broad, undefined spending directives, such as 'such sums as may be necessary,' which lack specific appropriation limits or oversight mechanisms. This is seen in Sec. 399J ('Authorization of appropriations') related to fetal alcohol spectrum disorders Centers for Excellence.
There appears to be a significant lack of accountability measures or explicit criteria for evaluating the effectiveness of numerous programs, such as in Sec. 302 ('Comprehensive opioid recovery centers') and Sec. 108 ('Preventing adverse childhood experiences'), which could hinder performance assessment and adjustment processes.
Potential for duplicative efforts and lack of coordination among agencies is noted, particularly in sections like Sec. 110 ('Support for individuals and families impacted by fetal alcohol spectrum disorder') which may overlap with existing programs, thus raising efficiency concerns.
Certain provisions, like Sec. 103 ('Preventing overdoses of controlled substances') and Sec. 101 ('First responder training program'), involve terminology changes that might broaden the scope of programs without clear operational guidance, possibly affecting targeted outcomes and focused interventions.
The lack of clear budgetary implications or cost analyses for certain provisions, such as Sec. 114 ('Guidance on at-home drug disposal systems') and Sec. 116 ('Consideration of enriched enrollment randomized withdrawal methodology'), leaves the financial impact of these amendments uncertain.

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title; table of contents Read Opens in new tab

Summary AI

The "SUPPORT for Patients and Communities Reauthorization Act" includes various sections divided into four main titles: Prevention, Treatment, Recovery, and Technical Amendments. These sections outline programs and initiatives such as training for first responders, support for mental health care, and enhancing access to substance use disorder treatment, as well as addressing technical corrections related to controlled substances.

101. First responder training program Read Opens in new tab

Summary AI

The section amends the Public Health Service Act to update language related to first responder training programs, including changing “tribes and tribal” to “Tribes and Tribal,” broadening the term “approved or cleared” to include products that are “legally marketed,” removing references to “opioid” in various contexts, and increasing funding from $36 million to $56 million annually for fiscal years 2024 through 2028.

Money References

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 “$56,000,000 for each of fiscal years 2024 through 2028”. ---

102. Surveillance and education regarding infections associated with illicit drug use and other risk factors Read Opens in new tab

Summary AI

The section modifies the Public Health Service Act to extend the period for certain infection surveillance and education activities related to illicit drug use and other risks from "2019 through 2023" to "2024 through 2028".

103. Preventing overdoses of controlled substances Read Opens in new tab

Summary AI

The section amends the Public Health Service Act to enhance measures for preventing overdoses by broadening the focus from opioids to all substances causing overdose, improving the identification and monitoring of associated risk factors, and increasing funding for these efforts to $505,579,000 annually from 2024 to 2028.

Money References

Section 392A of the Public Health Service Act (42 U.S.C. 280b–1) is amended— (1) in subsection (a)— (A) in paragraph (2)— (i) in subparagraph (C), by inserting “and associated risks” before the period at the end; and (ii) in subparagraph (D), by striking “opioids” and inserting “substances causing overdose”; (B) in paragraph (3)(A)— (i) by inserting “identify substances causing overdose and” after “rapidly”; and (ii) by striking “abuse, and overdoses” and inserting “overdoses, and associated risk factors”; (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”; and (3) in subsection (e) by striking “$496,000,000 for each of fiscal years 2019 through 2023” and inserting “$505,579,000 for each of fiscal years 2024 through 2028”. ---

104. Pilot program for public health laboratories to detect fentanyl and other synthetic opioids Read Opens in new tab

Summary AI

The section introduces a pilot program aimed at helping public health laboratories detect fentanyl and other synthetic opioids. It also involves changing a part of a previous law by removing a specific subsection.

105. Prenatal and postnatal health Read Opens in new tab

Summary AI

Section 105 of the bill updates the dates in a part of the Public Health Service Act by changing "2019 through 2023" to "2024 through 2028," extending the timeline for certain prenatal and postnatal health services.

106. Donald J. Cohen National Child Traumatic Stress Initiative Read Opens in new tab

Summary AI

The Donald J. Cohen National Child Traumatic Stress Initiative section of the Public Health Service Act has been updated to broaden its focus to "traumatic events," enhance the development and sharing of related resources, and increase funding from fiscal years 2024 to 2028. Amendments include improved coordination among grantees and the government, evaluation requirements for grantees, and clarified roles for coordinating centers and grantees in supporting and implementing evidence-based practices.

Money References

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.—”; 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 rigorous 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) in subsection (j), by striking “, $63,887,000 for each of fiscal years 2019 through 2023” and inserting “$93,887,000 for each of fiscal years 2024 and 2025, $104,000,000 for fiscal year 2026, $110,000,000 for fiscal year 2027, and $112,661,000 for fiscal year 2028”. ---

107. Surveillance and data collection for child, youth, and adult trauma Read Opens in new tab

Summary AI

The section amends the SUPPORT for Patients and Communities Act to extend the time period for data collection on trauma affecting children, youth, and adults from 2019-2023 to 2024-2028.

108. Preventing adverse childhood experiences Read Opens in new tab

Summary AI

The bill allows the Secretary of Health and Human Services to provide funding to states, territories, tribes, and local governments to prevent and reduce adverse childhood experiences through public health activities. It also includes provisions for using this funding to collect and analyze data, form partnerships, provide training, and report the outcomes, with $7 million authorized for each year from 2024 to 2028.

Money References

(c) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated $7,000,000 for each of fiscal years 2024 through 2028.

109. Clarification of use of funds for products used to prevent overdose deaths Read Opens in new tab

Summary AI

The section clarifies that activities related to a specific part of the 21st Century Cures Act can include helping people get access to products that can prevent overdose deaths, as long as buying and using these products follows federal and state laws.

110. Support for individuals and families impacted by fetal alcohol spectrum disorder Read Opens in new tab

Summary AI

The section outlines amendments to the Public Health Service Act to enhance support for individuals and families affected by fetal alcohol spectrum disorders (FASD). It includes updating program names and definitions, expanding research and awareness efforts, and establishing FASD Centers for Excellence, while providing guidelines for grant eligibility and application processes, and authorizing necessary funding through 2028.

399I. Fetal alcohol spectrum disorders Centers for Excellence Read Opens in new tab

Summary AI

The Fetal Alcohol Spectrum Disorders Centers for Excellence program is designed to provide grants to organizations with expertise in preventing, identifying, and addressing fetal alcohol spectrum disorders (FASD). These grants support activities like improving diagnostic capacities, raising public awareness, providing training, and maintaining a resource hub to help reduce FASD and assist affected individuals and families.

399J. Authorization of appropriations Read Opens in new tab

Summary AI

There is permission for the government to allocate whatever funds are needed to implement this part of the law for the financial years 2024 to 2028.

111. Promoting State choice in PDMP systems Read Opens in new tab

Summary AI

In an amendment to the Public Health Service Act, the text specifies that states are not required to use a particular vendor or connection system for Prescription Drug Monitoring Programs (PDMP), as long as they follow nationally accepted open standards.

201. Residential treatment program for pregnant and postpartum women Read Opens in new tab

Summary AI

The section amends the Public Health Service Act to change the wording from "health services" to "health care services," require a description of outreach plans for women affected by maternal substance use disorder, and increase funding from $29.931 million to $38.931 million for each fiscal year from 2024 to 2028.

Money References

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 2024 through 2028”. ---

202. Loan repayment program for substance use disorder treatment workforce Read Opens in new tab

Summary AI

The section updates the loan repayment program for the substance use disorder treatment workforce by increasing the funding from $25 million to $50 million for each year from 2024 to 2028.

Money References

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 “$50,000,000 for each of fiscal years 2024 through 2028”. ---

203. Regional centers of excellence in substance use disorder education Read Opens in new tab

Summary AI

The section proposes an amendment to the Public Health Service Act by removing subsection (f) from Section 551, which deals with the establishment of regional centers for education on substance use disorders.

204. Mental and behavioral health education and training program Read Opens in new tab

Summary AI

The section of the bill amends the Public Health Service Act to authorize specific amounts of money for mental and behavioral health education and training programs from 2024 to 2028. Each year, the allocated funds increase, with the money divided among four types of grants to support different aspects of these educational programs.

Money References

Section 756(f) of the Public Health Service Act (42 U.S.C. 294e–1(f)) is amended to read as follows: “(f) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated the following: “(1) $50,000,000 for fiscal year 2024, to be allocated as follows: “(A) For grants described in subsection (a)(1), $15,000,000. “(B) For grants described in subsection (a)(2), $15,000,000. “(C) For grants described in subsection (a)(3), $10,000,000.
“(D) For grants described in subsection (a)(4), $10,000,000.
“(2) $55,000,000 for fiscal year 2025, to be allocated as follows:
“(A) For grants described in subsection (a)(1), $16,500,000.
“(B) For grants described in subsection (a)(2), $16,500,000.
“(C) For grants described in subsection (a)(3), $11,000,000. “(D) For grants described in subsection (a)(4), $11,000,000. “(3) $60,000,000 for fiscal year 2026, to be allocated as follows: “(A) For grants described in subsection (a)(1), $18,000,000. “(B) For grants described in subsection (a)(2), $18,000,000.
“(C) For grants described in subsection (a)(3), $12,000,000.
“(D) For grants described in subsection (a)(4), $12,000,000.
“(4) $65,000,000 for fiscal year 2027, to be allocated as follows:
“(A) For grants described in subsection (a)(1), $19,500,000.
“(B) For grants described in subsection (a)(2), $19,500,000. “(C) For grants described in subsection (a)(3), $13,000,000. “(D) For grants described in subsection (a)(4), $13,000,000. “(5) $75,000,000 for fiscal year 2028, to be allocated as follows: “(A) For grants described in subsection (a)(1), $22,500,000.
“(B) For grants described in subsection (a)(2), $22,500,000.
“(C) For grants described in subsection (a)(3), $15,000,000.
“(D) For grants described in subsection (a)(4), $15,000,000.”. ---

205. Grants to enhance access to substance use disorder treatment Read Opens in new tab

Summary AI

The section amends a part of the SUPPORT for Patients and Communities Act to remove subsection (b) and replaces a phrase to clarify that "The Secretary" is responsible for the specified actions.

206. Grants to improve trauma support services and mental health care for children and youth in educational settings Read Opens in new tab

Summary AI

The section outlines changes to a law aimed at improving mental health care and trauma support services for children and youth in schools, including requiring parental consent and informing parents about available services. It also updates terminology, adds a plan for continuing programs after funding ends, and extends certain rules for education records and privacy protections from existing laws.

207. Development and dissemination of model training programs for substance use disorder patient records Read Opens in new tab

Summary AI

Section 207 of the document discusses changes to a law related to training programs for handling substance use disorder patient records. It specifies that a part of the law, identified as subsection (e), has been removed from the SUPPORT for Patients and Communities Act.

208. Task force on best practices for trauma-informed identification, referral, and support Read Opens in new tab

Summary AI

The section modifies parts of the SUPPORT for Patients and Communities Act by adding the Administration for Community Living to a list, including developmental disability service providers in a specific section, and extending a deadline from 2023 to 2028.

209. Program to support coordination and continuation of care for drug overdose patients Read Opens in new tab

Summary AI

Section 209 of the bill amends the SUPPORT for Patients and Communities Act by removing subsection (f) from Section 7081, which is focused on enhancing coordinated and continued care for patients who have experienced drug overdoses.

210. Regulations relating to special registration for telemedicine Read Opens in new tab

Summary AI

The section mandates that within one year of the act's enactment, the Attorney General, in collaboration with the Secretary of Health and Human Services, must issue final rules regarding special registration for telemedicine as outlined in the Controlled Substances Act.

211. Mental health parity Read Opens in new tab

Summary AI

The section requires the Inspector Generals of the Department of Labor and the Department of Health and Human Services to report to Congress by January 1, 2025, on the enforcement and guidance regarding mental health and substance use disorder benefits in group health plans. This includes evaluating how well agencies have implemented and enforced mental health parity laws, ensuring plans comply without excessive duplication in enforcement.

212. State guidance related to individuals with serious mental illness and children with serious emotional disturbance Read Opens in new tab

Summary AI

The section outlines a plan for reviewing how states use certain federal funds to support people with serious mental illness, focusing on early treatment for conditions like First Episode Psychosis. It requires a report with recommendations on improving outcomes and updated guidance to states to better coordinate these funds, particularly for underserved communities.

213. Improving access to addiction medicine providers Read Opens in new tab

Summary AI

The section discusses amendments to the Public Health Service Act, specifically enhancing the accessibility to addiction medicine providers. It involves adding the term "diagnosis" in one part and "addiction medicine" in another to clarify and expand the scope of services related to mental health and substance use.

301. Youth prevention and recovery Read Opens in new tab

Summary AI

This section updates parts of a U.S. law related to youth prevention and recovery programs, including changes to terminology, the inclusion of local educational agency consortia, and increasing funding support with a new appropriations plan for the years 2024 through 2028.

Money References

Section 7102(c) of the SUPPORT for Patients and Communities Act (42 U.S.C. 290bb–7a(c)) is amended— (1) in paragraph (2)— (A) in subparagraph (A)— (i) in clause (i)— (I) by inserting “, or a consortia 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 “2027”; 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 $10,000,000 for fiscal year 2024, $12,000,000 for fiscal year 2025, $14,000,000 for fiscal year 2026, $16,000,000 for fiscal year 2027, and $18,000,000 for fiscal year 2028.”. ---

302. Comprehensive opioid recovery centers Read Opens in new tab

Summary AI

The text outlines amendments to Section 552 of the Public Health Service Act, requiring comprehensive opioid recovery centers to provide more detailed reporting about their referral and contractual arrangements, ensuring they effectively support recovery activities. Additionally, the funding authorization period for these centers is extended from 2024 through 2028.

303. Building communities of recovery Read Opens in new tab

Summary AI

The section changes the funding for community recovery programs by increasing the budget from $5 million per year for 2019 through 2023 to $16 million per year for 2024 through 2028.

Money References

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 “$16,000,000 for each of fiscal years 2024 through 2028”. ---

304. Peer support technical assistance center Read Opens in new tab

Summary AI

The amendment to Section 547A of the Public Health Service Act introduces a pilot program to create a regional support center to help with peer support services, which will be evaluated after four years. Additionally, the funding for these programs is increased to $2,000,000 annually from 2024 through 2028.

Money References

“(3) TERMINATION.—This subsection shall terminate on September 30, 2028.”; 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 2024 through 2028”. ---

305. CAREER Act Read Opens in new tab

Summary AI

The proposed changes to Section 7183 of the SUPPORT for Patients and Communities Act aim to enhance the CAREER Act by updating grant provisions related to treatment, recovery, and workforce support. These amendments include modifications to grant usage, such as allowing funds for transportation to work or educational activities and revising funding levels to $12 million annually from 2024 to 2028, while updating reporting requirements and data periods for analysis.

Money References

; (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” 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, 2028”; 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 2024 through 2028”. (b) Clerical amendment.—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 by striking the item relating to section 7183 and inserting the following: “Sec. 7183. CAREER Act; treatment, recovery, and workforce support grants.”. ---

306. Office of recovery Read Opens in new tab

Summary AI

The newly established Office of Recovery within the Substance Abuse and Mental Health Services Administration is responsible for identifying challenges in recovery support services, aiding governments and organizations with technical support, and sharing best practices for improved recovery services and training for peer support specialists. After four years, a report on its activities and recommendations will be submitted to certain government committees, and this section will expire on September 30, 2028.

501D. Office of recovery Read Opens in new tab

Summary AI

The text establishes an Office of Recovery within the Substance Abuse and Mental Health Services Administration, tasked with identifying challenges, supporting recovery service programs, and ensuring coordination and best practices in mental health and substance use disorder recovery. A report summarizing the Office's activities and recommendations is required within four years, and the section expires on September 30, 2028.

401. Delivery of a controlled substance by a pharmacy to an administering practitioner Read Opens in new tab

Summary AI

Section 401 amends the Controlled Substances Act to specify that pharmacies can deliver controlled substances classified in schedules III, IV, or V to practitioners for administration. These substances can be administered by injection or implantation for treatment purposes, or intranasally under a risk evaluation and mitigation strategy, with a healthcare professional monitoring the patient afterward.

402. Technical correction on controlled substances dispensing Read Opens in new tab

Summary AI

This section provides corrections to references in the Controlled Substances Act, changing multiple instances of “303(g)” to “303(h)” to ensure accuracy in the legal text. These amendments affect specific sections of Public Law 117–328 regarding the regulation and classification of substances.

403. Required training for prescribers of controlled substances Read Opens in new tab

Summary AI

The section amends the Controlled Substances Act to require additional training for prescribers of controlled substances, specifically by including more organizations such as the American Academy of Family Physicians and the American Podiatric Medical Association in the list of recognized bodies for training and education, and specifies that these changes are effective as of December 29, 2022.

1. Short title; table of contents Read Opens in new tab

Summary AI

The “SUPPORT for Patients and Communities Reauthorization Act” includes provisions aimed at prevention, treatment, and recovery from substance use disorders, with measures such as enhancing education and training programs for healthcare providers, supporting pregnant and postpartum women, improving access to mental health services, and establishing comprehensive recovery centers. It also addresses technical amendments related to the regulation and dispensing of controlled substances.

101. First responder training program Read Opens in new tab

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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 “$56,000,000 for each of fiscal years 2024 through 2028”. ---

102. Surveillance and education regarding infections associated with illicit drug use and other risk factors Read Opens in new tab

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103. Preventing overdoses of controlled substances Read Opens in new tab

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The section amends the Public Health Service Act to broaden its focus to include all substances that can cause overdoses, not just opioids, and emphasizes identifying associated risks and monitoring new substances. It also increases funding to $505,579,000 annually for fiscal years 2024 through 2028.

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Section 392A of the Public Health Service Act (42 U.S.C. 280b–1) is amended— (1) in subsection (a)— (A) in paragraph (2)— (i) in subparagraph (C), by inserting “and associated risks” before the period at the end; and (ii) in subparagraph (D), by striking “opioids” and inserting “substances causing overdose”; (B) in paragraph (3)(A)— (i) by inserting “identify substances causing overdose and” after “rapidly”; and (ii) by striking “abuse, and overdoses” and inserting “overdoses, and associated risk factors”; (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”; and (3) in subsection (e), by striking “$496,000,000 for each of fiscal years 2019 through 2023” and inserting “$505,579,000 for each of fiscal years 2024 through 2028”. ---

104. Pilot program for public health laboratories to detect fentanyl and other synthetic opioids Read Opens in new tab

Summary AI

The section describes a change in the law that involves removing a specific part, subsection (d), from a section of the SUPPORT for Patients and Communities Act. This modification relates to a pilot program for public health labs to detect fentanyl and other synthetic opioids.

105. Prenatal and postnatal health Read Opens in new tab

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Section 105 of the bill amends a part of the Public Health Service Act to change the dates from "2019 through 2023" to "2024 through 2028" for a specific provision related to prenatal and postnatal health.

106. Donald J. Cohen National Child Traumatic Stress Initiative Read Opens in new tab

Summary AI

The Donald J. Cohen National Child Traumatic Stress Initiative section of the bill amends the Public Health Service Act to update terms and procedures related to addressing traumatic events. It strengthens collaboration and dissemination efforts for evidence-based practices among grantees, clarifies evaluation requirements for grants, and adjusts funding levels for the initiative through 2028.

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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.—”; 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 rigorous 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) in subsection (j), by striking “, $63,887,000 for each of fiscal years 2019 through 2023” and inserting “$93,887,000 for each of fiscal years 2024 and 2025, $104,000,000 for fiscal year 2026, $110,000,000 for fiscal year 2027, and $112,661,000 for fiscal year 2028”. ---

107. Surveillance and data collection for child, youth, and adult trauma Read Opens in new tab

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The section amends the SUPPORT for Patients and Communities Act to extend the time period for data collection on trauma affecting children, youth, and adults from 2019-2023 to 2024-2028.

108. Preventing adverse childhood experiences Read Opens in new tab

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(c) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated $7,000,000 for each of fiscal years 2024 through 2028.

109. Clarification of use of funds for products used to prevent overdose deaths Read Opens in new tab

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110. Support for individuals and families impacted by fetal alcohol spectrum disorder Read Opens in new tab

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The section of the bill amends the Public Health Service Act to enhance support for people affected by Fetal Alcohol Spectrum Disorders (FASD). It expands activities to prevent, identify, and support individuals with FASD, designates eligible groups for funding, and aims to increase public awareness and resources through the creation of FASD Centers for Excellence.

399I. Fetal alcohol spectrum disorders Centers for Excellence Read Opens in new tab

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The section establishes that the Secretary can give funds to public or nonprofit groups with expertise in fetal alcohol spectrum disorders to create Centers for Excellence. These centers will focus on diagnosing, raising awareness, training professionals, and offering support services for dealing with these disorders and related issues.

399J. Authorization of appropriations Read Opens in new tab

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There is permission for the government to allocate whatever funds are needed to implement this part of the law for the financial years 2024 to 2028.

111. Promoting State choice in PDMP systems Read Opens in new tab

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The amendment to Section 399O(h) of the Public Health Service Act ensures that states are not forced to use any particular vendors or connections for their Prescription Drug Monitoring Programs (PDMPs), as long as they follow widely accepted open standards like those for APIs mentioned in sections 3001 and 3004.

112. Protecting Suicide Prevention Lifeline from cybersecurity incidents Read Opens in new tab

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The section amends the Public Health Service Act to ensure the National Suicide Prevention Lifeline is protected from cybersecurity incidents by requiring the network administrator to report vulnerabilities and incidents to the Assistant Secretary. It also mandates a study to assess cybersecurity risks associated with the Lifeline.

113. Bruce’s Law Read Opens in new tab

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Bruce’s Law amends existing legislation to enhance education and awareness about the dangers of synthetic opioids, including fentanyl, specifically targeting youth prevention and recovery. Additionally, it establishes a federal work group to coordinate efforts, consult experts, and make recommendations for addressing fentanyl contamination in illegal drugs, with an annual report to be submitted to relevant committees, and it sets a termination date for the committee on September 30, 2028.

114. Guidance on at-home drug disposal systems Read Opens in new tab

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The bill mandates that within a year, the Secretary of Health and Human Services, alongside the Drug Enforcement Administration, must release guidelines to support using at-home drug disposal systems. These guidelines will cover standards, instructions, practices, education tools, and recommend involving healthcare providers to help with education and use of these systems.

115. Review of opioid drugs and actions Read Opens in new tab

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The section directs the Secretary of Health and Human Services to release a report on the FDA's website outlining a plan to review the health effects of approved opioid painkillers and to promote non-addictive treatments. The report will include calls for public input, updates on FDA actions, timelines for potential regulatory changes, development steps for non-addictive treatments, and evaluations of clinical trial methods.

116. Consideration of enriched enrollment randomized withdrawal methodology Read Opens in new tab

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The section requires the Secretary of Health and Human Services to hold a meeting within two years to evaluate a specific method used in clinical trials for opioid painkillers and consider other research methods. Additionally, a study by the National Academy of Sciences will review the effectiveness of this method, and the findings will be publicly shared.

117. Approval of new opioid analgesic drugs Read Opens in new tab

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The section adds a new rule to the Federal Food, Drug, and Cosmetic Act, allowing the Secretary to consider whether a new opioid painkiller offers significant improvements in safety, effectiveness, or patient care compared to existing approved opioids when deciding on its approval. The term "opioid analgesic drug" refers to drugs that relieve pain by targeting opioid receptors in the body.

118. Guidance on developing non-addictive medical products to treat pain or addiction Read Opens in new tab

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The section directs the Secretary of Health and Human Services to issue draft guidance within one year, focusing on creating non-addictive medicines for treating chronic pain. This guidance is a requirement under the SUPPORT for Patients and Communities Act.

119. National Chronic Pain Information System Read Opens in new tab

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The section adds a new part to the Public Health Service Act to improve research and data collection on chronic pain. It requires the Secretary of Health, working with various agencies, to use federal data to study the prevalence and causes of chronic pain, develop research standards, and create an online hub for information. It also emphasizes transparency in collaborations involving potential conflicts of interest and mandates a report to Congress on the progress and findings related to chronic pain research efforts.

399V–8. Chronic pain research Read Opens in new tab

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The section outlines the requirements for the Secretary of Health and Human Services, in collaboration with various health organizations, to enhance chronic pain research by utilizing federal data, identifying gaps, and disseminating findings through a public information hub. It mandates that conflicts of interest be disclosed and requires the submission of a report to Congress on the progress and findings, with an authorized budget for the years 2024 to 2028.

120. Requirements for electronic-prescribing for controlled substances under group health plans and group and individual health insurance coverage Read Opens in new tab

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For plan years starting on or after January 1, 2026, health plans must ensure that prescriptions for controlled substances are submitted electronically, following specific standards, but there are exceptions for situations like technological failures or research protocols. Additionally, group health plans cannot demand dispensers verify the electronic issuance of prescriptions or use specific vendors, and they must annually confirm compliance with these rules.

201. Residential treatment program for pregnant and postpartum women Read Opens in new tab

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The section amends the Public Health Service Act to change certain wording related to health care services, requires applicants for residential treatment programs for pregnant and postpartum women to include a plan targeting outreach to women affected by substance use disorder, and increases funding to $38,931,000 annually from 2024 to 2028.

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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 2024 through 2028”. ---

202. Loan repayment program for substance use disorder treatment workforce Read Opens in new tab

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The section updates the loan repayment program for the substance use disorder treatment workforce by increasing the funding from $25 million to $50 million for each year from 2024 to 2028.

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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 “$50,000,000 for each of fiscal years 2024 through 2028”. ---

203. Regional centers of excellence in substance use disorder education Read Opens in new tab

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204. Mental and behavioral health education and training program Read Opens in new tab

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Section 756(f) of the Public Health Service Act (42 U.S.C. 294e–1(f)) is amended to read as follows: “(f) Authorization of appropriations.—To carry out this section, there is authorized to be appropriated the following: “(1) $50,000,000 for fiscal year 2024, to be allocated as follows: “(A) For grants described in subsection (a)(1), $15,000,000. “(B) For grants described in subsection (a)(2), $15,000,000. “(C) For grants described in subsection (a)(3), $10,000,000.
“(D) For grants described in subsection (a)(4), $10,000,000.
“(2) $55,000,000 for fiscal year 2025, to be allocated as follows:
“(A) For grants described in subsection (a)(1), $16,500,000.
“(B) For grants described in subsection (a)(2), $16,500,000.
“(C) For grants described in subsection (a)(3), $11,000,000. “(D) For grants described in subsection (a)(4), $11,000,000. “(3) $60,000,000 for fiscal year 2026, to be allocated as follows: “(A) For grants described in subsection (a)(1), $18,000,000. “(B) For grants described in subsection (a)(2), $18,000,000.
“(C) For grants described in subsection (a)(3), $12,000,000.
“(D) For grants described in subsection (a)(4), $12,000,000.
“(4) $65,000,000 for fiscal year 2027, to be allocated as follows:
“(A) For grants described in subsection (a)(1), $19,500,000.
“(B) For grants described in subsection (a)(2), $19,500,000. “(C) For grants described in subsection (a)(3), $13,000,000. “(D) For grants described in subsection (a)(4), $13,000,000. “(5) $75,000,000 for fiscal year 2028, to be allocated as follows: “(A) For grants described in subsection (a)(1), $22,500,000.
“(B) For grants described in subsection (a)(2), $22,500,000.
“(C) For grants described in subsection (a)(3), $15,000,000.
“(D) For grants described in subsection (a)(4), $15,000,000.”. ---

205. Grants to enhance access to substance use disorder treatment Read Opens in new tab

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The section amends a part of the SUPPORT for Patients and Communities Act to remove subsection (b) and replaces a phrase to clarify that "The Secretary" is responsible for the specified actions.

206. Grants to improve trauma support services and mental health care for children and youth in educational settings Read Opens in new tab

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207. Development and dissemination of model training programs for substance use disorder patient records Read Opens in new tab

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208. Task force on best practices for trauma-informed identification, referral, and support Read Opens in new tab

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209. Program to support coordination and continuation of care for drug overdose patients Read Opens in new tab

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210. Regulations relating to special registration for telemedicine Read Opens in new tab

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211. Mental health parity Read Opens in new tab

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The section outlines the requirement for a report by January 2025 on how well mental health and substance use disorder benefits are being handled under U.S. health policies, focusing on guidelines and enforcement processes to ensure fairness between mental health and physical health coverage. It defines key terms within the context of the Employee Retirement Income Security Act and highlights various laws like the Mental Health Parity Act influencing these requirements.

212. State guidance related to individuals with serious mental illness and children with serious emotional disturbance Read Opens in new tab

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The section outlines the responsibilities of the Secretary of Health and Human Services to review and report on how states use federal funding for mental health services, specifically focusing on First Episode Psychosis. It requires coordination with state agencies and updates to federal guidance to improve mental health care delivery to those with serious mental illnesses and emotional disturbances, especially in underserved populations.

213. Improving access to addiction medicine providers Read Opens in new tab

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214. Roundtable on using health information technology to improve mental health and substance use care outcomes Read Opens in new tab

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The section mandates the establishment of a roundtable organized by the Office of the National Coordinator for Health Information Technology within 180 days of the act's passage. This roundtable aims to explore how electronic health records can enhance outcomes in mental health and substance use care and increase adoption among providers. Key stakeholders from both the public and private sectors will participate, and a comprehensive report on the roundtable's findings, including recommendations and current challenges, will be submitted to relevant Senate and House committees.

215. Peer-to-peer mental health support Read Opens in new tab

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The Peer-to-peer mental health support section allows the Assistant Secretary for Mental Health and Substance Use, along with the Secretary of Education, to run a pilot program supporting mental health peer support activities in secondary schools. Eligible entities, like states and tribes, can receive funding to train students and supervisors to help identify and address mental health issues, but the program must be overseen by a school-based mental health professional, and is set to end on September 30, 2028.

216. Kid PROOF pilot program Read Opens in new tab

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The Kid PROOF pilot program allows the Assistant Secretary for Mental Health and Substance Use to fund initiatives that aim to prevent or reduce suicides and drug overdoses among young people by supporting eligible entities like States and Tribes. The program focuses on educating parents about prevention strategies and includes evaluating its effectiveness, with the program set to end on September 30, 2028.

301. Youth prevention and recovery Read Opens in new tab

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Section 301 updates the SUPPORT for Patients and Communities Act by amending definitions and language to include consortia of local educational agencies, change terms to "secondary schools" and "Tribal," and update the scope addressing substance misuse risk. It also extends funding for certain programs until 2028, introducing a plan for sustaining grant activities post-grant period.

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Section 7102(c) of the SUPPORT for Patients and Communities Act (42 U.S.C. 290bb–7a(c)) (as amended by section 113(a)) is amended— (1) in paragraph (2)— (A) in subparagraph (A)— (i) in clause (i)— (I) by inserting “, or a consortia 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 “2027”; 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 $10,000,000 for fiscal year 2024, $12,000,000 for fiscal year 2025, $14,000,000 for fiscal year 2026, $16,000,000 for fiscal year 2027, and $18,000,000 for fiscal year 2028.”. ---

302. Comprehensive opioid recovery centers Read Opens in new tab

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303. Building communities of recovery Read Opens in new tab

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The section changes the funding for community recovery programs by increasing the budget from $5 million per year for 2019 through 2023 to $16 million per year for 2024 through 2028.

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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 “$16,000,000 for each of fiscal years 2024 through 2028”. ---

304. Peer support technical assistance center Read Opens in new tab

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“(3) TERMINATION.—This subsection shall terminate on September 30, 2028.”; 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 2024 through 2028”. ---

305. CAREER Act Read Opens in new tab

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The section amends various parts of the CAREER Act to expand the types of grants available for treatment, recovery, and workforce support, adjusting grant terms and funding amounts, and setting new priorities and limitations for grant usage. It also updates reporting requirements and the fiscal allocation to support efforts from 2024 to 2028, aiming to improve outcomes for individuals with substance use disorders.

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; (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” 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, 2028”; 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 2024 through 2028”. (b) Clerical amendment.—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 by striking the item relating to section 7183 and inserting the following: “Sec. 7183. CAREER Act; treatment, recovery, and workforce support grants.”. ---

306. Research and recommendations on criminal background check process for peer support specialists Read Opens in new tab

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The bill section mandates that the Secretary of Health and Human Services, alongside the Attorney General, create a report with research and advice about criminal background checks for peer support specialists. This report will summarize research, review state laws, and recommend ways to make it easier for people to become certified peer support specialists by addressing background check barriers.

307. Office of Recovery Read Opens in new tab

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The Office of Recovery is established within the Substance Abuse and Mental Health Services Administration to address new challenges in recovery support services, assist various governmental and Tribal entities with implementation and enhancement of these services, and ensure the sharing and development of best practices, particularly focusing on peer support specialists. A report on its activities and recommendations is to be submitted to relevant Senate and House Committees within four years of the Act's enactment.

308. Review of Grants.gov Read Opens in new tab

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The section requires the Secretary of Health and Human Services to hold a public meeting within one year to discuss ways to enhance public access to information about federal funding opportunities. It includes plans to make websites like Grants.gov more useful and to help more organizations apply for funding, with improvements being made based on feedback, and a report on these efforts must be submitted to Congress.

401. Delivery of a controlled substance by a pharmacy to an administering practitioner Read Opens in new tab

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402. Technical correction on controlled substances dispensing Read Opens in new tab

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403. Required training for prescribers of controlled substances Read Opens in new tab

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The amendment to the Controlled Substances Act requires specific training for prescribers of controlled substances, adding organizations such as the American Academy of Family Physicians and the American Podiatric Medical Association to the list of approved training providers and expanding the scope to include podiatric medicine. These changes are retroactively effective as of December 29, 2022.