SUPPORT for Patients and Communities Reauthorization Act of 2025
Summary
What This Bill Does
The bill expands the overdose prevention grant program from opioids to all controlled substances causing overdose, extends funding authorization ($505.6M/year for FY2026-2030), and adds innovative detection methods including, establishes comprehensive fetal alcohol spectrum disorders (FASD) prevention, identification, intervention, and services program with grants to states, tribes, and nonprofits. Authorizes $12.5M/year for FY2026-2030, and creates Section 399H grant program for FASD prevention, intervention, and services delivery, allowing grants to states, tribes, local governments, academic institutions, and nonprofits. It relies on grants, appropriations, definition changes, and reporting requirements. The main policy areas are Healthcare, Public Health, Social Welfare, and Education.
Who Benefits and How
FASD grant recipients could gain revenue opportunities, Workforce development and recovery organizations could gain revenue opportunities, and Substance use disorder treatment professionals could gain revenue opportunities.
Who Bears the Burden and How
Federal taxpayers could face higher costs, 988 Lifeline network administrator would take on compliance duties, and Local and regional crisis centers would take on compliance duties.
Key Provisions
- Expands the overdose prevention grant program from opioids to all controlled substances causing overdose, extends funding authorization ($505.6M/year for FY2026-2030), and adds innovative detection methods including...
- Establishes comprehensive fetal alcohol spectrum disorders (FASD) prevention, identification, intervention, and services program with grants to states, tribes, and nonprofits. Authorizes $12.5M/year for FY2026-2030.
- Creates Section 399H grant program for FASD prevention, intervention, and services delivery, allowing grants to states, tribes, local governments, academic institutions, and nonprofits.
- Creates Section 399I grant program for strengthening FASD capacity and education, including public education, resource clearinghouse, and technical assistance to other grantees.
- Authorizes $12.5 million annually for fiscal years 2026 through 2030 for FASD prevention and services programs.
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.
At a Glance
What This Bill Does
The bill expands the overdose prevention grant program from opioids to all controlled substances causing overdose, extends funding authorization ($505.6M/year for FY2026-2030), and adds innovative detection methods including, establishes comprehensive fetal alcohol spectrum disorders (FASD) prevention, identification, intervention, and services program with grants to states, tribes, and nonprofits. Authorizes $12.5M/year for FY2026-2030, and creates Section 399H grant program for FASD prevention, intervention, and services delivery, allowing grants to states, tribes, local governments, academic institutions, and nonprofits.
Key Policy Areas
Healthcare, Public Health, Social Welfare, Education
Primary Purpose
The bill expands the overdose prevention grant program from opioids to all controlled substances causing overdose, extends funding authorization ($505.6M/year for FY2026-2030), and adds innovative detection methods including, establishes comprehensive fetal alcohol spectrum disorders (FASD) prevention, identification, intervention, and services program with grants to states, tribes, and nonprofits. Authorizes $12.5M/year for FY2026-2030, and creates Section 399H grant program for FASD prevention, intervention, and services delivery, allowing grants to states, tribes, local governments, academic institutions, and nonprofits.
Policy Domains
Title I - Public Health
Identified Gains
- FASD grant recipients
- Workforce development and recovery organizations
- Substance use disorder treatment professionals
- State, Tribal, and local governments
- State and Tribal public health departments
Identified Costs
- Federal taxpayers
- 988 Lifeline network administrator
- Local and regional crisis centers
- FDA opioid regulatory programs
Sponsors
Legislative Progress
In CommitteeMr. Cassidy (for himself, Mr. Sanders, Ms. Murkowski, Ms. Baldwin, …
Read twice and referred to the Committee on Health, Education, …
Introduced in Senate
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
988 Lifeline network administrator, Behavioral health workforce trainees, Comprehensive opioid recovery center grantees
Positive-direction: Behavioral health workforce trainees, Comprehensive opioid recovery center grantees, First episode psychosis programs, Health IT vendors, NCTSI grantees and coordinating centers, Opioid use disorder treatment providers, Peer support specialists and organizations, Pharmacies delivering controlled substances, Podiatrists and optometrists prescribing controlled substances, Prescribing practitioners administering REMS drugs, Public health surveillance technology providers, SUD treatment facilities in underserved areas, SUD treatment grant applicants, SUD treatment service contractors, Substance use disorder treatment professionals
Negative-direction: 988 Lifeline network administrator, Local and regional crisis centers
FASD grant recipients, Nonprofit FASD organizations, Nonprofit FASD service organizations
CDC trauma monitoring programs, Individuals and families affected by FASD, Individuals in recovery seeking employment
Positive-direction: CDC trauma monitoring programs, Individuals and families affected by FASD, Individuals in recovery seeking employment, Patients with opioid use disorder
Negative-direction: Taxpayers
Local educational agencies and consortia, Medical and pharmacy schools, Mental health education and training programs
At-home drug disposal product manufacturers, Buprenorphine-naloxone product manufacturers, Pharmaceutical manufacturers of REMS controlled substances
Indian Tribes and Tribal organizations, State PDMP administrators, Tribal organizations serving youth
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Health and Human Services
- "the_attorney_general"
- → Attorney General (for scheduling reviews)
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
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.
Have the meanings given such terms in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304).
Has the meaning given such term in section 8101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801).
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology