Data: The Downballot · Federal Election Commission · Voteview · Congress.gov · Heritage Action · League of Conservation Voters.Partisan lean is computed by Congress Swing Tracker from presidential results (25% 2020 / 75% 2024); it is not the Cook PVI. Non-voting delegates are not ranked. Scores: model swing-v3. How the score works
H.R. 2483: SUPPORT for Patients and Communities Reauthorization Act of 2025 · Congress Swing Tracker
H.R. 2483·119th Congress·Health
SUPPORT for Patients and Communities Reauthorization Act of 2025
SUPPORT for Patients and Communities Reauthorization Act of 2025
This act reauthorizes and revises programs and activities relating to addressing substance use disorders, overdoses, and mental health. (For additional information on each section of this act, see CRS Report
R48864
.)
TITLE I--PREVENTION
(Sec. 101) This section reauthorizes through FY2030 Centers for Disease Control and Prevention (CDC) programs that provide information, grants, and technical assistance relating to studying and preventing prenatal and postnatal substance use disorders.
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(Sec. 102) This section reauthorizes through FY2030 CDC programs that carry out and provide grants for surveillance, treatment, and education relating to infections associated with illicit drug use.
(Sec. 103) This section reauthorizes through FY2030 and expands CDC programs that carry out activities and provide grants relating to monitoring drug use and overdoses (e.g., supporting state prescription drug monitoring programs), preventing and responding to substance use disorders, and raising awareness regarding opioids and other substances.
The section authorizes additional activities, including wastewater surveillance and collecting data on risk factors associated with overdoses.
(Sec. 104) This section reestablishes, expands, and provides statutory authority for Department of Health and Human Services (HHS) activities addressing fetal alcohol spectrum disorders (i.e., conditions caused by prenatal alcohol exposure), including carrying out and providing grants for research, education and public awareness, and intervention and support services for affected individuals.
How the projections held up
Each member’s recorded vote compared with their swing projection from before the vote. A member by voting against most of their own party.
House
On PassagePassed366 yea, 57 nayJune 4, 2025 · Roll call 151
How members in each band voted on this House vote, by their projection before the vote
BandBand before the vote
VotedVoted yea or nay
BrokeBroke with party
Share
Swing
31
0
0%
Middle
199
41
21%
Entrenched
186
15
8%
All
Committees and subjects
Committees
House Committee on Financial Services · HouseDischarged from · Referred to
House Committee on Education and Workforce · HouseDischarged from · Referred to
House Committee on Energy and Commerce · HouseReported by · Markup by · Referred to
House Committee on the Judiciary · HouseDischarged from · Referred to
Senate Committee on Health, Education, Labor, and Pensions · SenateDischarged from · Referred to
Members fall into . All 100 senators have enough data to score. The bill is not before the Senate right now; these scores show where members would stand.
Key players in the Senate
Ranked by swing score, 0–100 · swing-v2
Bars show each input from 0 to 100: ideology gap, scorecard gap, . is the seat’s partisan lean, and shows how much of the input data a score has.
1
Susan M. CollinsRepublican · Maine · Lean D+4Senate Committee on Health, Education, Labor, and Pensions
Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.
Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.
Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.
Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.
Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.
Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.
(Sec. 105) This section specifies that, in providing grants to support state prescription drug monitoring programs, the CDC is not authorized to require states to use specific vendors or interoperability systems other than to align with general, consensus-based standards for interoperability.
(Sec. 106) This section reauthorizes through FY2030 and expands grants to government entities to provide first responders with opioid overdose reversal drugs (e.g., naloxone) and related training. The grant program is administered by the Substance Abuse and Mental Health Services Administration (SAMHSA).
The section expands the program to include (1) treatment and training for overdoses from other drugs besides opioids, and (2) treatment with drugs or devices that are legally marketed under applicable law. Current law limits the program to addressing opioid overdoses and to drugs or devices that are officially approved or cleared by the Food and Drug Administration (FDA).
(Sec. 107) This section reauthorizes through FY2030 and revises the National Child Traumatic Stress Initiative and related activities, which are administered by SAMHSA. Under the initiative, SAMHSA provides grants and other support to improve the quality of and increase access to services addressing psychological trauma in youth and families.
The section requires grant recipients to develop training and other resources for collaborative implementation of best practices.
(Sec. 108) This section requires SAMHSA to undertake efforts to protect the 9-8-8 Suicide & Crisis Lifeline from cybersecurity threats. (The lifeline is a three-digit number that connects callers in suicidal crisis or mental health distress to a national network of crisis centers.) The section includes requirements for the lifeline’s network administrator and participating local and regional crisis centers to report identified cybersecurity incidents and vulnerabilities.
The Government Accountability Office must conduct a study that evaluates cybersecurity risks and vulnerabilities associated with the lifeline and report the findings to Congress.
(Sec. 109) This section reauthorizes through FY2030 CDC activities to collect and report certain public health data relating to potentially traumatic childhood experiences.
(Sec. 110) This section reauthorizes through FY2030 an interdepartmental committee on substance use disorders, establishes an interagency work group on fentanyl contamination of illegal drugs, and expands certain SAMHSA activities to include supporting strategies to raise awareness about the dangers of synthetic opioids for youth.
(Sec. 111) This section requires HHS to publish guidance regarding at-home safe drug disposal systems.
(Sec. 112) This section requires HHS to publish a plan for assessing approved opioid analgesic drugs (i.e., opioid pain relievers) that addresses the public health effects of these drugs, including updates on actions by the FDA with respect to risk-benefit assessments and supporting development and approval of nonaddictive medical products. HHS must provide an opportunity for public input on the FDA’s regulation of opioid analgesic drugs.
(Sec. 113) This section provides statutory authority for SAMHSA’s State Opioid Response and Tribal Opioid Response Grants to be used for facilitating access to drug checking technologies, such as fentanyl and xylazine test strips, to the extent permitted by federal and state law.
TITLE II--TREATMENT
(Sec. 201) This section reauthorizes through FY2030 the Residential Treatment for Pregnant and Postpartum Women program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program awards grants to fund services for pregnant and postpartum women with substance use disorders, including services for treatment, recovery support, and case management.
The section also specifically allows grant recipients to conduct outreach that is targeted at women disproportionately impacted by maternal substance use disorders.
(Sec. 202) This section provides statutory authority for the Minority Fellowship Program to include fellowships for training in the field of addiction medicine. The Minority Fellowship Program, administered by SAMHSA, funds fellowships for individuals seeking graduate degrees and planning to work on addressing mental or substance use disorders in racial and ethnic minority populations.
(Sec. 203) This section reauthorizes through FY2030 the Behavioral Health Workforce Education and Training Program for Professionals, which is administered by the Health Resources and Services Administration (HRSA). This program provides grants to educational organizations and programs to recruit and educate students in mental and behavioral health.
(Sec. 204) This section reauthorizes through FY2030 the Substance Use Disorder Treatment and Recovery Loan Repayment Program, which is administered by HRSA. This program provides repayment of educational loans for health care practitioners who agree to provide direct treatment or recovery support for substance use disorders in certain areas with shortages of health professionals or high rates of overdose.
(Sec. 206) This section reauthorizes through FY2030 and expands an interagency task force that must develop recommendations relating to (1) best practices for preventing and mitigating trauma in youth and (2) coordinating the federal response to families impacted by substance use disorders and other trauma.
(Sec. 208) This section requires SAMHSA to conduct a review of how states use funds under the Community Mental Health Services Block Grant program to address first episode psychosis, including the use of evidence-based services for individuals with early serious mental illness and children with serious emotional disturbance. SAMHSA must report to Congress on the findings of the review and update the guidance for the block grant program based on such findings.
(Sec. 209) This section requires HHS to review relevant data and, if determined appropriate, request that the Drug Enforcement Administration (DEA) revise the scheduling of approved products containing a combination of buprenorphine and naloxone under the Controlled Substances Act. The DEA must review such requests and determine whether to revise the schedules.
(Sec. 210) This section requires that, when HHS issues new regulations or guidance on grant programs addressing opioid use disorders, references to an opioid overdose reversal drug (e.g., naloxone) must broadly include any opioid overdose reversal drug approved by the FDA.
Within one year after the act’s enactment, HHS must update all references accordingly in regulations or guidance issued prior to the act’s enactment that are applicable to State Opioid Response Grants, Tribal Opioid Response Grants, or certain other grants relating to substance use disorder prevention.
(Sec. 211) This section requires HHS to convene a public roundtable with public and private stakeholders on expanding the use of electronic health records among mental health and substance use disorder service providers. HHS must report to Congress on the results of the roundtable with respect to specified topics.
TITLE III--RECOVERY
(Sec. 301) This section reauthorizes through FY2030 the Building Communities of Recovery program, which is administered by the Center for Substance Abuse Treatment within SAMHSA. This program provides grants to certain community nonprofit organizations for developing and delivering coordinated community and statewide recovery support services for individuals with substance use disorders.
(Sec. 302) This section reauthorizes through FY2030 and expands the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support, which is administered by SAMHSA. The center provides training and resources to public and private nonprofit entities relating to recovery support services for substance use disorders and co-occurring conditions (i.e., mental health conditions coexisting with substance use disorders).
The section expands the center's functions to include professional development of peer support specialists and recovery support services in nonclinical settings. It also authorizes through FY2030 a regional technical assistance center to support the ability of the center to meet a particular region's needs.
(Sec. 303) This section reauthorizes through FY2030 grants to nonprofits for establishing or operating opioid recovery centers providing comprehensive treatment and recovery support services. The grant program is administered by SAMHSA.
(Sec. 304) This section reauthorizes through FY2030 and revises the Preventing Youth Overdose: Treatment, Recovery, Education, Awareness, and Training (PYO-TREAT) program, which is administered by SAMHSA. The PYO-TREAT program provides grants and other support to educational and public entities for substance use disorder prevention, treatment, and recovery for children and young adults.
The section revises the program to provide statutory authority for (1) requiring applicants to submit plans for sustaining activities under the program after the grant has ended, and (2) expanding eligible grant recipients to include consortia of local educational agencies. SAMHSA must report to Congress on the PYO-TREAT program’s effectiveness.
(Sec. 305) This section reauthorizes through FY2030 and expands the Treatment, Recovery, and Workforce Support program, which is administered by SAMHSA. This program provides grants to public and private nonprofit entities to support individuals in treatment and recovery for substance use disorders and co-occurring conditions to live independently and participate in the workforce.
The section authorizes using 5% of such grant funds for transportation services and requires grant recipients to report on the employment and earnings outcomes of program participants.
Also, the section reauthorizes through FY2030 the Recovery Housing Pilot Program, which assists states in providing individuals in recovery from a substance use disorder with stable, temporary housing for up to two years. This program is administered by the Department of Housing and Urban Development.
(Sec. 306) This section reauthorizes through FY2030 the Support to Communities: Fostering Opioid Recovery through Workforce Development program, which is administered by the Department of Labor. This program provides grants to public entities to address the economic and workforce-related impacts of substance use disorders through activities such as screening and support services, training, and engaging with employers.
(Sec. 307) This section requires HHS to convene a public meeting relating to improving awareness of and access to grants provided by SAMHSA. Based on the stakeholder feedback received at the meeting, HHS must implement improvements to relevant websites and report to Congress.
TITLE IV--MISCELLANEOUS MATTERS
(Sec. 401) This section allows pharmacies to deliver to prescribing practitioners schedule III-V controlled substances that are not directly administered by the practitioner (i.e., self-administered), provided the controlled substances are subject to a risk evaluation and mitigation strategy to assure safe use by the patient, including post-administration monitoring by a health care provider.
(Sec. 402) This section expands the types of organizations that may provide training or education required for practitioners registering with the DEA to dispense (i.e., prescribe or administer) schedule II-V controlled substances. This section applies retroactively, taking effect as if enacted on December 29, 2022.
voting members
416
56
13%
: Pair any member who broke with one who stayed with their party: in 62% of those pairs, the one who broke had the higher swing score before the vote. Chance would be 50%.
Projections from swing-v2, computed with data from before the vote. Present and not voting never count as breaking.
Senate
Passed by voice vote or unanimous consent: no individual votes recorded.
Drug, alcohol, tobacco use
Emergency communications systems
Employment and training programs
Family services
First responders and emergency personnel
Government information and archives
Show all 32 subjects
Government lending and loan guarantees
Government studies and investigations
Health care coverage and access
Health information and medical records
Health personnel
Health programs administration and funding
Health promotion and preventive care
Higher education
Housing and community development funding
Intergovernmental relations
Long-term, rehabilitative, and terminal care
Medical education
Medical research
Mental health
Prescription drugs
Social work, volunteer service, charitable organizations
Margaret Wood HassanDemocrat · New Hampshire · Lean D+2Senate Committee on Health, Education, Labor, and Pensions
Ideology gap
Scorecard gap
Cross-pressure
64Middle
Ideology vs. swing score, Senate
Democrat
Republican
Independent
Click any dot to see which member it is. With the keyboard, tab to the chart and use the arrow keys.
Swing score
SWING ZONE 70+Entrenched below 30
← More liberalDW-NOMINATE ideology scoreMore conservative →
Ideology is each member’s score. The most moderate members of each party sit nearest the center line and highest on the chart.
Not applicable in the Senate. There is not enough similar voting history (weight 4.5 of 5.0 needed), so this input is left out of the score rather than counted as missing.
S.J.Res. 197 · Sep 29, 2026 · Roll call 910On the Motion to ProceedA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program".
Motion to Proceed RejectedSame policy area×0.5
S.J.Res. 198 · Jul 16, 2026 · Roll call 858On the Motion to ProceedA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services of the Department of Health and Human Services relating to "Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model".
Motion to Proceed RejectedSame policy area×0.5
S.J.Res. 84 · Jan 13, 2026 · Roll call 667On the Motion to ProceedA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Market Integrity and Affordability".
Motion to Proceed RejectedSame policy area×0.5
S. 3386 · Dec 11, 2025 · Roll call 643On the Cloture MotionA bill to provide a health savings account contribution to certain enrollees, to reduce health care costs, and for other purposes.
Cloture Motion RejectedSame policy area×0.5
S. 4445 · Sep 17, 2024 · Roll call 594On the Cloture MotionA bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization.
Cloture Motion RejectedSame policy area×0.5
S. 4554 · Jul 10, 2024 · Roll call 563On Cloture on the Motion to ProceedA bill to express support for protecting access to reproductive health care after the Dobbs v. Jackson decision on June 24, 2022.
Cloture on the Motion to Proceed RejectedSame policy area×0.5
S. 4445 · Jun 13, 2024 · Roll call 549On Cloture on the Motion to ProceedA bill to protect and expand nationwide access to fertility treatment, including in vitro fertilization.
Cloture on the Motion to Proceed RejectedSame policy area×0.5
S. 4381 · Jun 5, 2024 · Roll call 542On Cloture on the Motion to ProceedA bill to protect an individual's ability to access contraceptives and to engage in contraception and to protect a health care provider's ability to provide contraceptives, contraception, and information related to contraception.
Cloture on the Motion to Proceed RejectedSame policy area×0.5
Show 1 more
S.J.Res. 57 · May 15, 2024 · Roll call 520On the Joint ResolutionA joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Treasury relating to "Coronavirus State and Local Fiscal Recovery Funds".
Susan M. CollinsRepublican · Maine · Lean D+4Senate Committee on Health, Education, Labor, and Pensions
