HR 4531 · 118th Congress 2023–2025, ended

Support for Patients and Communities Reauthorization Act

Latest action · Dec 13, 2023 Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedJul 11, 2023
  2. Passed HouseDec 12, 2023
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Support for Patients and Communities Reauthorization Act

This bill reauthorizes through FY2028 and modifies various grants, programs, and activities that address substance use and misuse.

This includes reauthorizing (1) data collection, education, and surveillance activities; (2) grants and other support for substance use disorder prevention, treatment, and recovery; (3) student loan repayment and other programs for the substance use disorder workforce; and (4) programs for addressing trauma, particularly for children, youth, and their families. Generally, the modifications expand programs.

Additionally, the bill modifies provisions related to the scheduling of controlled substances, including by incorporating illicit xylazine (a compound used in veterinary medicine as a nonopioid tranquilizer) into schedule III of the Controlled Substances Act.

Further, the bill makes permanent a requirement that Medicaid programs cover medication-assisted treatment for individuals with substance use disorders.

Recorded votes 1

Newest first. Open one to see how every member voted.

Roll callQuestionResultDate
House 715Passed386–37Dec 12, 2023

Cosponsors 66

Members who signed on, in the order they did. Signatures ran from Jul 11, 2023 to Sep 13, 2023; 1 is an original cosponsor, there from the day it was introduced.

SeatCosponsorSigned on
D-NHAnn M. KusterOriginalJul 11, 2023
R-TXAugust PflugerJul 13, 2023
R-FLGus M. BilirakisJul 13, 2023
D-CAJimmy PanettaJul 13, 2023
R-PAJohn JoyceJul 13, 2023
D-CAJosh HarderJul 13, 2023
R-NDKelly ArmstrongJul 13, 2023
D-MALori TrahanJul 13, 2023
D-WAMarie Gluesenkamp PerezJul 13, 2023
D-NYPaul TonkoJul 13, 2023
R-OHRobert E. LattaJul 13, 2023
R-OHTroy BaldersonJul 13, 2023
D-MNAngie CraigJul 17, 2023
D-CADoris O. MatsuiJul 17, 2023
R-GAEarl L. "Buddy" CarterJul 17, 2023

Committees 4

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseEnergy and Commerce Committee
Referred Jul 11, 2023Markup Jul 19, 2023
HouseJudiciary Committee
Referred Jul 11, 2023Markup Sep 28, 2023
HouseEducation and Workforce Committee
Referred Jul 11, 2023
SenateHealth, Education, Labor, and Pensions Committee
Referred Dec 13, 2023

Actions 14

Everything that happened, newest first.

  1. Dec 13, 2023Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  2. Dec 12, 2023Considered as unfinished business. (consideration: CR H6836)
  3. Dec 12, 2023Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 386 - 37 (Roll no. 715). (text: 12/11/2023 CR H6790-6794)
  4. Dec 12, 2023Motion to reconsider laid on the table Agreed to without objection.
  5. Dec 11, 2023Mr. Guthrie moved to suspend the rules and pass the bill, as amended.

In the Congressional Record 3

Days the Record’s own index lists this bill, newest first, with the pages and the members it names. Pages starting H are the House, S the Senate, E Extensions of Remarks.

WhereIn the RecordMembersDate
SenateDebate and remarks S7307, S7308Margaret Wood Hassan D-NH, Rand Paul R-KYDec 20, 2024
HouseDebate and remarks H6821Recorded votes H6836reauthorize certain programsAngie Craig D-MNDec 12, 2023
HouseDebate and remarks H6789–H6798Text printed H6790–H6794Ann M. Kuster D-NH, August Pfluger R-TX, Brett Guthrie R-KY, Cathy McMorris Rodgers R-WA, Earl L. "Buddy" Carter R-GA, Frank Pallone, Jr. D-NJ, Gus M. Bilirakis R-FL, Jasmine Crockett D-TX, Larry Bucshon R-IN, Paul Tonko D-NY, Zachary Nunn R-IADec 11, 2023

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Constitutional authority

Congress has the power to enact this legislation pursuant to the following: Article I, Section 8 of the U.S. Constitution The single subject of this legislation is: This is a healthcare issue.

The sponsor’s statement, as printed in the Congressional Record, vol. 169, no. 118, July 11, 2023, page H3206.

CRS reports 2

Congressional Research Service work that CRS links to this bill or the law it became, newest first.

Cite it 2

Products on other subjects that cite it, usually among other measures.

Related bills 22

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
HR 1502Comprehensive Opioid Recovery Centers Reauthorization Act of 2023Related billMar 17, 2023
S 1991CAREER Act of 2023Related billJun 14, 2023
S 2933Safe Response ActRelated billSep 26, 2023
S 3136Extending Access to Addiction Treatment ActRelated billOct 26, 2023
HR 4007HEAL Act of 2023Related billJun 16, 2023
HR 4057Keeping Kids Safe Act of 2023Related billJun 16, 2023
HR 4063FIND Fentanyl Act of 2023Related billJun 16, 2023
HR 4079Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization Act of 2023Related billJun 16, 2023
HR 4080Trauma-Informed Care Task Force Reauthorization Act of 2023Related billJun 16, 2023
HR 4088CAREER Act of 2023Related billJun 16, 2023
HR 4089Safer Response Act of 2023Related billJun 16, 2023
HR 4091To amend the SUPPORT for Patients and Communities Act to expand required reports on T-MSIS substance use disorder data to include mental health condition data.Related billJun 16, 2023
HR 4092Protecting Moms and Infants Reauthorization Act of 2023Related billJun 16, 2023
HR 4093Remote Opioid Monitoring Act of 2023Related billJun 16, 2023
HR 4095Save Children from Trauma Act of 2023Related billJun 16, 2023
HR 4097Mental Health Improvement ActRelated billJun 16, 2023
HR 4098Communities of Recovery Reauthorization Act of 2023Related billJun 16, 2023
HR 4100______ Act of 2023Related billJun 16, 2023
HR 4101Road To Recovery ActRelated billJun 16, 2023
HR 4106Test Strip Access Act of 2023Related billJun 16, 2023
HR 4489To amend the 21st Century Cures Act to clarify that grants for State and Tribal response to opioid use disorders may, at the discretion of the Secretary of Health and Human Services, also be used to address associated health conditions, and for other purposes.Related billJul 7, 2023
HR 4490To amend the Controlled Substances Act to authorize pharmacies to deliver certain controlled substances to an administering practitioner in lieu of delivering such substances to the ultimate user, and for other purposes.Related billJul 7, 2023

Titles 4

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes.
Short Title(s) as Introduced
Support for Patients and Communities Reauthorization Act
Short Title(s) as Passed House
Support for Patients and Communities Reauthorization Act
Short Titles from RFS (Referred to Senate) bill text
Support for Patients and Communities Reauthorization Act

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 3

Each version as it was printed, newest first.

  1. Dec 13, 2023Referred in Senate
  2. Dec 12, 2023Engrossed in House
  3. Jul 11, 2023Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.