Support for Patients and Communities Reauthorization Act
This bill reauthorizes and extends funding for programs addressing substance use disorders and opioid addiction, including residential treatment for pregnant and postpartum women, first responder training, and community recovery initiatives. It increases funding levels for these programs, adds xylazine to Schedule III of controlled substances, and requires a study on remote monitoring for patients prescribed opioids. The bill also expands Medicaid coverage requirements for medication-assisted treatment and mandates reporting on mental health condition data alongside substance use disorder data, directly affecting individuals with substance use disorders, healthcare providers, and state and tribal governments.
Bill status
passed
3 of 5 stages cleared
Introduction
Jul 2023
Committee Review
Dec 2023
House Passage
Dec 2023
Senate Passage
President
Introduced Jul 11, 2023
Last action Dec 13, 2023
Floor votes · House Dec 12, 2023
How they voted
386–37
Passed · 10 other
Total votes 433
Dec 12, 2023
D
Democratic213
92% Yea
I
Independent1
100% Yea
R
Republican219
86% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
15
Key actions
3
Committee
4
Amendments
4
Dec 13, 2023
Committee
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
upper
Dec 12, 2023
Introduced
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)
lower
Dec 12, 2023
Lower · Passed
Passed/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)
lower
Dec 11, 2023
Introduced
Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
lower
Sep 28, 2023
Introduced
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 29 - 3.
lower
Sep 28, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Jul 19, 2023
Introduced
Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
lower
Jul 19, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held.
lower
Jul 11, 2023
Committee
Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, and Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
lower
Jul 11, 2023
Introduced
Introduced in House
lower
1 primary · 66 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Brett Guthrie
RRepublican
Co
Andy Barr
RRepublican
Co
Angie Craig
DDemocratic
Co
Ann M. Kuster
DDemocratic
Co
August Pfluger
RRepublican
Co
Bill Johnson
RRepublican
Co
Brad Finstad
RRepublican
Co
Brian K. Fitzpatrick
RRepublican
Co
Brittany Pettersen
DDemocratic
Co
Carol D. Miller
RRepublican
Co
Claudia Tenney
RRepublican
Ask Maddy
·
AI policy assistant
Ask Maddy about HR 4531
Scope: US
Hi! I can help you understand HR 4531. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline