HR 4531 United States House · 118th Congress

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

38637
Passed · 10 other
Total votes 433
Dec 12, 2023
D Democratic213
196 Yea 11 Nay 6
92% Yea
I Independent1
1 Yea
100% Yea
R Republican219
189 Yea 26 Nay 4
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
Photo of Brett Guthrie
Brett Guthrie
RRepublican
KY
2
Co
Photo of Andy Barr
Andy Barr
RRepublican
KY
6
Co
Photo of Angie Craig
Angie Craig
DDemocratic
MN
2
Co
Photo of Ann M. Kuster
Ann M. Kuster
DDemocratic
NH
2
Co
Photo of August Pfluger
August Pfluger
RRepublican
TX
11
Co
Photo of Bill Johnson
Bill Johnson
RRepublican
OH
6
Co
Photo of Brad Finstad
Brad Finstad
RRepublican
MN
1
Co
Photo of Brian K. Fitzpatrick
Brian K. Fitzpatrick
RRepublican
PA
1
Co
Photo of Brittany Pettersen
Brittany Pettersen
DDemocratic
CO
7
Co
Photo of Carol D. Miller
Carol D. Miller
RRepublican
WV
1
Co
Photo of Claudia Tenney
Claudia Tenney
RRepublican
NY
24