HR-4531 : Still Just a Bill


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.

Action Timeline

Action DateTypeTextSource
2023-12-13IntroReferralReceived in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.Senate
2023-12-12FloorMotion to reconsider laid on the table Agreed to without objection.House floor actions
2023-12-12VoteOn 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)House floor actions
2023-12-12FloorConsidered as unfinished business. (consideration: CR H6836)House floor actions
2023-12-11FloorAt the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.House floor actions
2023-12-11FloorDEBATE - The House proceeded with forty minutes of debate on H.R. 4531.House floor actions
2023-12-11FloorConsidered under suspension of the rules. (consideration: CR H6789-6797)House floor actions
2023-12-11FloorMr. Guthrie moved to suspend the rules and pass the bill, as amended.House floor actions
2023-09-28CommitteeOrdered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 29 - 3.House committee actions
2023-09-28CommitteeCommittee Consideration and Mark-up Session HeldHouse committee actions
2023-07-19CommitteeOrdered to be Reported (Amended) by the Yeas and Nays: 49 - 0.House committee actions
2023-07-19CommitteeCommittee Consideration and Mark-up Session Held.House committee actions
2023-07-11IntroReferralReferred 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.House floor actions
2023-07-11IntroReferralReferred 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.House floor actions
2023-07-11IntroReferralReferred 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.House floor actions
2023-07-11IntroReferralIntroduced in HouseLibrary of Congress

Sponsor :

Brett Guthrie [R] (KY-2)
See Cosponsors

Policy Area :

Health
Related Subjects
  • Administrative law and regulatory procedures
  • Cardiovascular and respiratory health
  • Child safety and welfare
  • Computers and information technology
  • Congressional oversight
  • Digestive and metabolic diseases
  • Drug, alcohol, tobacco use
  • Drug safety, medical device, and laboratory regulation
  • Drug trafficking and controlled substances
  • Employment and training programs
  • Family services
  • First responders and emergency personnel
  • Government information and archives
  • Government studies and investigations
  • Health care coverage and access
  • Health information and medical records
  • Health personnel
  • Health promotion and preventive care
  • HIV/AIDS
  • Labor market
  • Medicaid
  • Mental health
  • Prescription drugs
  • Smuggling and trafficking
  • State and local finance
  • State and local government operations
  • Student aid and college costs
  • Transportation costs
  • Unemployment
  • Veterinary medicine and animal diseases
  • Women's health
Related Geographic Entities
Related Organizations
  • Department of Health and Human Services