SUPPORT for Patients and Communities Reauthorization Act of 2025

Key Points

• This bill renews and extends dozens of programs that fight the opioid and drug crisis through 2030, covering prevention, treatment, and recovery. It reauthorizes the original 2018 SUPPORT Act, which was set to expire, ensuring continued federal investment in overdose prevention, first responder training, addiction treatment workforce development, and recovery support services.
• The bill significantly boosts funding for key programs. First responder training goes from $36 million to $57 million per year, the overdose prevention grant program rises to over $505 million per year, recovery community organizations get $17 million (up from $5 million), and the substance use disorder workforce loan repayment program jumps to $40 million (up from $25 million).
• The bill creates a new Federal Interagency Work Group on Fentanyl Contamination of Illegal Drugs and adds fentanyl education to youth prevention programs. It also allows opioid response grant funds to be used for purchasing fentanyl and xylazine test strips, giving communities new tools to detect deadly contaminants in the drug supply.
• The bill targets help for pregnant and postpartum women dealing with substance use disorders, boosting residential treatment funding from about $30 million to nearly $39 million per year and requiring outreach plans targeting women most affected. It also creates a comprehensive fetal alcohol spectrum disorders (FASD) program with $12.5 million annually.
• Recovery and workforce programs get renewed and expanded. The CAREER Act grants for job training and recovery support rise to $12 million per year, recovery housing pilot programs are extended, and up to 5% of grant funds can now cover transportation to work, job training, or treatment appointments.
• The bill adds new cybersecurity protections for the 988 Suicide Prevention Lifeline, requiring the network administrator and local crisis centers to report cybersecurity vulnerabilities and incidents. It also directs the Government Accountability Office to study cybersecurity risks to the lifeline within 180 days.