United States · Bill · HR
H.R. 4531 (118th)
Support for Patients and Communities Reauthorization Act
Introduced
11 July 2023
Last action
13 December 2023 · Introduced
Status
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Sponsors
Rep. Guthrie, Brett [R-KY-2], Rep. Kuster, Ann M. [D-NH-2], Rep. Latta, Robert E. [R-OH-5], Rep. Joyce, John [R-PA-13], Rep. Pfluger, August [R-TX-11], Rep. Bilirakis, Gus M. [R-FL-12], Rep. Balderson, Troy [R-OH-12], Rep. Armstrong, Kelly [R-ND-At Large], Rep. Tonko, Paul [D-NY-20], Rep. Perez, Marie Gluesenkamp [D-WA-3], Rep. Harder, Josh [D-CA-9], Rep. Trahan, Lori [D-MA-3], Rep. Panetta, Jimmy [D-CA-19], Rep. Carter, Earl L. "Buddy" [R-GA-1], Rep. Craig, Angie [D-MN-2], Rep. Matsui, Doris O. [D-CA-7], Rep. Davis, Donald G. [D-NC-1], Rep. Peters, Scott H. [D-CA-50], Rep. Pettersen, Brittany [D-CO-7], Rep. Dingell, Debbie [D-MI-6], Rep. Schakowsky, Janice D. [D-IL-9], Sen. Blunt Rochester, Lisa [D-DE], Rep. Cárdenas, Tony [D-CA-29], Rep. Crockett, Jasmine [D-TX-30], Rep. Fitzpatrick, Brian K. [R-PA-1], Rep. Johnson, Bill [R-OH-6], Rep. Crenshaw, Dan [R-TX-2], Rep. Burgess, Michael C. [R-TX-26], Rep. Barr, Andy [R-KY-6], Rep. Harshbarger, Diana [R-TN-1], Rep. Bucshon, Larry [R-IN-8], Rep. Pence, Greg [R-IN-6], Rep. Rogers, Harold [R-KY-5], Rep. Cammack, Kat [R-FL-3], Rep. Sykes, Emilia Strong [D-OH-13], Rep. Kilmer, Derek [D-WA-6], Rep. Nickel, Wiley [D-NC-13], Rep. Clarke, Yvette D. [D-NY-9], Sen. Curtis, John R. [R-UT], Rep. Kim, Young [R-CA-40], Rep. Blumenauer, Earl [D-OR-3], Rep. Trone, David J. [D-MD-6], Rep. Sánchez, Linda T. [D-CA-38], Rep. Sewell, Terri A. [D-AL-7], Rep. Miller-Meeks, Mariannette [R-IA-1], Rep. Cherfilus-McCormick, Sheila [D-FL-20], Rep. Neguse, Joe [D-CO-2], Rep. Tenney, Claudia [R-NY-24]
Subjects
Healthcare, Education
Source updated
21 July 2025
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.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
11 July 2023
Introduced
Introduced in House
Source: IntroReferral
11 July 2023
Introduced
Introduced in House
Source: IntroReferral
11 July 2023
Introduced
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.
Source: IntroReferral
19 July 2023
Vote
Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
Source: Committee
19 July 2023
Committee
Committee Consideration and Mark-up Session Held.
Source: Committee
28 September 2023
Vote
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 29 - 3.
Source: Committee
28 September 2023
Committee
Committee Consideration and Mark-up Session Held
Source: Committee
11 December 2023
Vote
At 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.
Source: Floor
11 December 2023
Floor
DEBATE - The House proceeded with forty minutes of debate on H.R. 4531.
Source: Floor
11 December 2023
Floor
Considered under suspension of the rules. (consideration: CR H6789-6797)
Source: Floor
11 December 2023
Floor
Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
Source: Floor
12 December 2023
Vote
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)
Source: Floor
12 December 2023
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
12 December 2023
Vote
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)
Source: Floor
12 December 2023
Floor
Considered as unfinished business. (consideration: CR H6836)
Source: Floor
13 December 2023
Introduced
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Source: IntroReferral
Votes
12 December 2023 · passed · On Motion to Suspend the Rules and Pass, as Amended · Passed · Official source
Yes 386 · No 37 · Abstain — · Absent/not voting 10
- Rep. Ferguson, A. Drew, IV [R-GA-3]Yea
- Rep. Bean, Aaron [R-FL-4]Yea
- Rep. Spanberger, Abigail Davis [D-VA-7]Yea
- Sen. Schiff, Adam B. [D-CA]Yea
Showing the first 4 recorded positions. Vote totals above are complete.
Versions
- Referred in Senate · 13 December 2023 · Download file
- Engrossed in House · 12 December 2023 · Download file
- Introduced in House · 11 July 2023 · Download file
Documents
8 official files
Referred in Senate (text)
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Referred in Senate (text)
Referred in Senate · EN · 13 December 2023
Referred in Senate (PDF)
Referred in Senate · EN · 13 December 2023
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Engrossed in House (text)
Engrossed in House · EN · 12 December 2023
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Engrossed in House (PDF)
Engrossed in House · EN · 12 December 2023
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Passed House
summary · EN · 12 December 2023
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Introduced in House (text)
Introduced in House · EN · 11 July 2023
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Introduced in House (PDF)
Introduced in House · EN · 11 July 2023
ViewDownloadOpen at official source
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Introduced in House
summary · EN · 11 July 2023
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Rep. Guthrie, Brett [R-KY-2] · R · Sponsor
- Rep. Kuster, Ann M. [D-NH-2] · D · Sponsor
- Rep. Latta, Robert E. [R-OH-5] · R · Cosponsor
- Rep. Joyce, John [R-PA-13] · R · Cosponsor
- Rep. Pfluger, August [R-TX-11] · R · Cosponsor
- Rep. Bilirakis, Gus M. [R-FL-12] · R · Cosponsor
- Rep. Balderson, Troy [R-OH-12] · R · Cosponsor
- Rep. Armstrong, Kelly [R-ND-At Large] · R · Cosponsor
- Rep. Tonko, Paul [D-NY-20] · D · Cosponsor
- Rep. Perez, Marie Gluesenkamp [D-WA-3] · D · Cosponsor
- Rep. Harder, Josh [D-CA-9] · D · Cosponsor
- Rep. Trahan, Lori [D-MA-3] · D · Cosponsor
- Rep. Panetta, Jimmy [D-CA-19] · D · Cosponsor
- Rep. Carter, Earl L. "Buddy" [R-GA-1] · R · Cosponsor
- Rep. Craig, Angie [D-MN-2] · D · Cosponsor
- Rep. Matsui, Doris O. [D-CA-7] · D · Cosponsor
- Rep. Davis, Donald G. [D-NC-1] · D · Cosponsor
- Rep. Peters, Scott H. [D-CA-50] · D · Cosponsor
- Rep. Pettersen, Brittany [D-CO-7] · D · Cosponsor
- Rep. Dingell, Debbie [D-MI-6] · D · Cosponsor
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Cosponsor
- Sen. Blunt Rochester, Lisa [D-DE] · D · Cosponsor
- Rep. Cárdenas, Tony [D-CA-29] · D · Cosponsor
- Rep. Crockett, Jasmine [D-TX-30] · D · Cosponsor
- Rep. Fitzpatrick, Brian K. [R-PA-1] · R · Cosponsor
- Rep. Johnson, Bill [R-OH-6] · R · Cosponsor
- Rep. Crenshaw, Dan [R-TX-2] · R · Cosponsor
- Rep. Burgess, Michael C. [R-TX-26] · R · Cosponsor
- Rep. Barr, Andy [R-KY-6] · R · Cosponsor
- Rep. Harshbarger, Diana [R-TN-1] · R · Cosponsor
- Rep. Bucshon, Larry [R-IN-8] · R · Cosponsor
- Rep. Pence, Greg [R-IN-6] · R · Cosponsor
- Rep. Rogers, Harold [R-KY-5] · R · Cosponsor
- Rep. Cammack, Kat [R-FL-3] · R · Cosponsor
- Rep. Sykes, Emilia Strong [D-OH-13] · D · Cosponsor
- Rep. Kilmer, Derek [D-WA-6] · D · Cosponsor
- Rep. Nickel, Wiley [D-NC-13] · D · Cosponsor
- Rep. Clarke, Yvette D. [D-NY-9] · D · Cosponsor
- Sen. Curtis, John R. [R-UT] · R · Cosponsor
- Rep. Kim, Young [R-CA-40] · R · Cosponsor
- Rep. Blumenauer, Earl [D-OR-3] · D · Cosponsor
- Rep. Trone, David J. [D-MD-6] · D · Cosponsor
- Rep. Sánchez, Linda T. [D-CA-38] · D · Cosponsor
- Rep. Sewell, Terri A. [D-AL-7] · D · Cosponsor
- Rep. Miller-Meeks, Mariannette [R-IA-1] · R · Cosponsor
- Rep. Cherfilus-McCormick, Sheila [D-FL-20] · D · Cosponsor
- Rep. Neguse, Joe [D-CO-2] · D · Cosponsor
- Rep. Tenney, Claudia [R-NY-24] · R · Cosponsor
Showing 48 of 71 sponsors and actors.
Related records
- related to → Test Strip Access Act of 2023
- related to → HEAL Act of 2023
- related to → Keeping Kids Safe Act of 2023
- related to → FIND Fentanyl Act of 2023
- related to → Substance Use Disorder Treatment and Recovery Loan Repayment Program Reauthorization Act of 2023
- related to → CAREER Act of 2023
- related to → Safer Response Act of 2023
- related to → To 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 to ← Safe Response Act
- related to ← Extending Access to Addiction Treatment Act
Showing 10 of 22 related records.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/118th-congress/house-bill/4531
- Open data entity: https://api.congress.gov/v3/bill/118/hr/4531
- us · 118-hr-4531 · source updated 21 July 2025