United States · Law · HR
H.R. 6 (115th)
SUPPORT for Patients and Communities Act
Introduced
13 June 2018
Last action
24 October 2018 · Became law
Status
Became Public Law No: 115-271.
Sponsors
GREG WALDEN, Rep. Pallone, Frank [D-NJ-6], KEVIN BRADY, Richard Neal, David Roe, Bill Shuster, Virginia Foxx, ROBERT GOODLATTE, Timothy Walz, PETER DEFAZIO, Michael Burgess, Ann Kuster, Pete Sessions, Brett Guthrie, Kyrsten Sinema, Thomas MacArthur, Steve Stivers
Subjects
Healthcare
Source updated
7 April 2025
Summary
Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act or the SUPPORT for Patients and Communities Act This bill makes several changes to state Medicaid programs to address opioid and substance use disorders. Specifically, the bill: modifies provisions related to coverage for juvenile inmates and former foster care youth, establishes a demonstration project to increase provider treatment capacity for substance use disorders, requires the establishment of drug management programs for at-risk beneficiaries, establishes drug review and utilization requirements, extends the enhanced federal matching rate for expenditures regarding substance use disorder health home services, and temporarily requires coverage of medication-assisted treatment. The bill also alters Medicare requirements to address opioid use. Specifically, the bill: exempts substance use disorder telehealth services from specified requirements, requires the initial examination for new enrollees to include an opioid use disorder screening, modifies provisions regarding electronic prescriptions and post-surgical pain management, requires prescription drug plan sponsors to establish drug management programs for at-risk beneficiaries, and requires coverage for services provided by certified opioid treatment programs. The bill also addresses other opioid-related issues. Specifically, the bill: establishes and expands programs to support increased detection and monitoring of fentanyl and other synthetic opioids, and increases the maximum number of patients that health care practitioners may initially treat with medication-assisted treatment (i.e., under a buprenorphine waiver). Additionally, the bill temporarily eliminates the enhanced federal matching rate for Medicaid expenditures regarding specified medical services provided by certain managed care organizations.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
13 June 2018
Introduced
Introduced in House
Source: IntroReferral
13 June 2018
Introduced
Introduced in House
Source: IntroReferral
13 June 2018
Referred
Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations.
Source: Committee
13 June 2018
Introduced
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, 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
14 June 2018
Referred
Referred to the Subcommittee on Health.
Source: Committee
19 June 2018
Reported
Rules Committee Resolution H. Res. 949 Reported to House. Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R.5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.
Source: Floor
21 June 2018
Floor
ORDER OF PROCEDURE - Mr. Burgess asked unanimous consent that, notwithstanding H.Res. 949, during consideration of H.R. 6 pursuant to such resolution, general debate shall not exceed one hour, with 40 minutes equally divided and controlled by the chair and ranking minority member of the Committee on Energy and Commerce and 20 minutes equally divided and controlled by the chair and ranking minority member of the Committee on Ways and Means.
Source: Floor
22 June 2018
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
22 June 2018
Vote
On passage Passed by the Yeas and Nays: 396 - 14 (Roll no. 288). (text: CR H5522-5560)
Source: Floor
22 June 2018
Vote
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 396 - 14 (Roll no. 288).(text: CR H5522-5560)
Source: Floor
22 June 2018
Vote
On motion to recommit with instructions Failed by the Yeas and Nays: 185 - 226 (Roll no. 287).
Source: Floor
22 June 2018
Floor
The previous question on the motion to recommit with instructions was ordered without objection.
Source: Floor
22 June 2018
Floor
Mr. Tonko moved to recommit with instructions to the Committees on Energy and Commerce and Ways and Means. (consideration: CR H5567-5572; text: CR H5567-5570)
Source: Floor
22 June 2018
Passed
The House adopted the amendments en gross as agreed to by the Committee of the Whole House on the state of the Union.
Source: Floor
22 June 2018
Floor
The previous question was ordered pursuant to the rule.
Source: Floor
22 June 2018
Floor
The House rose from the Committee of the Whole House on the state of the Union to report H.R. 6.
Source: Floor
22 June 2018
Passed
Rule provides for consideration of H.R. 6, H.R. 5797 and H.R. 6082. Rule provides for consideration of H.R. 6 and H.R.5797 under structured rules; and provides for consideration of H.R. 6082 under a closed rule. Additionally, the rule directs the Clerk to, in the engrossment of H.R. 6, add the text of H.R. 2851, H.R. 5735, and H.R. 5797 as passed by the House as a new matter at the end of H.R. 6.
Source: Floor
22 June 2018
Floor
The Speaker designated the Honorable Don Bacon to act as Chairman of the Committee.
Source: Floor
22 June 2018
Floor
House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 949 and Rule XVIII.
Source: Floor
22 June 2018
Floor
Considered under the provisions of rule H. Res. 949. (consideration: CR H5511-5572)
Source: Floor
25 June 2018
Calendars
Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.
Source: Calendars
26 June 2018
Calendars
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 485.
Source: Calendars
17 September 2018
Floor
Measure laid before Senate by unanimous consent. (consideration: CR S6159-6180)
Source: Floor
17 September 2018
Vote
Passed/agreed to in Senate: Passed Senate with an amendment by Yea-Nay Vote. 99 - 1. Record Vote Number: 210.
Source: Floor
18 September 2018
Floor
Message on Senate action sent to the House.
Source: Floor
28 September 2018
Passed
House agreed to Senate amendment with an amendment pursuant to H. Res. 1099.
Source: Floor
28 September 2018
Passed
Resolving differences -- House actions: House agreed to Senate amendment with an amendment pursuant to H. Res. 1099.
Source: NotUsed
1 October 2018
Floor
Message on House action received in Senate and at desk: House amendment to Senate amendment.
Source: Floor
3 October 2018
Vote
Senate agreed to the House amendment to the Senate amendment to H.R. 6. by Yea-Nay Vote. 98 - 1. Record Vote Number: 221.
Source: ResolvingDifferences
3 October 2018
Vote
Resolving differences -- Senate actions: Senate agreed to the House amendment to the Senate amendment to H.R. 6. by Yea-Nay Vote. 98 - 1. Record Vote Number: 221.
Source: NotUsed
3 October 2018
Floor
Measure laid before Senate by unanimous consent. (consideration: CR S6467-6483)
Source: Floor
4 October 2018
Floor
Message on Senate action sent to the House.
Source: Floor
16 October 2018
Floor
Presented to President.
Source: Floor
16 October 2018
President
Presented to President.
Source: President
24 October 2018
President
Signed by President.
Source: President
24 October 2018
Became law
Signed by President.
Source: BecameLaw
24 October 2018
Became law
Became Public Law No: 115-271.
Source: President
Votes
3 October 2018 · Motion Agreed to · On the Motion (Motion to Concur in the House Amendment to the Senate Amendment to H.R. 6) · Motion Agreed to · Official source
Yes 98 · No 1 · Abstain — · Absent/not voting 1
- Sen. Klobuchar, Amy [D-MN]Yea
- Sen. King, Angus S., Jr. [I-ME]Yea
- Rep. Cardin, Benjamin L. [D-MD-3]Yea
- Sen. Sasse, Ben [R-NE]Yea
- Sen. Sanders, Bernard [I-VT]Yea
- Bill CassidyYea
- Rep. Nelson, Bill [D-FL-11]Yea
- Sen. Casey, Robert P., Jr. [D-PA]Yea
Showing the first 8 recorded positions. Vote totals above are complete.
17 September 2018 · Bill Passed · On Passage of the Bill H.R. 6 · Bill Passed · Official source
Yes 99 · No 1 · Abstain — · Absent/not voting 0
- Sen. Klobuchar, Amy [D-MN]Yea
- Sen. King, Angus S., Jr. [I-ME]Yea
- Rep. Cardin, Benjamin L. [D-MD-3]Yea
- Sen. Sasse, Ben [R-NE]Yea
- Sen. Sanders, Bernard [I-VT]Yea
- Bill CassidyYea
- Rep. Nelson, Bill [D-FL-11]Yea
- Sen. Casey, Robert P., Jr. [D-PA]Yea
Showing the first 8 recorded positions. Vote totals above are complete.
22 June 2018 · passed · On Passage · Passed · Official source
Yes 396 · No 14 · Abstain — · Absent/not voting 17
- A. FergusonYea
- A. McEachinYea
- ALCEE HASTINGSYea
- Adam KinzingerYea
- Sen. Schiff, Adam B. [D-CA]Yea
- Rep. Smith, Adam [D-WA-9]Yea
- Adrian SmithYea
- Adriano EspaillatYea
Showing the first 8 recorded positions. Vote totals above are complete.
22 June 2018 · failed · On Motion to Recommit with Instructions · Failed · Official source
Yes 185 · No 226 · Abstain — · Absent/not voting 16
- A. FergusonNay
- A. McEachinYea
- ALCEE HASTINGSYea
- Adam KinzingerNay
- Sen. Schiff, Adam B. [D-CA]Yea
- Rep. Smith, Adam [D-WA-9]Yea
- Adrian SmithNay
- Adriano EspaillatYea
Showing the first 8 recorded positions. Vote totals above are complete.
Versions
- Enrolled Bill · undated · Official file
- Public Law · 24 October 2018 · Official file
- Engrossed Amendment House · 28 September 2018 · Official file
- Engrossed Amendment Senate · 17 September 2018 · Official file
- Placed on Calendar Senate · 26 June 2018 · Official file
- Engrossed in House · 22 June 2018 · Official file
- Introduced in House · 13 June 2018 · Official file
Documents
17 official files
Enrolled Bill (text)
Enrolled Bill (text)
Enrolled Bill · EN
Enrolled Bill (PDF)
Enrolled Bill · EN
Public Law (text)
Public Law · EN · 24 October 2018
Public Law (PDF)
Public Law · EN · 24 October 2018
Public Law
summary · EN · 24 October 2018
Engrossed Amendment House (text)
Engrossed Amendment House · EN · 28 September 2018
Engrossed Amendment House (PDF)
Engrossed Amendment House · EN · 28 September 2018
Engrossed Amendment Senate (text)
Engrossed Amendment Senate · EN · 17 September 2018
Engrossed Amendment Senate (PDF)
Engrossed Amendment Senate · EN · 17 September 2018
Placed on Calendar Senate (text)
Placed on Calendar Senate · EN · 26 June 2018
Placed on Calendar Senate (PDF)
Placed on Calendar Senate · EN · 26 June 2018
Engrossed in House (text)
Engrossed in House · EN · 22 June 2018
Engrossed in House (PDF)
Engrossed in House · EN · 22 June 2018
Passed House amended
summary · EN · 22 June 2018
Introduced in House (text)
Introduced in House · EN · 13 June 2018
Introduced in House (PDF)
Introduced in House · EN · 13 June 2018
Introduced in House
summary · EN · 13 June 2018
Sponsors
- GREG WALDEN · R · Sponsor
- Rep. Pallone, Frank [D-NJ-6] · D · Sponsor
- KEVIN BRADY · R · Sponsor
- Richard Neal · D · Sponsor
- David Roe · R · Sponsor
- Bill Shuster · R · Sponsor
- Virginia Foxx · R · Sponsor
- ROBERT GOODLATTE · R · Sponsor
- Timothy Walz · D · Sponsor
- PETER DEFAZIO · D · Sponsor
- Michael Burgess · R · Sponsor
- Ann Kuster · D · Cosponsor
- Pete Sessions · R · Cosponsor
- Brett Guthrie · R · Cosponsor
- Kyrsten Sinema · D · Cosponsor
- Thomas MacArthur · R · Cosponsor
- Steve Stivers · R · Cosponsor
- · hswm00 · Standing
- · hsju00 · Standing
- · hsif00 · Standing
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Showing 8 of 122 related records.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/115th-congress/house-bill/6
- Open data entity: https://api.congress.gov/v3/bill/115/hr/6
- us · 115-hr-6 · source updated 7 April 2025