H.R. 2483 — what changed
SUPPORT for Patients and Communities Reauthorization Act of 2025
From Introduced in House to Reported in House. 2 sections amended between Introduced in House and Reported in House.
Sec. 104 Support for individuals and families impacted by fetal alcohol spectrum disorder
In general— Part O of title III of the Public Health Service Act (42 U.S.C. 280f et seq.) is amended to read as follows:
“O Fetal alcohol spectrum disorder prevention and services program
“399H. Fetal alcohol spectrum disorders prevention, intervention, and services delivery program
“(a) In general—The Secretary shall establish or continue activities to support a comprehensive fetal alcohol spectrum disorders (referred to in this section as “FASD”) education, prevention, identification, intervention, and services delivery program, which may include—
“(1) an education and public awareness program to support, conduct, and evaluate the effectiveness of—
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“(A) educational programs targeting health professions schools, social and other supportive services, educators and counselors and other service providers in all phases of childhood development, and other relevant service providers, concerning the prevention, identification, and provision of services for infants, children, adolescents adolescents, and adults with FASD;
“(B) strategies to educate school-age children, including pregnant and high-risk youth, concerning FASD;
“(C) public and community awareness programs concerning FASD; and
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“(D) strategies to coordinate information and services across affected community agencies, including agencies providing social services such as foster care, adoption, and social work, agencies providing health services, and agencies involved in education, vocational training training, and civil and criminal justice;
“(2) supporting and conducting research on FASD, as appropriate, including to—
“(A) develop appropriate medical diagnostic methods for identifying FASD; and
“(B) develop effective culturally and linguistically appropriate evidence-based or evidence-informed interventions and appropriate supports for preventing prenatal alcohol exposure, which may co-occur with exposure to other substances;
“(3) building State and Tribal capacity for the identification, treatment, and support of individuals with FASD and their families, which may include—
“(A) utilizing and adapting existing Federal, State, or Tribal programs to include FASD identification and FASD-informed support;
“(B) developing and expanding screening and diagnostic capacity for FASD;
“(C) developing, implementing, and evaluating targeted FASD-informed intervention programs for FASD;
“(D) providing training with respect to FASD for professionals across relevant sectors; and
“(E) disseminating information about FASD and support services to affected individuals and their families; and
“(4) an applied research program concerning intervention and prevention to support and conduct service demonstration projects, clinical studies and other research models providing advocacy, educational and vocational training, counseling, medical and mental health, and other supportive services, as well as models that integrate and coordinate such services, that are aimed at the unique challenges facing individuals with fetal alcohol spectrum disorder or fetal alcohol effect and their families.
“(b) Grants and Technical Assistance
“(1) In general—The Secretary may award grants, cooperative agreements and contracts and provide technical assistance to eligible entities to carry out subsection (a).
“(2) Eligible entities—To be eligible to receive a grant, or enter into a cooperative agreement or contract, under this section, an entity shall—
“(A) be a State, Indian Tribe or Tribal organization, local government, scientific or academic institution, or nonprofit organization; and
“(B) prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a description of the activities that the entity intends to carry out using amounts received under this section.
“(3) Additional application contents—The Secretary may require that an eligible entity include in the application submitted under paragraph (2)(B)—
“(A) a designation of an individual to serve as a FASD State or Tribal coordinator of activities such eligible entity proposes to carry out through a grant, cooperative agreement, or contract under this section; and
“(B) a description of an advisory committee the entity will establish to provide guidance for the entity on developing and implementing a statewide or Tribal strategic plan to prevent FASD and provide for the identification, treatment, and support of individuals with FASD and their families.
“(c) Definition of FASD-Informed—For purposes of this section, the term FASD-informed, with respect to support or an intervention program, means that such support or intervention program uses culturally and linguistically informed evidence-based or practice-based interventions and appropriate resources to support an improved quality of life for an individual with FASD and the family of such individual.
“399I. Strengthening capacity and education for fetal alcohol spectrum disorders
“(a) In general—The Secretary shall award grants, contracts, or cooperative agreements, as the Secretary determines appropriate, to public or nonprofit private entities with demonstrated expertise in the field of fetal alcohol spectrum disorders (referred to in this section as “FASD”). Such awards shall be for the purposes of building local, Tribal, State, and nationwide capacities to prevent the occurrence of FASD by carrying out the programs described in subsection (b).
“(b) Programs—An entity receiving an award under subsection (a) may use such award for the following purposes:
“(1) Developing and supporting public education and outreach activities to raise public awareness of the risks associated with alcohol consumption during pregnancy.
“(2) Acting as a clearinghouse for evidence-based resources on FASD prevention, identification, and culturally and linguistically appropriate best practices to help inform systems of care for individuals with FASD across their lifespan.
“(3) Increasing awareness and understanding of efficacious, evidence-based screening tools and culturally and linguistically appropriate evidence-based intervention services and best practices, which may include improving the capacity for State, Tribal, and local affiliates.
“(4) Providing technical assistance to recipients of grants, cooperative agreements, or contracts under section 399H, as appropriate.
“(c) Application—To be eligible for a grant, contract, or cooperative agreement under this section, an entity shall submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.
“(d) Subcontracting—A public or private nonprofit entity may carry out the following activities required under this section through contracts or cooperative agreements with other public and private nonprofit entities with demonstrated expertise in FASD:
“(1) Resource development and dissemination.
“(2) Intervention services.
“(3) Training and technical assistance.
“399J. Authorization of appropriations
“There are authorized to be appropriated to carry out this part $12,500,000 for each of fiscal years 2026 through 2030.”
Report— Not later than 4 years after the date of enactment of this Act, and every year thereafter, the Secretary of Health and Human Services shall prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report containing—
a review of the activities carried out pursuant to sections 399H and 399I of the Public Health Service Act, as amended, to advance public education and awareness of fetal alcohol spectrum disorders (referred to in this section as “FASD”);
a description of—
the activities carried out pursuant to such sections 399H and 399I to identify, prevent, and treat FASD; and
methods used to evaluate the outcomes of such activities; and
an assessment of activities carried out pursuant to such sections 399H and 399I to support individuals with FASD.
Sec. 107 Donald J. Cohen National Child Traumatic Stress Initiative
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Technical amendment— The second part G of title V of the Public Health Service Act (42 U.S.C. 290kk et seq.), as added by section 144 of the Community Renewal Tax Relief Act of 2000 (Public Law 106–554), is amended—
by redesignating such part as part J; and
by redesignating sections 581 through 584 as sections 596 through 596C, respectively.
In general— Section 582 of the Public Health Service Act (42 U.S.C. 290hh–1) is amended—
in the section heading, by striking “VIOLENCE RELATED STRESS” and inserting “TRAUMATIC EVENTS”;
in subsection (a)—
in the matter preceding paragraph (1), by striking “tribes and tribal” and inserting “Tribes and Tribal”; and
in paragraph (2), by inserting “and dissemination” after “the development”;
in subsection (b), by inserting “and dissemination” after “the development”;
in subsection (d)—
by striking “The NCTSI” and inserting the following:
“(1) Coordinating center—The NCTSI”
by adding at the end the following:
“(2) NCTSI grantees—In carrying out subsection (a)(2), NCTSI grantees shall develop trainings and other resources, as applicable and appropriate, to support implementation of the evidence-based practices developed and disseminated under such subsection.”
in subsection (e)—
by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively, and adjusting the margins accordingly;
in subparagraph (A), as so redesignated, by inserting “and implementation” after “the dissemination”;
by striking “The NCTSI” and inserting the following:
“(1) Coordinating center—The NCTSI”
by adding at the end the following:
“(2) NCTSI grantees—NCTSI grantees shall, as appropriate, collaborate with other such grantees, the NCTSI coordinating center, and the Secretary in carrying out subsections (a)(2) and (d)(2).”
by amending subsection (h) to read as follows:
“(h) Application and evaluation—To be eligible to receive a grant, contract, or cooperative agreement under subsection (a), a public or nonprofit private entity or an Indian Tribe or Tribal organization shall submit to the Secretary an application at such time, in such manner, and containing such information and assurances as the Secretary may require, including—
“(1) a plan for the evaluation of the activities funded under the grant, contract, or agreement, including both process and outcomes evaluation, and the submission of an evaluation at the end of the project period; and
“(2) a description of how such entity, Indian Tribe, or Tribal organization will support efforts led by the Secretary or the NCTSI coordinating center, as applicable, to evaluate activities carried out under this section.”
by amending subsection (j) to read as follows:
“(j) Authorization of appropriations—There is authorized to be appropriated to carry out this section—
“(1) $98,887,000 for fiscal year 2026;
“(2) $98,887,000 for fiscal year 2027;
“(3) $98,887,000 for fiscal year 2028;
“(4) $100,000,000 for fiscal year 2029; and
“(5) $100,000,000 for fiscal year 2030.”