H.R. 4531 · 118th Congress

Support for Patients and Communities Reauthorization Act

Introduced on Jul 11, 2023 by Brett Guthrie (R-KY-2). 66 cosponsors, 29 of them from another party. Latest action (Dec 13, 2023): Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Stage
Passed one chamber
Introduced
Jul 11, 2023
Cosponsors
66
29 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. Reported by committee
  3. Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes.

Subjects

  • Administrative law and regulatory procedures
  • Cardiovascular and respiratory health
  • Child safety and welfare
  • Computers and information technology
  • Congressional oversight
  • Department of Health and Human Services
  • Digestive and metabolic diseases
  • Drug safety, medical device, and laboratory regulation
  • Drug trafficking and controlled substances
  • Drug, alcohol, tobacco use
  • Employment and training programs
  • Family services
  • First responders and emergency personnel
  • Government information and archives
  • Government studies and investigations
  • HIV/AIDS
  • Health care coverage and access
  • Health information and medical records
  • Health personnel
  • Health promotion and preventive care
  • 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

Summary

The Congressional Research Service has not summarized this measure yet.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Brett GuthrieR-KY-2Sponsor

Democrats · 29

Republicans · 37

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

  1. On Motion to Suspend the Rules and Pass, as Amended
    Dec 12, 2023· House· Passage· Passed 386–37

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Jul 11, 2023Introduced in House
  2. Jul 11, 2023Introduced in House
  3. Jul 11, 2023 · HouseReferred 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.
  4. Jul 11, 2023 · HouseReferred 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.
  5. Jul 11, 2023 · HouseReferred 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.
  6. Jul 19, 2023 · HouseCommittee Consideration and Mark-up Session Held.
  7. Jul 19, 2023 · HouseOrdered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
  8. Sep 28, 2023 · HouseCommittee Consideration and Mark-up Session Held
  9. Sep 28, 2023 · HouseOrdered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 29 - 3.
  10. Dec 11, 2023 · HouseMr. Guthrie moved to suspend the rules and pass the bill, as amended.
  11. Dec 11, 2023 · HouseConsidered under suspension of the rules. (consideration: CR H6789-6797)
  12. Dec 11, 2023 · HouseDEBATE - The House proceeded with forty minutes of debate on H.R. 4531.
  13. Dec 11, 2023 · HouseAt 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.
  14. Dec 12, 2023 · HouseConsidered as unfinished business. (consideration: CR H6836)
  15. Dec 12, 2023Passed/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)House · Roll call 715
  16. Dec 12, 2023 · HouseOn 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 · Roll call 715
  17. Dec 12, 2023 · HouseMotion to reconsider laid on the table Agreed to without objection.
  18. Dec 13, 2023 · SenateReceived in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. Indivior Inc13 reports
    $1.3M reported (all issues)Federal contractor: INDIVIOR INC.AI match · 100%
  2. PHYSICIAN ASSISTANT EDUCATION ASSOCIATION10 reports
    $610K reported (all issues)
  3. American Psychological Association Services Inc.(FKA American Psychological Assn7 reports
    $2.9M reported (all issues)Federal contractor: AMERICAN PSYCHOLOGICAL ASSOCIATION$710.8K in contracts, FY2026AI match · 99%
  4. Blue Cross and Blue Shield of Florida, Inc.7 reports
    $1.3M reported (all issues)
  5. MASSACHUSETTS MEDICAL SOCIETY7 reports
    $330K reported (all issues)
  6. Mental Health America7 reports
    $84K reported (all issues)
  7. BLUE CROSS BLUE SHIELD OF MICHIGAN6 reports
    $1.6M reported (all issues)
  8. Blue Cross and Blue Shield Association6 reports
    $10M reported (all issues)
  9. NOMI HEALTH, INC.6 reports
    $340K reported (all issues)
  10. AMERICA'S ESSENTIAL HOSPITALS5 reports
    $2.5M reported (all issues)
  11. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS5 reports
    $2.3M reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  12. AMERICAN HOSPITAL ASSOCIATION5 reports
    $14.1M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  13. AMERICAN VETERINARY MEDICAL ASSOCIATION5 reports
    $1.6M reported (all issues)
  14. American Academy of Addiction Psychiatry5 reports
    $140K reported (all issues)
  15. Association for Behavioral Healthcare5 reports
    $50K reported (all issues)
  16. BIOTECHNOLOGY INNOVATION ORGANIZATION5 reports
    $8.9M reported (all issues)
  17. BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.5 reports
    $35K reported (all issues)
  18. BOSTON SCIENTIFIC CORPORATION5 reports
    Federal contractor: BOSTON SCIENTIFIC CORP$20M in contracts, FY2026AI match · 100%
  19. CENCORA, INC.5 reports
    $3.8M reported (all issues)
  20. College on Problems of Drug Dependence5 reports
    $90K reported (all issues)
  21. County of Los Angeles, California5 reports
    $200K reported (all issues)Federal contractor: COUNTY OF LOS ANGELESAI match · 99%
  22. Fletcher Group, Inc.5 reports
    $150K reported (all issues)
  23. Healthcare Distribution Alliance (FORMERLY - HDMA)5 reports
    $2.7M reported (all issues)
  24. Healthcare Distribution Alliance (Healthcare Distribution Managment Assn.)5 reports
    $400K reported (all issues)
  25. NAADAC, the Association for Addiction Professionals5 reports
    $150K reported (all issues)
  26. NATIONAL CATTLEMEN'S BEEF ASSOCIATION5 reports
    $410K reported (all issues)
  27. NATIONAL COUNCIL FOR BEHAVIORAL HEALTH5 reports
    $665.6K reported (all issues)Federal contractor: NATIONAL COUNCIL FOR BEHAVIORAL HEALTH$4.3M in contracts, FY2026AI match · 100%
  28. National Alliance on Mental Illness5 reports
    $50K reported (all issues)
  29. National Association of Boards of Pharmacy5 reports
    $130K reported (all issues)
  30. National Association of Pediatric Nurse Practitioners5 reports
    $120K reported (all issues)
  31. National Association of State Mental Health Program Directors5 reports
    $150K reported (all issues)Federal contractor: NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS INC.$1.8M in contracts, FY2026AI match · 100%
  32. National Council for Mental Wellbeing FKA National Council for Behavioral Health5 reports
    $350K reported (all issues)Federal contractor: NATIONAL COUNCIL FOR BEHAVIORAL HEALTH$4.3M in contracts, FY2026AI match · 100%
  33. National League for Nursing5 reports
    $136.2K reported (all issues)
  34. Netsmart Technologies, Inc.5 reports
    $100K reported (all issues)Federal contractor: NETSMART TECHNOLOGIES, INC.$367.7K in contracts, FY2026AI match · 100%
  35. Pinnacle Treatment Centers5 reports
    $200K reported (all issues)
  36. Sandy Hook Promise Action Fund (FKA Sandy Hook Promise (SHP))5 reports
    $300K reported (all issues)
  37. Tobacco-Free Kids Action Fund fka Global Health Advocacy Incubator (GHAI)5 reports
    $170K reported (all issues)
  38. Trust for America's Health5 reports
    $215.3K reported (all issues)
  39. ALKERMES, INC.4 reports
  40. Bamboo Health4 reports
    $320K reported (all issues)

Reports filed in 2023, 2024, 2025.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 6, 2026 · loaded Oct 6, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.