H.R. 4531Support for Patients and Communities Reauthorization Act

1 recorded action297 of these members are on the 2026 ballotWhat the measure does Read on Congress.gov

Sponsor: Brett Guthrie [R-KY-02]
Cosponsors: 66 · 37 Republicans · 29 Democrats
Policy area: Health
Committees: Energy and Commerce Committee, Judiciary Committee · and 2 more
Latest action: Dec 13, 2023 · Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

IntroducedJul 11, 2023
Passed the HouseDec 12, 2023
Passed the SenateNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS 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.

Written by the nonpartisan Congressional Research Service, describing H.R. 4531 as passed House on Dec 12, 2023. It is not the text of the measure; a later amendment may have changed what it does.

How every member votedHouse roll call 715

House Dec 12, 2023

On Motion to Suspend the Rules and Pass, as Amended

Support for Patients and Communities Reauthorization Act

Passed · Two-thirds required

386 Yea 37 Nay 10 not voting

Crossed both parties 37 of 423 voting members broke with their own party: 11 Democrats, 26 Republicans.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members433 members

Democratic213 members

Republican220 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors66 · 37 Republicans · 29 Democrats

Signing on is not a vote: a member can cosponsor H.R. 4531 and vote against it. 1 signed when it was filed.

Loading the public record

Who lobbied on H.R. 453161 organizations

Organizations that named H.R. 4531 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

AMERICA'S ESSENTIAL HOSPITALSIts PAC: America's Essential Hospitals PAC,

Medicare/Medicaid · Health Issues · Budget/Appropriations · Law Enforcement/Crime/Criminal Justice8 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

AMERICAN HOSPITAL ASSOCIATIONfiled by O'NEILL, ATHY & CASEY, P.C., AMERICAN HOSPITAL ASSOCIATIONIts PAC: American Hospital Association PAC

Health Issues · Medicare/Medicaid · Budget/Appropriations7 filings · 2nd Quarter (Apr 1 - June 30) 2024Filing

NATIONAL ALLIANCE ON MENTAL ILLNESS

Health Issues · Budget/Appropriations · Law Enforcement/Crime/Criminal Justice · Education +8 more7 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

NATIONAL CATTLEMEN'S BEEF ASSOCIATIONIts PAC: National Cattlemen's Beef Association PAC

Animals · Agriculture · Budget/Appropriations · Environment/Superfund +9 more7 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

AMERICAN ACADEMY OF ADDICTION PSYCHIATRYfiled by VAN SCOYOC ASSOCIATES

Alcohol and Drug Abuse · Budget/Appropriations · Medical/Disease Research/Clinical Labs6 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.(FKA AMERICAN PSYCHOLOGICAL ASSN

Communications/Broadcasting/Radio/TV · Defense · Budget/Appropriations · Civil Rights/Civil Liberties +9 more6 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

AMERICAN VETERINARY MEDICAL ASSOCIATIONIts PAC: American Veterinary Medical Association PAC

Pharmacy · Taxation/Internal Revenue Code · Budget/Appropriations · Agriculture +2 more6 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

BLUE CROSS AND BLUE SHIELD ASSOCIATION

Pharmacy · Health Issues · Medicare/Medicaid6 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

BLUE CROSS AND BLUE SHIELD OF FLORIDA INCfiled by BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.

Health Issues · Medicare/Medicaid · Pharmacy6 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

BLUE CROSS BLUE SHIELD OF MICHIGANIts PAC: Blue Cross Blue Shield of Michigan PAC

Health Issues · Medicare/Medicaid · Pharmacy6 filings · 4th Quarter (Oct 1 - Dec 31) 2024Filing

221 disclosures name this measure. Retrieved from LDA.gov on 2026-10-04. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.