HR2483-119 · 119th Congress
181 lobbying reports name this bill. See the war room — the surge, who showed up, and the money behind the vote→Signed
Signed Dec 1, 2025SUPPORT for Patients and Communities Reauthorization Act of 2025
SUPPORT for Patients and Communities Reauthorization Act of 2025 This bill reauthorizes and revises Department of Health and Human Services (HHS) programs that address substance use disorders, overdoses, and mental health. For example, the bill reauthorizes for FY2026-FY2030 grant and other programs relating to • addressing substance use disorders with respect to pregnant and postpartum women, • prevention and recovery from substance use disorders for youth, • housing for individuals in recovery from substance use disorders, • community organizations facilitating recovery from substance use disorders, • loan repayment for certain health care providers treating substance use disorders, • prevention of overdoses of controlled substances, • treatment of children experiencing psychological trauma, and • mental and behavioral health education and training for medical and allied health students. Also, the bill revises several programs, including by (1) expanding a program that supports resources for first responders to include the purchase of drugs or devices to treat non-opioid overdoses, (2) expanding a program that supports employment services for individuals in recovery so as to allow for the provision of related transportation services, and (3) temporarily authorizing a regional technical assistance center to assist the National Peer-Run Training and Technical Assistance Center for Addiction Recovery Support. Additionally…
VOTE BREAKDOWN
Final passage · 425 politicians tracked
360
YEA
57
NAY
0
PRESENT
8
NOT VOTING
Dem YEA 175Dem NAY 30Ind YEA 1Rep NAY 27Rep YEA 184
BY PARTY · ✕ NAY ← | → YEA ✓
DEM
30
175
REP
27
184
IND
0
1
MONEY ON THIS BILL
Which donor industries fund each side of the vote — total contributions from that industry to those members, all cycles · plus lobbying activity in affected industries
⬆ YEA voters — top donor industries
- 1. Lawyers & Lobbyists$207.7M
- 2. Securities & Investment$144.6M
- 3. Health Services$134.6M
⬇ NAY voters — top donor industries
- 1. Lawyers & Lobbyists$22.4M
- 2. Securities & Investment$15.3M
- 3. Health Services$15.1M
◎ Lobbying activity by issue area
No bill-issue lobbying matches.
Dollar figures are each industry's total contributions to those members across all tracked cycles — not money given for this specific bill. Statistical patterns in public records; correlation, not causation.
LOBBYING ON THIS BILL
181 federal lobbying reports name this bill in their activity descriptions · LDA disclosures
AMERICAN ACADEMY OF FAMILY PHYSICIANS9 reports
MENTAL HEALTH AMERICA9 reports
NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS (N.A.C.H.)6 reports
EMERGENCY NURSES ASSOCIATION6 reports
NATIONAL COUNCIL FOR BEHAVIORAL HEALTH6 reports
MASSACHUSETTS MEDICAL SOCIETY5 reports
AMERICAN COLLEGE OF EMERGENCY PHYSICIANS5 reports
NAADAC, THE ASSOCIATION FOR ADDICTION PROFESSIONALS5 reports
⟳ The revolving door — lobbyists on this bill with disclosed former government roles
Sarah EggeSarah: 1998-2000 Legislative Assistant to Senator Bob Kerrey; 2001-2012 Senior Budget Analyst for Democratic Staff of the Senate Budget Committee (Kent Conrad); Fall 2011, Deputy Staff Director, Joint Select Committee for Deficit Reduction
Amy JensenAmy: 1999-2001 Assistant to the Speaker for Policy; 2003-2005 Special Assistant to the President for Special Affairs
Erin MendelsohnLD, Rep. Anna Eshoo; Congressional Liaison - FDA
Hannah SchmidtProfessional Staff, House Small Business Cmte
Robert KramerDirector, Government Relations
Alan WheatFormer Member of Congress
“Covered position” is the former government job lobbyists must disclose by law (LDA §4). Prior service is stated on the filings; it carries no implication of wrongdoing. Full revolving-door board →
A report naming a bill means the organization disclosed lobbying activity on it — the disclosure does not state a position for or against.
INDIVIDUAL VOTES
Recorded positions for tracked politicians
SPONSORS
Brett Guthrie
R-KY · Primary
1 COSPONSOR
DEMOCRATIC● 1 D
SPONSOR FUNDING
Top industries funding Guthrie
Health Services23%
Health Services 23% of classified donations
Lawyers & Lobbyists13%
Lawyers & Lobbyists 13% of classified donations
Pharmaceuticals & Biotech12%
Pharmaceuticals & Biotech 12% of classified donations
Telecommunications8%
Telecommunications 8% of classified donations
Technology6%
Technology 6% of classified donations
TRAIL AI
The SUPPORT for Patients and Communities Reauthorization Act of 2025 reauthorizes federal programs and authorities related to substance use disorder treatment and prevention services. The bill passed the House with 360 votes in favor and 57 opposed, with support from both parties: 175 Democrats and 30 Democratic votes against, alongside 184 Republicans and 27 Republican votes against. The legislation has been signed into law.
Based on public voting records. Does not imply causation.
TIMELINE
INTRODUCEDMar 31, 2025
PASSED SENATESep 18, 2025
SIGNEDDec 1, 2025
DATA SOURCES
Bill data: Congress.gov · 117th–119th Congress (2021–present)
Vote records: House Clerk / Senate · 2021–present
Reflects public records. Does not imply causation.