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118th Congress Health

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

Passed HouseDec 12, 2023

  1. Introduced (completed)Jul 11, 2023
  2. Passed House (completed)Dec 12, 2023, 386–37
  3. Passed Senate (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Passed House, Dec 12, 2023

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.

Read the full summary

Further, the bill makes permanent a requirement that Medicaid programs cover medication-assisted treatment for individuals with substance use disorders.

Written by the Congressional Research Service, Library of Congress.

Key votes

House final vote, Dec 12, 2023

On Motion to Suspend the Rules and Pass, as Amended

Passed 386–37

Yea 386two-thirds 282Nay 37

  • Democrats196 yea, 11 nay
  • Republicans189 yea, 26 nay
  • Independents1 yea, 0 nay

Broke with their party: Rashida Tlaib (D-MI), Thomas Tiffany (R-WI), Keith Self (R-TX), W. Steube (R-FL), Victoria Spartz (R-IN), Delia Ramirez (D-IL), Chip Roy (R-TX), Matthew Rosendale (R-MT), Ayanna Pressley (D-MA) and Scott Perry (R-PA) voted Nay; and 27 more

See how all 423 members voted

Showing 433 of 433 members

Yea 386

Republicans (189)

Democrats (196)

Independents (1)

Nay 37

Democrats (11) broke with their party

Not voting 10

Senate

Not yet voted

Passed the House Dec 12, 2023. Awaiting Senate action.

Roll calls

1 vote on this bill

Showing 1 of 1 roll calls

  • Dec 12, 2023HouseOn Motion to Suspend the Rules and Pass, as AmendedFinal passagePassed, yea-nay 386–37
    Roll call 715 tally by party
    PartyYeaNayPresentNot voting
    Democrats1961106
    Republicans1892604
    Independents1000
    Total38637010

    House roll call 715: On Motion to Suspend the Rules and Pass, as Amended. Passed.

    37 crossed party lines: 11 Democrats, 26 Republicans

    How each member voted (433)

Amendments

0 offered

No amendments were offered to this bill.

Cosponsors

66

Bipartisan support.

Who scored on this bill

534 points earned
  1. 1Brett Guthrie R-KY SponsorDrew cross-party cosponsors, introduced, reached a cosponsor milestone, passed House5 events+48
  2. 2Andy Biggs R-AZ1 maverick vote1 event+6
  3. 2Jamaal Bowman D-NY1 maverick vote1 event+6
  4. 2Josh Brecheen R-OK1 maverick vote1 event+6
  5. 2Tim Burchett R-TN1 maverick vote1 event+6
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Brett Guthrie

History

  1. Dec 12, 2023Passed the House, 386–37.
  2. Jul 11, 2023Introduced in the House by Brett Guthrie.
Show the full action history (15 actions)
  1. Dec 13, 2023Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
  2. Dec 12, 2023Considered as unfinished business. (consideration: CR H6836)
  3. 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)
  4. Dec 12, 2023On 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)
  5. Dec 12, 2023Motion to reconsider laid on the table Agreed to without objection.
  6. Dec 11, 2023Mr. Guthrie moved to suspend the rules and pass the bill, as amended.
  7. Dec 11, 2023Considered under suspension of the rules. (consideration: CR H6789-6797)
  8. Dec 11, 2023DEBATE - The House proceeded with forty minutes of debate on H.R. 4531.
  9. Dec 11, 2023At 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.
  10. Sep 28, 2023Committee Consideration and Mark-up Session Held
  11. Sep 28, 2023Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 29 - 3.
  12. Jul 19, 2023Committee Consideration and Mark-up Session Held.
  13. Jul 19, 2023Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
  14. Jul 11, 2023Introduced in House
  15. Jul 11, 2023Referred 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.