H.R. 2351 (119th)Bill Overview

To direct the Commandant of the Coast Guard to update the policy of the Coast Guard regarding the use of medication to treat drug overdose, and for other purposes.

Transportation and Public Works|Coast guardCongressional oversight
Cosponsors
Support
Lean Republican
Introduced
Mar 26, 2025
Discussions
Bill Text
Current stageCommittee

Received in the Senate and Read twice and referred to the Committee on Commerce, Science, and Transportation.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief

The bill amends 46 U.S.C. 70503 to clarify controlled-substance prohibitions while on covered vessels and requires the Coast Guard to update overdose-medication policy.

It mandates naloxone (or similar) be available at all Coast Guard installations and in each operational environment, requires Coast Guard participation in a DoD tracking system (and an MOU to enable access), and directs briefings to specified Congressional committees on implementation, incidence, and use.

The Commandant must comply with privacy laws; timelines for updates and briefings are set (mostly within 1–2 years).

Passage70/100

Focused public-health and readiness bill with limited cost and cross-cutting controversy, historically likely to clear committees and floors.

CredibilityPartially aligned

Relative to its intended legislative type, this bill functions primarily as a substantive policy change that also imposes administrative requirements and reporting obligations. It clearly prescribes several statutory amendments and directs specific actions with timelines and responsible officials, but it omits fiscal authorization and many operational specifics that are relevant given the breadth of the requirements.

Contention50/100

Harm-reduction focus versus concerns about discipline and enforcement

02 · What it does

Who stands to gain, and who may push back.

Who this appears to help vs burden50% / 50%
Targeted stakeholdersTargeted stakeholders
Likely helped
  • Targeted stakeholdersIncreased naloxone availability likely reduces opioid overdose fatalities among Coast Guard personnel and visitors.
  • Targeted stakeholdersStandardized policy ensures naloxone presence across installations and operational environments, improving medical read…
  • Targeted stakeholdersParticipation in a centralized tracking system could improve situational awareness and data-driven prevention efforts.
Likely burdened
  • Targeted stakeholdersRequiring naloxone at all installations and operations creates procurement, storage, and training costs for the Coast G…
  • Targeted stakeholdersLinking to a centralized tracking system raises privacy and medical-data sharing concerns for personnel.
  • Targeted stakeholdersNegotiating and maintaining an MOU with the Department of Defense could delay practical access to the tracking system.
03 · Why people split

Why the argument around this bill splits.

Harm-reduction focus versus concerns about discipline and enforcement
Progressive90%

Generally supportive; sees the bill as a harm-reduction and life-saving measure for service members.

Values the mandated availability of naloxone, data collection, and clear policy updates to address fentanyl risk.

Leans supportive
Centrist70%

Cautiously favorable: supports life-saving measures and better data, but wants clear implementation plans, funding, and privacy safeguards.

Sees merit in interagency coordination while watching cost and operational impacts.

Leans supportive
Conservative40%

Mixed to skeptical: acknowledges life-saving value but worries about mandates, added bureaucracy, costs, and effects on discipline.

Wants assurance this does not impede enforcement or mission readiness.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood70/100

Focused public-health and readiness bill with limited cost and cross-cutting controversy, historically likely to clear committees and floors.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No cost estimate or appropriation authority included
  • Timing/availability of referenced tracking system
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Harm-reduction focus versus concerns about discipline and enforcement

Focused public-health and readiness bill with limited cost and cross-cutting controversy, historically likely to clear committees and floor…

Unlocked analysis

Relative to its intended legislative type, this bill functions primarily as a substantive policy change that also imposes administrative requirements and reporting obligations. It clearly prescribes several statutory am…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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