H.R. 2404 (119th)Bill Overview

Remote Opioid Monitoring Act of 2025

Health|Health
Cosponsors
Support
Bipartisan
Introduced
Mar 27, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill requires the Comptroller General (GAO) to study remote monitoring of people prescribed opioids and report to relevant congressional committees within 18 months. The report must assess scientific evidence on efficacy, outcomes, and potential cost savings; estimate current prevalence including international use; and recommend ways to improve availability, access, and coverage, including possible changes to Federal health care programs and identification of beneficiary cohorts.

Why people may split

Privacy vs public-health framing of remote monitoring

Watch point

Relative to its intended legislative type, this bill is a succinct, functional study mandate: it clearly assigns the Comptroller General to produce a time‑bound report to specified congressional committees on the effects and prevalence of remote monitoring for people prescribed opioids, and it lists specific topics the report must address.

The bill requires the Comptroller General (GAO) to study remote monitoring of people prescribed opioids and report to relevant congressional committees within 18 months.

The report must assess scientific evidence on efficacy, outcomes, and potential cost savings; estimate current prevalence including international use; and recommend ways to improve availability, access, and coverage, including possible changes to Federal health care programs and identification of beneficiary cohorts.

Passage65/100

Study-only, low fiscal impact, and public‑health framing favor enactment, though passage still requires floor action in both chambers and signature.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a succinct, functional study mandate: it clearly assigns the Comptroller General to produce a time‑bound report to specified congressional committees on the effects and prevalence of remote monitoring for people prescribed opioids, and it lists specific topics the report must address.

Contention28/100

Privacy vs public-health framing of remote monitoring

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesLikely burdened

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Federal agenciesProvides an evidence base to guide federal and state policymaking on opioid remote monitoring.
  • Federal agenciesMay identify cost-saving care models for federal health programs if monitoring improves outcomes.
  • Potential benefitCould support expanded insurance coverage or reimbursement for remote monitoring technologies.
Likely burdened
  • Potential burdenMay lead to proposals increasing patient surveillance and raising privacy concerns.
  • Potential burdenRecommendations could prompt regulatory changes imposing new compliance burdens on providers.
  • Potential burdenImplementation could exacerbate inequalities if access to monitoring technology is uneven.
03 · Why people split

Why the argument around this bill splits.

Privacy vs public-health framing of remote monitoring
Progressive85%

Likely supportive because it aims to generate evidence about tools that could reduce opioid harm and expand care access.

Would emphasize equity, privacy, and safeguards to ensure monitoring helps rather than penalizes patients.

Leans supportive
Centrist75%

Generally favorable as a measured, evidence-gathering step before policy changes.

Wants clear scope, cost estimates, and methodology to avoid unintended consequences or unfunded mandates.

Leans supportive
Conservative55%

Cautiously receptive to an oversight-style GAO study but wary that 'monitoring' language could presage federal mandates or expanded entitlements.

Emphasizes individual liberty and state control.

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 likelihood65/100

Study-only, low fiscal impact, and public‑health framing favor enactment, though passage still requires floor action in both chambers and signature.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No explicit funding or cost estimate included
  • Definition and scope of 'remote monitoring' not specified
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

Privacy vs public-health framing of remote monitoring

Study-only, low fiscal impact, and public‑health framing favor enactment, though passage still requires floor action in both chambers and s…

Unlocked analysis

Relative to its intended legislative type, this bill is a succinct, functional study mandate: it clearly assigns the Comptroller General to produce a time‑bound report to specified congressional committees on the effect…

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
Open full analysis