H.R. 3595 (119th)Bill Overview

Safe Prescribing Through Reporting Act of 2025

Health|Health
Cosponsors
Support
Lean Republican
Introduced
May 23, 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 amends section 543(b)(2) of the Public Health Service Act (42 U.S.C. 290dd–2(b)(2)) to add an exception permitting disclosure of records relating to the prescribing or dispensing of substance use disorder (SUD) medications to State prescription drug monitoring programs (PDMPs). Disclosure is allowed only when the record relates to SUD medications and the disclosure is required by applicable State law.

Why people may split

Privacy and treatment access concerns versus monitoring and diversion prevention

Watch point

Relative to its intended legislative type, this bill is a focused statutory amendment that clearly creates a narrow exception permitting disclosure of records related to substance use disorder medications to State prescription drug monitoring programs when state law requires such disclosure.

The bill amends section 543(b)(2) of the Public Health Service Act (42 U.S.C. 290dd–2(b)(2)) to add an exception permitting disclosure of records relating to the prescribing or dispensing of substance use disorder (SUD) medications to State prescription drug monitoring programs (PDMPs).

Disclosure is allowed only when the record relates to SUD medications and the disclosure is required by applicable State law.

The change creates a statutory pathway for such confidentiality exceptions where state law mandates reporting.

Passage45/100

Limited scope and no fiscal cost improve prospects, but confidentiality concerns and variable state laws introduce friction and possible opposition.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a focused statutory amendment that clearly creates a narrow exception permitting disclosure of records related to substance use disorder medications to State prescription drug monitoring programs when state law requires such disclosure. The operative change is specific and well-targeted within the existing statutory citation.

Contention68/100

Privacy and treatment access concerns versus monitoring and diversion prevention

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesFederal agencies · States

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

Likely helped
  • Potential benefitIncreases PDMP data completeness for SUD medications, aiding monitoring and public health surveillance.
  • Federal agenciesEnables states to enforce mandatory reporting rules without running afoul of federal confidentiality restrictions.
  • Potential benefitMay reduce diversion by giving regulators and prescribers more comprehensive medication histories.
Likely burdened
  • Federal agenciesReduces federal privacy protections for SUD treatment records, raising patient confidentiality concerns.
  • Potential burdenMay deter some patients from seeking or continuing SUD treatment due to reporting fears.
  • StatesCould expose patients to criminal or civil consequences where state data sharing leads to law enforcement access.
03 · Why people split

Why the argument around this bill splits.

Privacy and treatment access concerns versus monitoring and diversion prevention
Progressive35%

Likely cautious or concerned.

Supports effective SUD treatment but worries this reduces confidentiality protections and may deter care.

Would want strong privacy safeguards and non-punitive use of PDMP data.

Likely resistant
Centrist60%

Mixed but pragmatic.

Sees value in monitoring to prevent misuse while recognizing privacy tradeoffs.

Would weigh state flexibility and demand statutory safeguards and oversight.

Split reaction
Conservative80%

Generally supportive.

Values state authority and tools to prevent drug diversion and improper prescribing.

Sees the bill as enabling public-safety and medical oversight consistent with state law.

Leans supportive
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 likelihood45/100

Limited scope and no fiscal cost improve prospects, but confidentiality concerns and variable state laws introduce friction and possible opposition.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • How 'substance use disorder medication' is defined in implementation
  • Interaction with existing 42 CFR Part 2 and HIPAA confidentiality rules
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 and treatment access concerns versus monitoring and diversion prevention

Limited scope and no fiscal cost improve prospects, but confidentiality concerns and variable state laws introduce friction and possible op…

Unlocked analysis

Relative to its intended legislative type, this bill is a focused statutory amendment that clearly creates a narrow exception permitting disclosure of records related to substance use disorder medications to State presc…

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