H.R. 2351House119th Congress (2025-2027)Passed House

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.

Introduced March 26, 2025

AI-Generated Summary

Updated November 24, 2025 at 1:37 AM UTC

The bill directs the Coast Guard to update its policy on using medication like naloxone to treat opioid overdoses and to make such medication readily available at all Coast Guard bases and during operations. It also tightens rules against placing controlled substances on Coast Guard vessels, requires the service to join a federal tracking system for drug use, and obligates a detailed briefing to Congress on overdose treatment and substance‑abuse trends within two years.

Key Provisions

  • Amends 46 U.S.C. §70503(a) to clarify that manufacturing, distributing, possessing with intent to distribute, or placing a controlled substance on a covered vessel is prohibited, and adds language about such activity occurring while on board a covered vessel.
  • Orders the Coast Guard Commandant to revise the service’s policy on using medication (e.g., naloxone) to treat opioid overdoses within one year of enactment.
  • Requires that naloxone or a similar medication be stocked at every Coast Guard installation and in all operational settings.
  • Mandates Coast Guard participation in the Department of Defense’s substance‑use tracking system and a memorandum of understanding with the Department of Defense to secure that access.
  • Calls for a briefing to the House Transportation and Infrastructure Committee and the Senate Commerce, Science, and Transportation Committee within two years, covering policy implementation, fentanyl/controlled‑substance use statistics, mitigation efforts, and any naloxone use incidents over the prior five years.
  • Requires compliance with privacy laws (Privacy Act and HIPAA) when handling related data.

Legislative Activity

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14 earlier actions
SenateIntro Referral Latest Action

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

June 10, 2025

View full timeline
HouseIntro Referral

Introduced in House

March 26, 2025

HouseIntro Referral

Referred to the House Committee on Transportation and Infrastructure.

March 26, 2025

HouseCommittee

Referred to the Subcommittee on Coast Guard and Maritime Transportation.

March 27, 2025

HouseCommittee

Subcommittee on Coast Guard and Maritime Transportation Discharged

April 2, 2025

HouseCommittee

Committee Consideration and Mark-up Session Held

April 2, 2025

HouseCommittee

Ordered to be Reported by Voice Vote.

April 2, 2025

HouseCommittee

Reported by the Committee on Transportation and Infrastructure. H. Rept. 119-149.

June 6, 2025

HouseCalendars

Placed on the Union Calendar, Calendar No. 118.

June 6, 2025

HouseFloor

Mr. Ezell moved to suspend the rules and pass the bill.

June 9, 2025 • 5:15 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H2547-2548)

June 9, 2025 • 5:15 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 2351.

June 9, 2025 • 5:15 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H2547-2548)

June 9, 2025 • 5:22 PM

HouseFloor

On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H2547-2548)

June 9, 2025 • 5:22 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

June 9, 2025 • 5:22 PM

SenateIntro Referral

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

June 10, 2025

Floor Debate

3 members

What members said about H.R. 2351 on the floor

2 Republicans1 Democrat
Mike Ezell
Rep. Mike EzellR-MS-4 · Jun 9, 2025

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 2351) to direct the Commandant of the Coast Guard to update the policy of the Coast Guard regarding the use of medication to treat…

Salud O. Carbajal
Rep. Salud O. CarbajalD-CA-24 · Jun 9, 2025

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of H.R. 2351, a bill requiring the Coast Guard to have a substantive policy on treating drug overdoses onboard…

Addison P. McDowell
Rep. Addison P. McDowellR-NC-6 · Jun 9, 2025

Mr. Speaker, I thank Mr. Ezell for yielding. Mr. Speaker, I rise today in support of my bill, H.R. 2351, which will strengthen the ability of the United States Coast Guard to respond effectively to…

Bill Text

4 versions available

Reading Mode
Latest
Referred in SenateIssued June 10, 2025

IIB

119th CONGRESS

1st Session

H. R. 2351

IN THE SENATE OF THE UNITED STATES

June 10, 2025

Received; read twice and referred to the Committee on Commerce, Science, and Transportation

AN ACT

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.


1.

Controlled substance onboard vessels

Section 70503(a) of title 46, United States Code, is amended—

(1)

in the matter preceding paragraph (1) by striking While on board a covered vessel, an and inserting An;

(2)

by amending paragraph (1) to read as follows:

(1)

manufacture or distribute, possess with intent to manufacture or distribute, or place or cause to be placed with intent to manufacture or distribute a controlled substance on board a covered vessel;

;

(3)

in paragraph (2) by inserting on board a covered vessel before the semicolon; and

(4)

in paragraph (3) by inserting while on board a covered vessel after such individual.

2.

Policy and briefing on availability of naloxone to treat opioid overdoses

(a)

Policy

Not later than 1 year after the date of enactment of this Act, the Commandant of the Coast Guard shall update the policy of the Coast Guard regarding the use of medication to treat drug overdoses, including the use of naloxone or other similar medication to treat opioid, including fentanyl, overdoses.

(b)

Availability

The updated policy required under subsection (a) shall require naloxone or other similar medication be available for members of the Coast Guard—

(1)

on all Coast Guard installations; and

(2)

in each operational environment.

(c)

Participation in tracking system

Not later than 1 year after the earlier of the date of enactment of this Act or the date on which the tracking system established under section 706 of the National Defense Authorization Act for Fiscal Year 2024 (10 U.S.C. 1090 note) is established, the Commandant shall ensure the participation of the Coast Guard in the such tracking system.

(d)

Memorandum of understanding

Not later than 1 year after the earlier of the date of enactment of this Act or the date on which the tracking system established under section 706 of the National Defense Authorization Act for Fiscal Year 2024 (10 U.S.C. 1090 note) is established, the Secretary of the department in which the Coast Guard is operating when not operating as a service in the Navy and the Secretary of Defense shall finalize a memorandum of understanding to facilitate Coast Guard access such tracking system.

(e)

Briefing

(1)

In general

Not later than 2 years after the date of enactment of this Act, the Commandant shall provide the Committee on Transportation and Infrastructure of the House of Representatives and the Committee on Commerce, Science, and Transportation of the Senate a briefing on the use, by members and personnel of the Coast Guard at Coast Guard facilities, onboard Coast Guard assets, and during Coast Guard operations, of—

(A)

naloxone or other similar medication to treat opioid, including fentanyl, overdoses; and

(B)

opioids, including fentanyl.

(2)

Elements

The briefing required under paragraph (1) shall include the following:

(A)

A description of—

(i)

the progress made in the implementation of the updated policy required under subsection (a);

(ii)

the prevalence and incidence of the illegal use of fentanyl and other controlled substances in the Coast Guard during the 5-year period preceding the briefing;

(iii)

processes of the Coast Guard to mitigate substance abuse in the Coast Guard, particularly with respect to fentanyl; and

(iv)

the status of the memorandum of understanding required under subsection (d).

(B)

For the 5-year period preceding the briefing, a review of instances in which naloxone or other similar medication was used to treat opioid, including fentanyl, overdoses at a Coast Guard facility, onboard a Coast Guard asset, or during a Coast Guard operation.

(f)

Privacy

In carrying out the requirements of this section, the Commandant shall ensure compliance with all applicable privacy law, including section 552a of title 5, United States Code (commonly referred to as the Privacy Act), and the privacy regulations promulgated under section 264(c) of the Health Insurance Portability and Accountability Act (42 U.S.C. 1320d–2 note).

(g)

Rule of construction

For purposes of the availability requirement under subsection (b), with respect to a Coast Guard installation comprised of multiple Coast Guard facilities or units, naloxone or other similar medication available at a single Coast Guard facility within the installation shall be considered to be available to all Coast Guard facilities or units on the installation if appropriate arrangements are in place to ensure access, at all times during operations, to the naloxone or other similar medication contained within such single Coast Guard facility.

Passed the House of Representatives June 9, 2025.

Kevin F. McCumber,

Clerk.