H.R. 2591House119th Congress (2025-2027)Passed House

Mental Health in Aviation Act of 2025

Introduced April 2, 2025

AI-Generated Summary

Updated November 24, 2025 at 1:26 AM UTC

The Mental Health in Aviation Act of 2025 directs the Federal Aviation Administration to update its rules so that pilots, air‑traffic controllers, and other aviation personnel are encouraged to seek treatment for mental‑health conditions and to disclose those conditions without fear. It establishes a reporting and consultation process, funds additional medical examiners, mandates an annual review of special‑issuance medical clearances, and funds a public campaign to reduce stigma. The bill affects aviation workers, the FAA, and related medical and labor groups.

Key Provisions

  • Within two years, the FAA must revise its regulations (including part 67) to encourage aviation workers—pilots, air traffic controllers, and others—to seek help for mental‑health issues and to disclose those conditions.
  • The FAA must amend the FAA Reauthorization Act to require a task‑group report that reviews NTSB mental‑health recommendations and includes input from pilots’ unions, air‑traffic‑controller representatives, aviation medical examiners, and other stakeholders.
  • The FAA must act on the report’s mental‑health recommendations within 180 days, and if it declines any recommendation it must explain why to Congress.
  • An annual review of the “special issuance” process for pilots and controllers is required, with goals such as approving more mental‑health medications, improving examiner training, and possibly delegating more authority to medical examiners.
  • Funding of $13.74 million per year (FY 2026‑2028) is set aside to recruit and train additional aviation medical examiners, including psychiatrists, and to clear the backlog of special‑issuance cases.
  • A $1.5 million per year (FY 2026‑2028) public‑information campaign must be created to destigmatize mental‑health care in aviation and inform workers about available support services.
  • The FAA must implement, as far as practicable, the recommendations of the Mental Health and Aviation Medical Clearances Rulemaking Committee within two years, with required consultation and justification if any recommendation is not adopted.

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.

September 9, 2025

View full timeline
HouseIntro Referral

Introduced in House

April 2, 2025

HouseIntro Referral

Referred to the House Committee on Transportation and Infrastructure.

April 2, 2025

HouseCommittee

Referred to the Subcommittee on Aviation.

April 3, 2025

HouseCommittee

Committee Consideration and Mark-up Session Held

June 11, 2025

HouseCommittee

Subcommittee on Aviation Discharged

June 11, 2025

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

June 11, 2025

HouseCommittee

Reported (Amended) by the Committee on Transportation and Infrastructure. H. Rept. 119-242.

September 8, 2025

HouseCalendars

Placed on the Union Calendar, Calendar No. 199.

September 8, 2025

HouseFloor

Mr. Barrett moved to suspend the rules and pass the bill, as amended.

September 8, 2025 • 4:45 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H3872-3874)

September 8, 2025 • 4:45 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 2591.

September 8, 2025 • 4:45 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3872)

September 8, 2025 • 4:57 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3872)

September 8, 2025 • 4:57 PM

HouseFloor

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

September 8, 2025 • 4:57 PM

SenateIntro Referral

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

September 9, 2025

Floor Debate

4 members

What members said about H.R. 2591 on the floor

2 Republicans2 Democrats
Shomari Figures
Rep. Shomari FiguresD-AL-2 · Sep 8, 2025

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of H.R. 2591, the Mental Health in Aviation Act of 2025, a bill that would modernize the Federal Aviation…

Tom Barrett
Rep. Tom BarrettR-MI-7 · Sep 8, 2025

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 2591) to require the Administrator of the Federal Aviation Administration to revise regulations for certain individuals carrying out…

Sean Casten
Rep. Sean CastenD-IL-6 · Sep 8, 2025

Mr. Speaker, I rise in support of the bipartisan Mental Health in Aviation Act, which I introduced with my friend, Mr. Stauber, from Minnesota. I thank Congressman Stauber as well as Chairman Graves…

Pete Stauber
Rep. Pete StauberR-MN-8 · Sep 8, 2025

Mr. Speaker, currently, pilots and air traffic controllers who seek mental health care are unfairly penalized. While aviation professionals are mandated to report if they seek mental health care,…

Bill Text

4 versions available

Reading Mode
Latest
Referred in SenateIssued September 9, 2025

IIB

119th CONGRESS

1st Session

H. R. 2591

IN THE SENATE OF THE UNITED STATES

September 9, 2025

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

AN ACT

To require the Administrator of the Federal Aviation Administration to revise regulations for certain individuals carrying out aviation activities who disclose a mental health diagnosis or condition, and for other purposes.


1.

Short title

This Act may be cited as the Mental Health in Aviation Act of 2025.

2.

Regulations for individuals carrying out aviation activities

(a)

In general

Not later than 2 years after the date of enactment of this Act, the Administrator of the Federal Aviation Administration shall update regulations, including in part 67 of title 14 of Code of Federal Regulations, as appropriate, to encourage individuals to—

(1)

seek help for mental health conditions or symptoms of mental health conditions; and

(2)

disclose conditions or symptoms described in paragraph (1).

(b)

Consultation; report requirements

Section 411(d) of the FAA Reauthorization Act of 2024 (49 U.S.C. 44703 note(d)) is amended—

(1)

in paragraph (4)—

(A)

in subparagraph (A) by striking and at the end;

(B)

in subparagraph (B) by striking and at the end;

(C)

in subparagraph (C) by striking the period at the end and inserting a semicolon; and

(D)

by adding at the end the following:

(D)

a review and evaluation of any recommendations reached by the National Transportation Safety Board related to aviation workforce mental health; and

(E)

a description of relevant clinical studies, research, diagnostic manuals, and protocols used by the licensed professionals as of the date of enactment of this Act.

; and

(2)

by adding at the end the following:

(5)

Consultation

In carrying out this subsection, the task group shall consult with relevant stakeholders from the aviation and medical communities, as necessary, including—

(A)

the certified exclusive bargaining representatives of air traffic controllers of the Administration certified under section 7111 of title 5, United States Code;

(B)

organizations representing certified collective bargaining representatives of airline pilots;

(C)

aviation medical examiners, as described in section 183.21 of title 14, Code of Federal Regulations; and

(D)

any other stakeholder determined relevant by the task group, including any stakeholders described in paragraph (3)(B).

.

(c)

Implementation

(1)

In general

Not later than 180 days after the submission of the report required under section 411(f) of the FAA Reauthorization Act of 2024 (49 U.S.C. 44703 note), the Administrator shall take such actions as are necessary to implement the mental health-related recommendations of such report.

(2)

Justification

If the Administrator decides not to implement any of the recommendations described in paragraph (1), the Administrator shall submit to the appropriate committees of Congress the justification for such decision.

3.

Annual review of mental health special issuance process

The Administrator shall conduct an annual review, and update, as appropriate, the applicable regulations, policies, orders, and guidance on mental health-related special issuance for pilots and air traffic controllers to—

(1)

reclassify and approve additional medications that may be safely prescribed to airmen to treat mental health conditions;

(2)

improve mental health knowledge and training for aviation medical examiners;

(3)

if the Administrator determines appropriate, delegate additional authority to aviation medical examiners consistent with the recommendation of the Mental Health Aviation Rulemaking Committee described in section 5; and

(4)

improve the special issuance process for pilots and air traffic controllers.

4.

Authorization of appropriation for additional aviation medical examiners

Of the amounts made available pursuant to section 106(k)(1) of title 49, United States Code, the Administrator shall set aside $13,740,000 for each of fiscal years 2026 through 2028 to—

(1)

recruit, select, train, and delegate the necessary authorities to additional aviation medical examiners and human intervention motivation study aviation medical examiners, including those who are psychiatrists;

(2)

expand capacity to provide oversight of aviation medical examiners and clear the backlog of special issuance requests and cases awaiting review at the Office of Aerospace Medicine; and

(3)

support any other related activities, as the Administrator determines appropriate.

5.

Implementation of aviation rulemaking committee recommendations

(a)

In general

Not later than 2 years after the date of enactment of this Act, the Administrator shall implement, to the greatest extent practicable, the recommendations of the Mental Health and Aviation Medical Clearances Aviation Rulemaking Committee which were submitted to the Administrator on April 1, 2024.

(b)

Consultation

In carrying out subsection (a), the Administrator shall consult with the parties described in section 411(d)(5) of the FAA Reauthorization Act of 2024 (as added by this Act).

(c)

Justification

If the Administrator decides not to implement any of the recommendations described in subsection (a), the Administrator shall submit to the appropriate committees of Congress the justification for such decision.

6.

Public information campaign

(a)

In general

Of the amounts made available under section 106(k)(1) of title 49, United States Code, the Administrator shall set aside $1,500,000 for each of fiscal years 2026 through 2028 for a public information campaign or similar public education efforts to destigmatize individuals in (or interested in joining) the aviation industry who seek mental health care, to broaden awareness of available supportive services, and establish trust with pilots and air traffic controllers.

(b)

Report

Not later than 1 year after the Administrator creates the public information campaign described in subsection (a), the Administrator shall submit to appropriate committees of Congress a report describing the actions taken to develop such campaign and the plans for implementation.

7.

Definitions

In this Act:

(1)

Appropriate committees of Congress

The term appropriate committees of Congress means—

(A)

the Committee on Transportation and Infrastructure of the House of Representatives; and

(B)

the Committee on Commerce, Science, and Transportation of the Senate.

(2)

Special issuance

The term special issuance has the meaning given the term in section 67.401 of title 14, Code of Federal Regulations.

Passed the House of Representatives September 8, 2025.

Kevin F. McCumber,

Clerk.