[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2591 Engrossed in House (EH)]

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119th CONGRESS
  1st Session
                                H. R. 2591

_______________________________________________________________________

                                 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.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

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

SEC. 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.

SEC. 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.

SEC. 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.

SEC. 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.

SEC. 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.

SEC. 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.

            Attest:

                                                                 Clerk.
119th CONGRESS

  1st Session

                               H. R. 2591

_______________________________________________________________________

                                 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.