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H.R. 4341: CARA 3.0 Act of 2021

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H.R. 4341: CARA 3.0 Act of 2021

117th Congress · introduced 2021-07-01 · Health · Latest: Referred to the Subcommittee on Crime, Terrorism, and Homeland Security.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2021-07-01 · official record
  2. Who proposed it: Rep. Trone, David J. [D-MD-6] · what a sponsor is
  3. What happened next: no floor votes in our records yet. Why?
  4. Where it stands now: Referred to the Subcommittee on Crime, Terrorism, and Homeland Security. Not final yet: this can still change. We check for updates every day.
  5. If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

CARA 3.0 Act of 2021

Plain summary

CARA 3.0 Act of 2021 This bill addresses substance use disorders by expanding access to treatment and recovery services, providing for housing protections, and requiring other activities. Specifically, the bill reauthorizes, establishes, and expands support for treatment and recovery services. This includes increasing access to treatment in the criminal justice system and other settings and for particular populations, such as pregnant and postpartum individuals and youth and young adults. Additionally, the bill expands Medicare and Medicaid coverage for treatment, including by expanding telehealth access to medication to treat substance use disorders. The bill also temporarily requires that non-opioid pain treatment options be reimbursed separately, instead of on a packaged basis, under Medicare. As a condition of receiving certain federal funding, states must mandate the use of prescription drug monitoring programs (PDMPs) by prescribers and dispensers and impose additional PDMP requirements. Moreover, prescribers of potentially addictive drugs must complete continuing education requirements. The bill also revises the registration process for providers who prescribe certain medications to treat substance use disorders, including by eliminating the provider's patient limit for such medications. In addition, the Substance Abuse and Mental Health Services Administration must carry out activities to promote access to high-quality recovery housing. The bill also sets out protections for individuals with substance use disorders who live in, or apply to live in, federally assisted housing. Furthermore, the bill requires other activities to address substance use, such as support for workforce education and training; public awareness campaigns and similar outreach; and research on prevention strategies, insurance coverage, and treatment modalities.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

CARA 3.0 Act of 2021

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

Arguments for (supporters)

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Arguments against (opponents)

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Alternatives

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Trone, David J. [D-MD-6] · 56 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Brian K. Fitzpatrick (R-PA), Paul Tonko (D-NY), David P. Joyce (R-OH), Lucy McBath (D-GA), Michael R. Turner (R-OH), Angie Craig (D-MN), Madeleine Dean (D-PA), Mike Levin (D-CA), Lori Trahan (D-MA), John H. Rutherford (R-FL), Steve Womack (R-AR), Lisa Blunt Rochester (D-DE), Chris Pappas (D-NH), Debbie Dingell (D-MI), Troy A. Carter (D-LA), Joseph D. Morelle (D-NY), Diana DeGette (D-CO), Robin L. Kelly (D-IL), Susie Lee (D-NV), Nanette Diaz Barragán (D-CA), Joyce Beatty (D-OH), Bill Foster (D-IL), Frank J. Mrvan (D-IN), Betty McCollum (D-MN), Yvette D. Clarke (D-NY), Daniel Meuser (R-PA), Doris O. Matsui (D-CA), Lloyd Smucker (R-PA), Deborah K. Ross (D-NC), Pete Aguilar (D-CA), Lois Frankel (D-FL), Teresa Leger Fernandez (D-NM), Kweisi Mfume (D-MD), Don Bacon (R-NE)

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (1)
Bill
A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Record fed-us-cong117-hr4341 · catalog fed-us-congress-bills-cong117 · updated 2026-11-15 by psicol fed-bills-cong117