Mental Health in Aviation Act of 2025

119 HR 2591 EH: Mental Health in Aviation Act of 2025 U.S. House of Representatives text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS1st Session H. R. 2591

IN THE HOUSE OF REPRESENTATIVES 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 titleThis Act may be cited as the Mental Health in Aviation Act of 2025.

2.Regulations for individuals carrying out aviation activities (a)In generalNot 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 requirementsSection 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)ConsultationIn 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 generalNot 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)JustificationIf 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 processThe 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 examinersOf 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 generalNot 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)ConsultationIn 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)JustificationIf 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 generalOf 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)ReportNot 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.DefinitionsIn this Act: (1)Appropriate committees of CongressThe 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 issuanceThe 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.

118 HR 2591 IH: Mental Health in Aviation Act of 2025 U.S. House of Representatives 2025-04-02 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I119th CONGRESS1st SessionH. R. 2591IN THE HOUSE OF REPRESENTATIVESApril 2, 2025Mr. Casten (for himself, Mr. Stauber, Mr. Larsen of Washington, and Mr. Mann) introduced the following bill; which was referred to the Committee on Transportation and InfrastructureA BILLTo 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 titleThis Act may be cited as the Mental Health in Aviation Act of 2025.2.Regulations for individuals carrying out aviation activities(a)In generalNot 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, and take any other actions necessary to implement the recommendations of the aviation workforce mental health task group established under section 411(d) the FAA Reauthorization Act of 2024 to encourage individuals to—(1)seek help for mental health conditions or symptoms of mental health conditions; and(2)to disclose conditions or symptoms described in paragraph (1).(b)ConsultationIn carrying out this section, the task group described in subsection (a) shall consult with relevant stakeholders from the aviation and medical communities, as necessary, including—(1)the certified exclusive bargaining representatives of air traffic controllers of the Administration certified under section 7111 of title 5, United States Code;(2)the principal organization representing the largest certified collective bargaining representative of airline pilots;(3)aviation medical examiners, as described in section 183.21 of title 14, Code of Federal Regulations; and(4)any other stakeholder determined relevant by the task group, including any stakeholders described in section 411(d)(3)(B) of the FAA Reauthorization Act of 2024.(c)Report requirementsSection 411(d)(4) of the FAA Reauthorization Act of 2024 (Public Law 118–63) is amended—(1)in subparagraph (B) by striking and at the end;(2)in subparagraph (C) by striking the period at the end and inserting a semicolon; and(3)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..3.Annual review of mental health special issuance processThe Administrator of the Federal Aviation Administration shall conduct an annual review, and update, as appropriate, the applicable regulations and policies, 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 examinersThere is authorized to be appropriated $13,740,000 to the Administrator for each of fiscal years 2026 through 2029 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 determined by the Administrator.5.Implementation of aviation rulemaking committee recommendations(a)In generalNot later than 2 years after the date of enactment of this Act, the Administrator of the Federal Aviation Administration shall implement the recommendations of the Mental Health and Aviation Medical Clearances Aviation Rulemaking Committee which were submitted to the Administrator on April 1, 2024.(b)ConsultationSubject to section 2, the Administrator shall consult with parties in the implementation described in subsection (a).6.Public information campaign(a)In generalThere are authorized to be appropriated to the Administrator of the Federal Aviation Administration $1,500,000 for each of fiscal years 2026 through 2029 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)ReportNot 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.DefinitionsIn this Act:(1)Appropriate committees of CongressThe 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 issuanceThe term special issuance has the meaning given the term in section 67.401 of title 14, Code of Federal Regulations.

119 HR 2591 : Mental Health in Aviation Act of 2025 U.S. House of Representatives 2025-09-09 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IIB119th CONGRESS1st SessionH. R. 2591IN THE SENATE OF THE UNITED STATESSeptember 9, 2025Received; read twice and referred to the Committee on Commerce, Science, and TransportationAN ACTTo 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 titleThis Act may be cited as the Mental Health in Aviation Act of 2025.2.Regulations for individuals carrying out aviation activities(a)In generalNot 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 requirementsSection 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)ConsultationIn 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 generalNot 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)JustificationIf 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 processThe 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 examinersOf 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 generalNot 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)ConsultationIn 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)JustificationIf 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 generalOf 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)ReportNot 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.DefinitionsIn this Act:(1)Appropriate committees of CongressThe 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 issuanceThe 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.

119 HR 2591 RH: Mental Health in Aviation Act of 2025 U.S. House of Representatives 2025-09-08 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. IBUnion Calendar No. 199119th CONGRESS1st SessionH. R. 2591[Report No. 119–242]IN THE HOUSE OF REPRESENTATIVESApril 2, 2025Mr. Casten (for himself, Mr. Stauber, Mr. Larsen of Washington, and Mr. Mann) introduced the following bill; which was referred to the Committee on Transportation and InfrastructureSeptember 8, 2025Additional sponsors: Ms. Wilson of Florida, Mr. Bergman, Ms. Davids of Kansas, Mr. Fitzpatrick, Ms. King-Hinds, Ms. Norton, Mr. Nadler, Mr. Bacon, Mrs. Hinson, Mr. Carbajal, Mrs. Watson Coleman, Mr. Kean, Mr. Moylan, Ms. Titus, Mr. McDowell, Mr. Ryan, Mr. Carson, Mr. Owens, Mr. Johnson of Georgia, Mr. Obernolte, Mr. Van Drew, Mr. Deluzio, Mr. Valadao, Ms. Scholten, Mrs. McIver, Mr. Turner of Ohio, Mr. Garbarino, Mr. Garcia of California, Mr. Knott, Mr. Begich, Ms. Tokuda, Mr. Krishnamoorthi, Mr. Wied, Ms. Lofgren, Mr. LaLota, Mr. Stanton, Mr. Evans of Colorado, Mr. Suozzi, Mr. Lawler, and Ms. CraigSeptember 8, 2025Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printedStrike out all after the enacting clause and insert the part printed in italicFor text of introduced bill, see copy of bill as introduced on April 2, 2025A BILLTo 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 titleThis Act may be cited as the Mental Health in Aviation Act of 2025.2.Regulations for individuals carrying out aviation activities(a)In generalNot 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 requirementsSection 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)ConsultationIn 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 generalNot 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)JustificationIf 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 processThe 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 examinersOf 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 generalNot 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)ConsultationIn 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)JustificationIf 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 generalOf 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)ReportNot 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.DefinitionsIn this Act:(1)Appropriate committees of CongressThe 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 issuanceThe term special issuance has the meaning given the term in section 67.401 of title 14, Code of Federal Regulations.September 8, 2025Reported with an amendment, committed to the Committee of the Whole House on the State of the Union, and ordered to be printed