H.R. 2591

119th Congress

In Committee

Mental Health in Aviation Act of 2025

Sponsored byDemocrat:Rep. Casten, Sean [D-IL-6]IL· Introduced 2 April 2025

43

Cosponsors

17

Actions

0

Amendments

2

Committees

Since introduced

Introduced
Committee
Passed Chamber
Passed Both
Enacted
Step 1 of 0
Latest action

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

9 September 2025·10 months ago

Summary

Introduced in House · Updated 8 September 2025

Mental Health in Aviation Act of 2025

This bill requires the Federal Aviation Administration (FAA) to review and update its regulations and policies on mental health for pilots and air traffic controllers.

The FAA must update regulations and take any other actions necessary to implement the recommendations of (1) the Aviation Workforce Mental Health Task Group, and (2) the Mental Health and Aviation Medical Clearances Aviation Rulemaking Committee (the ARC).

The FAA must also annually review and update, as appropriate, the applicable regulations and policies on mental health-related special issuance for pilots and air traffic controllers. As background, an Authorization for Special Issuance of a Medical Certificate is a discretionary document from the FAA which allows an airman with a disqualifying medical condition to fly under a restricted medical certificate.

Among other things, the review and update must

  • reclassify and approve additional medications that may be safely prescribed to airmen to treat mental health conditions,
  • delegate additional authority to aviation medical examiners (AMEs) consistent with the ARC recommendations, and
  • improve the special issuance process for pilots and air traffic controllers.

 The bill authorizes the FAA to take actions to recruit and train additional AMEs.

The bill also authorizes an FAA public information campaign or education efforts to (1) destigmatize individuals in (or interested in joining) the aviation industry who seek mental health care, (2) broaden awareness of available supportive services, and (3) establish trust with pilots and air traffic controllers.

Timeline

17 actions

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

    9 September 2025 · IntroReferral

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

    8 September 2025 · Floor

  3. 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)

    8 September 2025 · Floor

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

    8 September 2025 · Floor

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

    8 September 2025 · Floor

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

    8 September 2025 · Committee

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

    8 September 2025 · Floor

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

    8 September 2025 · Committee

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

    8 September 2025 · Floor

  10. Placed on the Union Calendar, Calendar No. 199.

    8 September 2025 · Calendars

  11. Committee Consideration and Mark-up Session Held

    11 June 2025 · Committee

  12. Ordered to be Reported (Amended) by Voice Vote.

    11 June 2025 · Committee

  13. Subcommittee on Aviation Discharged

    11 June 2025 · Committee

  14. Referred to the Subcommittee on Aviation.

    3 April 2025 · Committee

  15. Referred to the House Committee on Transportation and Infrastructure.

    2 April 2025 · IntroReferral

  16. Introduced in House

    2 April 2025 · IntroReferral

  17. Introduced in House

    2 April 2025 · IntroReferral

Sponsorship

43 cosponsors

Sponsor

Democrat:Rep. Casten, Sean [D-IL-6]IL

Cosponsors

  • Democrat2149%
  • Republican2251%

Classification

Policy area

Transportation and Public Works

Legislative subjects

Administrative law and regulatory proceduresAviation and airportsCongressional oversightDepartment of TransportationDrug therapyGovernment information and archivesHealth promotion and preventive careInternet, web applications, social mediaMental healthTransportation employeesTransportation safety and security

Committees

2

  • Transportation and Infrastructure Committee

    House · Standing

    • Referred To2 Apr 2025
    • Markup By11 Jun 2025
    • Discharged from11 Jun 2025
    • Reported By8 Sept 2025
    • Aviation Subcommittee

      • Referred to3 Apr 2025
  • Commerce, Science, and Transportation Committee

    Senate · Standing

    • Referred To9 Sept 2025

Cosponsor momentum

Cumulative over time

Cosponsors grew from 3 on 2 April 2025 to 43 on 8 September 2025.

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