PlainBillCongress, translated.Legislation. Context. Public interest.Received in the Senate and Read twice and referred to the Committee on Commerce, Science, and Transportation.
Congressional Research Service
Version 00 · Introduced in House · Apr 2, 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).
Showing the opening paragraphs of the official summary.
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.
People & committees
Rep. Casten, Sean [D-IL-6] · D–IL
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Received in the Senate and Read twice and referred to the Committee on Commerce, Science, and Transportation.
Motion to reconsider laid on the table Agreed to without objection.
On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H3872)
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)
DEBATE - The House proceeded with forty minutes of debate on H.R. 2591.
Considered under suspension of the rules. (consideration: CR H3872-3874)
Mr. Barrett moved to suspend the rules and pass the bill, as amended.
Placed on the Union Calendar, Calendar No. 199.
Reported (Amended) by the Committee on Transportation and Infrastructure. H. Rept. 119-242.
Reported (Amended) by the Committee on Transportation and Infrastructure. H. Rept. 119-242.
Ordered to be Reported (Amended) by Voice Vote.
Subcommittee on Aviation Discharged
Committee Consideration and Mark-up Session Held
Referred to the Subcommittee on Aviation.
Referred to the House Committee on Transportation and Infrastructure.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We currently store references to these documents.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Sep 30, 2026. Consult Congress.gov for the current record.
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Analyze H.R.2591 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
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