Federal government backs peer support specialists, removes hiring barriers
H.R. 2741 — PEER Support Act · Filed by Andrea Salinas (D-OR) · 25 cosponsors · Introduced Apr 8, 2025 · Referred to committee
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What it does
This bill creates a federal framework to expand the peer support specialist workforce—people with lived experience of mental health or substance use disorder recovery who help others navigate similar challenges. It establishes a new Office of Recovery within the federal health agency, requires the government to officially recognize peer support specialists as an occupational category, and directs a study of state criminal background check rules that may be blocking people with past convictions from becoming certified peer supporters.
Why we flagged it
The bill's operative mechanism is creating infrastructure (an Office, occupational classification, training standards) to professionalize and expand a specific workforce category—peer support specialists—and remove employment barriers. It is fundamentally a public health workforce bill, not a regulatory carve-out or subsidy.
What the text implies
- The criminal background check study may reveal that state Medicaid programs are imposing barriers stricter than federal law requires, potentially opening a pathway for federal pressure to harmonize or relax those rules—affecting who can be hired into federally funded positions.
- Establishing peer support specialists as an official occupational category in the Standard Occupational Classification system may trigger downstream effects on wage data collection, labor statistics, and potentially future wage-setting or benefit eligibility determinations.
- The bill requires the Office of Recovery Director to have 'lived experience' with recovery, creating a statutory preference for hiring people with personal mental health or substance use history into a federal leadership role—a rare explicit carve-out favoring people with that background.
Section numbers refer to the bill text the analysis read — linked under Primary records below.
Who it affects
The bill removes barriers to employment for people in recovery and expands access to peer-led mental health and substance use services, which research shows improve outcomes. The criminal background check study directly addresses a structural barrier that prevents people with prior convictions from entering a helping profession, expanding economic opportunity and service capacity simultaneously.
Who stands to gain
- peer support specialists (employment and career pathway expansion)
- behavioral health service providers (expanded workforce capacity)
- states and localities (technical assistance and best-practice guidance)
Named in the bill
Substance Abuse and Mental Health Services Administration (SAMHSA), Office of Management and Budget (OMB), Office of Recovery (newly established), National Association of Peer Supporters, Centers for Medicare & Medicaid Services (CMS), State Medicaid agencies, Attorney General
Where it stands
25 cosponsors: 23 Democrats, 2 Republicans.
- Apr 8, 2025 — Introduced · Congress.gov: “Introduced in House”
- Apr 8, 2025 — Referred to House Committee on Education and Workforce and House Committee on Energy and Commerce · Congress.gov: “Referred to the Committee on Energy and Commerce, and in addition to the Committee on Education and…”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
8 lobbying clients named this bill on 12 disclosure filings across 2 quarters, Dec 2025 to Jun 2026. Those filings disclosed $3,541,240 in lobbying spend. A filing names 9 bills on average, so that figure is what each filing reported, not a share belonging to this bill.
More lobbying clients named this bill than 88% of bills with at least one filing.
Andrea Salinas, the sponsor, reported $700,715 in PAC receipts in the 2026 cycle.
- America's Health Insurance Plans Inc (ahip) — $3,010,000 on 1 filing
- National Council for Behavioral Health — $233,295 on 2 filings
- Herbert J. Thomas Memorial Hospital Association (fka Thomas Health) — $120,000 on 2 filings
- Tobacco-free Kids Action Fund Fka Global Health Advocacy Incubator (ghai) — $90,000 on 2 filings
- Trust for America's Health — $41,945 on 1 filing
Lobbying Disclosure Act filings through Jul 20, 2026. A filing shows who paid to lobby on a bill it names, not what changed.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (6,582 characters) on Aug 15, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Dec 2025 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-10-20.
- H.R. 2741 on Congress.gov
- Actions and status history
- Cosponsors (25)
- Bill text the analysis read
- America's Health Insurance Plans Inc (ahip) — LDA filing, 2026 Q2
- National Council for Behavioral Health — LDA filing, 2026 Q2
- Herbert J. Thomas Memorial Hospital Association (fka Thomas Health) — LDA filing, 2025 Q4
- Andrea Salinas — FEC candidate receipts, 2026 cycle
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