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Senate passes legislation to update aviation mental health and medication guidelines

The U.S. Senate unanimously passed two bills to update FAA mental health protocols, recruit more medical examiners, and publish a list of safe medications for pilots.

Published September 25, 2026 at 2:51 PM EDT

The short answer

The U.S. Senate unanimously passed two bills to update FAA mental health protocols, recruit more medical examiners, and publish a list of safe medications for pilots.

Senate passes legislation to update aviation mental health and medication guidelines

The Facts

Who
Sens. John Hoeven (R-ND) and Tammy Duckworth (D-IL)
What
Senate passage of aviation mental health bills
When
Thursday, September 24, 2026
Where
Washington, D.C.
Why
To reduce mental health stigma in the aviation industry and provide transparency on approved medications for pilots and air traffic controllers.

The U.S. Senate on Thursday, September 24, 2026, passed two bills intended to modernize mental health protocols for pilots and air traffic controllers. The legislation, which passed by unanimous consent, aims to reduce the stigma associated with seeking treatment and to increase transparency regarding medications that are permitted for use by aviation professionals.

The two measures, titled the John A. Hauser Mental Health in Aviation Act and the Aviation Medication Transparency Act of 2026, were sponsored by Sens. John Hoeven (R-ND) and Tammy Duckworth (D-IL). The John A. Hauser Mental Health in Aviation Act is named for a University of North Dakota aviation student who died by suicide in 2021. According to Rep. Sean Casten (D-IL), who sponsored the House version of the bill, Hauser and other students expressed concerns that seeking mental health care could jeopardize their career prospects.

The John A. Hauser Mental Health in Aviation Act requires the Federal Aviation Administration (FAA) to issue guidance encouraging employees to seek mental health treatment and provides enhanced training for aviation medical examiners. It also directs the FAA to implement recommendations from a 2024 rulemaking committee to eliminate barriers to care. The second bill, the Aviation Medication Transparency Act, directs the FAA to maintain a publicly accessible, annually updated list of medications that are safe for pilots and air traffic controllers to take while working.

The financial scale of the measures includes an annual set-aside of $13,740,000 for fiscal years 2026 through 2028 to recruit and train additional aviation medical examiners and psychiatrists. An additional $1,500,000 is allocated annually over the same period for a public information campaign to destigmatize mental health care. For individual pilots and air traffic controllers, the most immediate change would be the publication of a "user-friendly" medication list within one year of enactment, which would specify which prescriptions require a period of limited duties and which are designated as "Do Not Issue."

The bills now move to the House of Representatives for further consideration. A version of the Mental Health in Aviation Act previously passed the House on September 8, 2025, by a voice vote. If signed into law, the FAA would be required to update its mental health regulations within two years of enactment and provide annual reports to Congress if it chooses not to implement specific recommendations from its mental health task group. Additionally, the FAA would be required to conduct annual reviews of the special issuance process for medical certificates to clear existing backlogs at the Office of Aerospace Medicine.

Timeline of what happened

Key dates and decisions, in the order they occurred.

  1. November 1, 2021

    Death of aviation student John A. Hauser

  2. December 2023

    FAA establishes Mental Health and Aviation Medical Clearances committee

  3. April 1, 2024

    Rulemaking committee submits recommendations to the FAA

  4. April 2, 2025

    Mental Health in Aviation Act introduced in the House

  5. September 8, 2025

    Mental Health in Aviation Act passes the House by voice vote

  6. September 9, 2025

    House bill received in the Senate and referred to committee

  7. November 25, 2025

    Rep. Casten applauds Senate introduction of companion bills

  8. September 24, 2026

    Senate passes mental health and medication transparency bills

Summaries are written by The Plain Record to state the facts of a story plainly and without political slant. Drafted with AI assistance and checked against the source record before publication. See how we report, or report a correction.

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Questions readers ask

What happened: Senate passes legislation to update aviation mental health and medication guidelines?

The U.S. Senate on Thursday, September 24, 2026, passed two bills intended to modernize mental health protocols for pilots and air traffic controllers. The legislation, which passed by unanimous consent, aims to reduce the stigma associated with seeking treatment and to increase transparency regarding medications that are permitted for use by aviation professionals.

Who is involved?

Sens. John Hoeven (R-ND) and Tammy Duckworth (D-IL)

When did this happen?

Thursday, September 24, 2026

Where did this happen?

Washington, D.C.

Why does this matter?

To reduce mental health stigma in the aviation industry and provide transparency on approved medications for pilots and air traffic controllers.