PolicyBrief
S. 1074
119th CongressMar 14th 2025
Agricultural Access to Substance Use Disorder Treatment and Mental Health Care Act of 2025
IN COMMITTEE

This bill mandates a comprehensive study on the accessibility of substance use disorder and mental health care for farmers and ranchers, including identifying barriers and recommending solutions.

Michael Bennet
D

Michael Bennet

Senator

CO

LEGISLATION

New Bill Mandates Two-Year Study to Pinpoint Mental Health Barriers for Farmers and Ranchers

This new piece of legislation, titled the Agricultural Access to Substance Use Disorder Treatment and Mental Health Care Act of 2025, isn't about funding new programs right away. Instead, it’s a strategic move to figure out exactly where the system is breaking down for people working in agriculture. The core of this bill is a mandate for the Comptroller General of the United States—basically, the head of the government’s watchdog agency—to conduct a comprehensive, two-year study on mental health and substance use disorder treatment access for farmers, ranchers, agricultural workers, and their families.

The Data Dive: Why We Need a Roadmap

Think of this as an intensive fact-finding mission before the big investments happen. The Comptroller General has two years from enactment to produce a detailed report for Congress and key federal agencies like the USDA and HHS. This study is designed to answer fundamental questions about rural healthcare access. For example, if you’re a rancher in a remote county dealing with chronic stress or a substance use issue, are there even providers nearby who understand the unique pressures of farming life—like unpredictable weather, market fluctuations, and the sheer isolation of the job? The study must specifically investigate provider availability in rural areas and whether those providers have the necessary cultural competency.

Identifying the Real-World Roadblocks

The bill requires the study to zero in on the specific barriers preventing agricultural workers from getting help. This isn't just about distance; it’s about the whole picture. They must identify financial roadblocks (can you afford it?), geographic challenges (how far do you have to drive?), and cultural hurdles (the stigma of asking for help in a tight-knit community). This section is crucial because it connects policy directly to daily life: if you can’t take time away from the harvest to drive three hours for an appointment, the system isn't working for you. The study will also look at how existing efforts, like the Farm and Ranch Stress Assistance Network, are currently performing.

Finding What Works: Best Practices for Rural Care

Perhaps the most practical part of this mandate is the requirement to find successful models already running at the state and local levels. The Comptroller General isn't just looking for problems; they're looking for solutions that can be scaled up. This includes examining programs that successfully utilize telehealth options to bridge vast distances, efforts to train peers and paraprofessionals to offer frontline support, and outreach campaigns designed to reduce the stigma associated with seeking mental health care. For a small community, a successful model might involve training local school counselors or agricultural extension agents to recognize and refer people who need help, rather than relying solely on specialized, distant clinics.

The Takeaway: A Step Toward Targeted Relief

While this bill doesn't immediately open new clinics or fund new programs, it’s a necessary first step. The two-year timeline for the study means actual policy changes based on these findings are still a ways off, which might feel slow to those needing help now. However, by mandating concrete recommendations based on hard data—not just assumptions—the legislation aims to ensure that future federal efforts and funding are targeted, effective, and culturally appropriate for the agricultural community. It’s about getting the blueprint right before starting construction.