This bill reauthorizes the youth prevention and recovery initiative under the SUPPORT for Patients and Communities Act, extending its funding through fiscal year 2030 with increasing appropriations from $10 million in 2026 to $15 million in 2030. It expands grant eligibility to include consortia of local educational agencies and updates program definitions, such as changing "high schools" to "secondary schools." The bill also modernizes terminology, replacing "substance abuse" with "substance misuse" and "peer mentoring" with "peer-to-peer support." A new requirement mandates that grant applicants submit a sustainability plan detailing how their activities will continue after the grant period. These changes aim to strengthen and modernize the initiative's efforts to prevent and address substance misuse among at-risk youth.