Peer Support Takes Center Stage: Policy and Legislation Pave the Way

The world of behavioral health is constantly evolving, and one of the most significant shifts in recent years has been the growing recognition and formalization of peer support. What exactly is peer support? At its heart, it's a system where individuals with shared experiences offer each other help and understanding. This creates a unique, non-hierarchical connection built on empathy and mutual respect, fostering an environment where people can truly connect and grow together.

In 2024 and 2025, we've seen some exciting developments in the policy and legislative landscape that underscore the increasing value placed on peer support. A landmark piece of legislation, the "Providing Empathetic and Effective Recovery Support Act" (PEER Support Act), was introduced in the Senate in April 2025. This bill aims to tackle behavioral health workforce shortages by clearly defining "peer support specialist" and pushing for their formal recognition within the Standard Occupational Classification system by January 2026. This kind of official recognition can elevate the profession and make it easier to integrate peer support specialists into the broader healthcare system.

Furthermore, the PEER Support Act proposes the creation of an Office of Recovery within the Substance Abuse and Mental Health Services Administration (SAMHSA), led by someone with lived experience in recovery. This office would be a central point for guidance, support, and the promotion of best practices in peer support across the nation.

SAMHSA itself has also highlighted the critical role of peer support in its updated National Guidelines for a Behavioral Health Coordinated System of Crisis Care in 2025. These guidelines emphasize the unique value that individuals with lived experience bring to crisis intervention, offering a type of support that complements traditional clinical care.

The momentum doesn't stop at the federal level. States across the country are also making strides in formalizing peer support through certification programs and integrating it into healthcare financing. For example, California now covers peer support services under its Medicaid program, Medi-Cal. Washington State is focusing on enhancing training requirements for certified peer specialists, including specialized training for crisis responders. Ohio has even announced funding to expand the services of existing certified peer-run organizations within the state.

While progress varies from state to state, the overall trend is clear: peer support is being increasingly recognized as a vital and valuable component of behavioral healthcare. These policy and legislative updates are laying a stronger foundation for the future of peer support, ensuring that more individuals can benefit from the unique understanding and empathy that peers offer.