The Trump administration is cutting nearly $2 billion in funding to more than 2,000 programs nationwide that provide addiction prevention, treatment, recovery and mental health services, according to more than a dozen people inside the federal government.
Notices of the changes went out late Tuesday from a federal agency, the Substance Abuse and Mental Health Services Administration, the people, who spoke on the condition of anonymity because they were not authorized to speak publicly, said.
The form letter, obtained by The New York Times, said the funding termination would be effective immediately, explaining only that the services no longer aligned with the agency’s priorities. The letter described those priorities as being to support “innovative programs and interventions that address the rising rates of mental illness and substance abuse conditions, overdose, and suicide.”
The cuts will affect longstanding agency investments like drug courts that offer treatment as an alternative to incarceration, programs for pregnant and postpartum women in recovery, screening and referral services, and overdose prevention education for young people.
Missouri’s statewide association of emergency medical services workers, a nonprofit professional organization, learned that $5.2 million is being slashed from programs that train staff to administer and distribute overdose reversal medication, as well as talk with people in crisis about mental health and addiction treatment programs.
Fatalities nationwide from overdoses of opioids and stimulants have been dropping since 2023, when they peaked at close to 111,000, according to federal data. Provisional reports estimate that totals for the 12-month period ending in August 2025 will still be about 72,000.
“At a time when overdoses are still claiming tens of thousands of lives across the country, this is not a time to be canceling grants that are providing direct services and the technical assistance to support many of those services for people across the country,” said Dr. Yngvild Olsen, who until recently was the director of the agency’s center for substance use treatment.
Officials at SAMHSA did not respond to requests for comment.
The American Psychiatric Association said it lost funds for numerous education programs, including one that offers mental health training to school staff in grades kindergarten through 12. Haymarket Center, a large treatment services provider in Chicago, summarily lost $1.8 million overnight for employment training and other support for homeless people.
Kathryn Cates-Wessel, chief executive of the American Academy of Addiction Psychiatry, said she received a faxed letter at 10:30 p.m. Tuesday saying that her organization would lose $20 million in federal grants. Last year, the academy taught 500,000 doctors, social workers and nurses nationwide how to screen and treat people addicted to opioids. It set up workshops in local communities to address addiction stigma and other prevention tactics.
“I’m heartbroken,” Ms. Cates-Wessel said. “For the life of me, I don’t understand.”
Programs to prevent suicide, reduce underage drinking and cannabis use in central Alabama will be eliminated, said Nichole Dawsey, the executive director of the Addiction Prevention Coalition in Birmingham. Overnight, she added, her coalition itself lost $290,000, a quarter of its annual budget.
“The substance use and mental health ecosystem is being decimated,” Ms. Dawsey said.
At least a dozen chapters of the National Alliance on Mental Illness, an education, support and advocacy organization for patients and families, also had grants terminated. The organization’s New Hampshire affiliate, for example, took a $347,000 cut to programs that support families with children who have mental illnesses, as well as initiatives that train law enforcement personnel how to intervene during mental health crises.
“These grants help people with schizophrenia, anxiety, depression and bipolar disorder get the help they need on a daily basis and support services to feel part of the community,” Hannah Wesolowski, the organization’s chief advocacy officer, said.
She added, “It is not an exaggeration to say the cancellation of these grants will have an immediate and dangerous impact on people across the country.”
The timing and severity of the cuts blindsided many federal staff members and program administrators, who had thought that funding, at least in the short term, had stabilized. But it also alarmed members of Congress. In December, President Trump signed legislation reauthorizing the SUPPORT Act, extending broad funding for programs in addiction and behavioral health. Many of those programs were among those that received funding termination notices Tuesday.
In addition, Congress is expected to consider a major appropriations package by the end of the month that includes funding for SAMHSA, although agreement has not yet been reached on final numbers, congressional staff members said.
“These clawbacks confirm my worst fears that the administration had no intention of following Congress’s bipartisan efforts to support mental health and addiction treatment,” said Representative Paul Tonko, Democrat of New York, who is a co-chair of the Congressional Addiction, Treatment and Recovery Caucus.
“Instead,” Mr. Tonko said, “they are ignoring Congress, and the law, and taking the chain saw to our nation’s behavioral health resources.”
Jan Hoffman is a health reporter for The Times covering drug addiction and health law.
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