Substance Abuse and Mental Health Services Administration

Rule Changes

Runs and funds 988

Suicide rates among Americans aged 15 to 34 had climbed for more than a decade. The federal government replaced the 10-digit crisis lifeline with 988 in July 2022. A JAMA study published April 22, 2026 found that suicide deaths in that age group ran 11% below projections over the next two and a half years, an estimated 4,400 fewer deaths.

Updated May 31

Built World

Facing major budget cuts and potential replacement under Trump administration restructuring

U.S. overdose deaths fell for the third straight year in 2025. CDC provisional data released May 2026 projects 69,973 deaths for the full year—down 14% from 2024 and about 38% below the 2022 peak of 112,000.

Updated May 23

Rule Changes

Being absorbed into Administration for a Healthy America; no permanent administrator

SAMHSA distributed $7.5 billion annually to fight addiction and mental illness. In one year, the Trump administration cut its workforce by more than half, terminated roughly $2 billion in grants in March 2025, and folded the 33-year-old agency into a new structure.

Updated May 21