{"id":699189,"date":"2025-12-10T13:05:05","date_gmt":"2025-12-10T18:05:05","guid":{"rendered":""},"modified":"2026-01-23T16:49:03","modified_gmt":"2026-01-23T21:49:03","slug":"tracking-key-mental-health-and-substance-use-policy-actions-under-the-trump-administration","status":"publish","type":"post","link":"https:\/\/www.kff.org\/mental-health\/tracking-key-mental-health-and-substance-use-policy-actions-under-the-trump-administration\/","title":{"rendered":"Tracking Key Mental Health and Substance Use Policy Actions Under the Trump Administration"},"content":{"rendered":"<div\n\tclass=\"no-sidebar wp-block-kff-shared-content--full-width wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t<div class=\"post-header\">\n\t\t\t\t\t\n\t<h1 class=\"post-header__title\">Tracking Key Mental Health and Substance Use Policy Actions Under the Trump Administration<\/h1>\n\n\t\n\t\t\t<div class=\"post-header__meta\">\n\t\t\t\t\t<div>\n\t\t\t\t<span class=\"post-header__meta-label\">\n\t\t\t\tAuthors:\t\t\t\t<\/span>\n\t\t\t\t<a href=\"https:\/\/www.kff.org\/person\/nirmita-panchal\/\">Nirmita Panchal<\/a> and <a href=\"https:\/\/www.kff.org\/person\/heather-saunders\/\">Heather Saunders<\/a> \t\t\t<\/div>\n\t\t\t\t<div>\n\t\t\t<span class=\"post-header__meta-label\">Published:<\/span>\n\t\t\t<date>Dec 10, 2025<\/date>\n\t\t<\/div>\n\t\t<\/div>\n\t\n\t<div class=\"post-header__social-sharing\">\n\t\t<button class=\"post-header__social-sharing__button print\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M4.348 2.5v3.391H2.783A.787.787 0 0 0 2 6.674v4.696c0 .429.353.782.783.782h1.565V14.5h7.304v-2.348h1.565c.43 0 .783-.353.783-.782V6.674a.787.787 0 0 0-.783-.783h-1.565V2.5H4.348Zm.522.522h6.26v2.87H4.87v-2.87ZM2.783 6.413h1.782a.26.26 0 0 0 .085 0h6.697a.26.26 0 0 0 .086 0h1.784c.148 0 .261.114.261.26v4.697c0 .147-.113.26-.26.26h-1.566V9.283H4.348v2.347H2.783a.257.257 0 0 1-.261-.26V6.674c0-.147.113-.261.26-.261Zm9.39.783a.522.522 0 1 0 0 1.043.522.522 0 0 0 0-1.043ZM4.87 9.804h6.26v2.043a.264.264 0 0 0 0 .086v2.045H4.87v-2.043a.261.261 0 0 0 0-.085V9.804Zm1.043.783a.262.262 0 0 0-.265.26.26.26 0 0 0 .265.262h4.174a.26.26 0 1 0 0-.522H5.913Zm0 1.043a.26.26 0 1 0 0 .522h3.13a.26.26 0 1 0 0-.522h-3.13Zm0 1.044a.26.26 0 1 0 0 .522h4.174a.262.262 0 0 0 .264-.261.26.26 0 0 0-.264-.261H5.913Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tPrint\t\t<\/button>\n\t\t<a href=\"mailto:?subject=Tracking%20Key%20Mental%20Health%20and%20Substance%20Use%20Policy%20Actions%20Under%20the%20Trump%20Administration&#038;body=https%3A%2F%2Fwww.kff.org%2Fmental-health%2Ftracking-key-mental-health-and-substance-use-policy-actions-under-the-trump-administration%2F\" class=\"post-header__social-sharing__button\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M2.333 4.25h-.25v9.14h12.5V4.25H2.333Zm1.083 1.693-.353-.2V5.23h10.54v.513l-.353.2L8.333 8.73 3.416 5.943Zm-.353 6.467V6.884l.107.06 5.04 2.857.123.07.123-.07 5.04-2.857.107-.06v5.526H3.063Z\" fill=\"#004B88\" stroke=\"#004B88\" stroke-width=\".5\"\/>\n\t\t\t<\/svg>\n\n\t\t\tEmail\t\t<\/a>\n\t\t<button class=\"post-header__social-sharing__button copy\">\n\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n\t\t\t\t<path d=\"M11.533 2.9c-.615 0-1.23.235-1.697.702L8.502 4.936a2.4 2.4 0 0 0-.575 2.46l.958-.958a1.32 1.32 0 0 1 .371-.748l1.334-1.333a1.331 1.331 0 0 1 1.886 0c.52.52.52 1.365 0 1.885l-1.334 1.333c-.21.21-.474.331-.748.372l-.958.958a2.393 2.393 0 0 0 2.46-.576l1.334-1.333a2.402 2.402 0 0 0 0-3.394 2.393 2.393 0 0 0-1.697-.702Zm-1.61 3.46a.533.533 0 0 0-.367.162l-3.2 3.2a.533.533 0 1 0 .754.754l3.2-3.2a.534.534 0 0 0-.387-.915ZM6.586 7.973a2.388 2.388 0 0 0-1.816.697l-1.334 1.333a2.403 2.403 0 0 0 0 3.394 2.393 2.393 0 0 0 1.697.702c.614 0 1.229-.234 1.697-.702l1.333-1.334a2.4 2.4 0 0 0 .576-2.46l-.959.958a1.32 1.32 0 0 1-.37.749l-1.334 1.333a1.334 1.334 0 0 1-1.886-1.885l1.334-1.334c.21-.21.474-.331.748-.372l.958-.957c-.21-.07-.426-.11-.644-.122Z\" fill=\"#004B88\"\/>\n\t\t\t<\/svg>\n\n\t\t\t<span>Copy Link<\/span>\n\t\t<\/button>\n\t\t\t<\/div>\n\t<\/div>\n\t\t\t\t<div class=\"wp-block-kff-shared-content-main__content__inner\">\n\t\t\n\n<p class=\"wp-block-paragraph\">In 2024, over 61 million adults in the U.S. experienced a <a href=\"https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt56287\/2024-nsduh-annual-national\/2024-nsduh-annual-national-html-071425-edited\/2024-nsduh-annual-national.htm\">mental illness<\/a> and deaths due to <a href=\"https:\/\/www.kff.org\/mental-health\/demand-for-988-continues-to-grow-at-third-anniversary\/\">suicide<\/a>, <a href=\"https:\/\/www.kff.org\/mental-health\/three-questions-about-firearm-deaths-key-patterns-from-a-decade-of-data\/\">gun<\/a> <a href=\"https:\/\/www.kff.org\/mental-health\/issue-brief\/the-impact-of-gun-violence-on-children-and-adolescents\/\">violence<\/a>, and <a href=\"https:\/\/www.kff.org\/mental-health\/addressing-the-opioid-crisis-a-look-at-the-evolving-landscape-of-federal-oud-treatment-policies\/\">drug overdose remained high<\/a>. Additionally, the COVID-19 pandemic and necessary public health responses exacerbated an already existing mental health and substance use crises. At the same time, many people <a href=\"https:\/\/www.kff.org\/from-drew-altman\/the-twin-problems-of-mental-health-care-access-and-affordability\/\">experience<\/a> difficulties affording mental health treatment or finding providers. Among insured adults who described their mental health as fair or poor, <a href=\"https:\/\/www.kff.org\/affordable-care-act\/kff-survey-of-consumer-experiences-with-health-insurance\/\">43%<\/a> reported at least one time in the past year when they needed mental health services or medication but did not receive them; some groups \u2013 including <a href=\"https:\/\/www.kff.org\/racial-equity-and-health-policy\/racial-and-ethnic-disparities-in-mental-health-care-findings-from-the-kff-survey-of-racism-discrimination-and-health\/\">communities of<\/a> <a href=\"https:\/\/www.kff.org\/mental-health\/gaps-in-mental-health-care-for-asian-and-pacific-islander-people-and-other-people-of-color\/\">color<\/a>, <a href=\"https:\/\/www.kff.org\/mental-health\/recent-trends-in-mental-health-and-substance-use-concerns-among-adolescents\/\">youth<\/a> and <a href=\"https:\/\/www.kff.org\/mental-health\/the-implications-of-covid-19-for-mental-health-and-substance-use\/\">young adults<\/a> \u2013 experience greater barriers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Many policy actions were initiated in response to these rising mental health and substance use concerns. During the first Trump administration, the <a href=\"https:\/\/www.congress.gov\/bill\/115th-congress\/house-bill\/6\">SUPPORT Act<\/a> \u2013 legislation that expanded access to opioid treatment and overdose prevention \u2013 was passed along with legislation that created the 988 crisis hotline. During the following Biden administration, federal policies focused on expanding coverage, improving access to care, implementing evidence-based treatments, and strengthening support for federal agencies, such as the Substance Abuse and Mental Health Administration (<a href=\"https:\/\/www.samhsa.gov\/\">SAMHSA<\/a>). Recent data shows that some <a href=\"https:\/\/www.kff.org\/mental-health\/opioid-deaths-fell-in-mid-2023-but-progress-is-uneven-and-future-trends-are-uncertain\/\">opioid<\/a> and <a href=\"https:\/\/www.kff.org\/mental-health\/exploring-the-rise-in-mental-health-care-use-by-demographics-and-insurance-status\/\">mental health<\/a> related indicators have stabilized or improved.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The second Trump administration, beginning in 2025, marked a change in federal mental health and substance use policy. The administration moved toward a heavier law-and-order approach and simultaneously <a href=\"https:\/\/www.hhs.gov\/press-room\/hhs-restructuring-doge.html\">narrowed<\/a> the scope of federal leadership capacity in mental health and substance use services, while also continuing some treatment-focused initiatives (such as the SUPPORT Act reauthorization). Many of these policy directions are consistent with themes highlighted in President Trump\u2019s <a href=\"https:\/\/www.kff.org\/elections\/compare-2024-candidates-health-care-policy\/\">campaign<\/a> materials and are aligned with proposals in <a href=\"https:\/\/static.heritage.org\/project2025\/2025_MandateForLeadership_FULL.pdf\">Project 2025<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This tracker lists and briefly describes key actions during President Trump\u2019s second term, organized into the following four broad categories: Opioids (for example, signing the <a href=\"https:\/\/www.whitehouse.gov\/articles\/2025\/07\/president-trump-signs-halt-fentanyl-act-into-law\/\">HALT Act<\/a>); Mental Health (e.g., canceling <a href=\"https:\/\/www.congress.gov\/bill\/117th-congress\/senate-bill\/2938\/text\">school-based mental health grants<\/a>); Federal Infrastructure\/Data\/Guidance (e.g., <a href=\"https:\/\/www.hhs.gov\/press-room\/hhs-restructuring-doge.html\">proposals<\/a> to reduce and reorganize <a href=\"https:\/\/www.samhsa.gov\/\">SAMHSA<\/a> under another agency); and Gun Violence (e.g., rescinding <a href=\"https:\/\/publichealth.jhu.edu\/center-for-gun-violence-solutions\/solutions\/community-violence-intervention#:~:text=Community%20violence%20intervention%20(CVI)%20programs,%2C%20disinvestments%2C%20and%20trauma%20occur.\">community violence intervention<\/a> grants). It will be updated as new changes occur. This tracker is not meant to be exhaustive; other state and federal policy changes may also affect mental health and substance use but are not captured here.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The tracker can be viewed in the order that each mental health or substance use policy action was implemented. Alternatively, the tracker can be filtered by category (Mental Health; Opioids\/Substance Use Disorder; Federal Infrastructure\/ Data\/Guidance; and Gun Violence).<\/p>\n\n\n\n<div class=\"datawrapper-embed block--datawrapper-embed \">\n\t\t\t\t\t<div style=\"min-height: px;\">\n\t\t\t<script\n\t\t\t\ttype=\"text\/javascript\"\n\t\t\t\tdefer\n\t\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/t1lC7\/embed.js?v=14\"\n\t\t\t>\n\t\t\t<\/script>\n\t\t<\/div>\n\t\t\t<img\n\t\t\tclass=\"datawrapper-embed__print-img\"\n\t\t\tsrc=\"https:\/\/datawrapper.dwcdn.net\/t1lC7\/full.png\"\n\t\t\talt=\"Total_Test\"\n\t\t\/>\n<\/div>\n\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/mental-health\/\">\n\t\t\t\tMental Health\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/access-to-care\/\">\n\t\t\t\tAccess to Care\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/gun-violence\/\">\n\t\t\t\tGun Violence\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/opioids\/\">\n\t\t\t\tOpioids\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/substance-use\/\">\n\t\t\t\tSubstance Use\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t\t\t<\/div>\n\t<\/section>\n\n\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A new KFF tracker highlights key federal policy actions during President Trump\u2019s second term that concern issues related to mental health and substance use. The second Trump administration has emphasized law-and-order strategies and scaled back several mental health and substance use-related services, while also continuing some treatment-focused initiatives. The tracker can be viewed in multiple ways, including chronological order of policy actions and by category (Mental Health; Opioids\/Substance Use Disorder; Federal Infrastructure\/ Data\/Guidance; and Gun Violence).<\/p>\n","protected":false},"author":48664265,"featured_media":699739,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"exhibits":[],"authors":[{"type":"foundation","id":49484,"name":"","_id":"d0cbaa2d-9237-4cb5-be6e-6a4b3de21a0c"},{"type":"foundation","id":550666,"name":"","_id":"ad02ac43-9957-4ddc-a029-6b19b6a26ba9"}],"jetpack_post_was_ever_published":false,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"","tag":"","search_keywords":"10899","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[579145303],"tags":[632330,579145294,417697726,579145428],"partner":[],"program":[],"content-types":[579145492],"series":[],"class_list":["post-699189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mental-health","tag-access-to-care","tag-gun-violence","tag-opioids","tag-substance-use","content-types-tracker"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tracking Key Mental Health and Substance Use Policy Actions Under the Trump Administration | KFF<\/title>\n<meta name=\"description\" content=\"A new KFF tracker highlights key federal policy actions during President Trump\u2019s second term that concern issues related to mental health and substance use. The second Trump administration has emphasized law-and-order strategies and scaled back several mental health and substance use-related services, while also continuing some treatment-focused initiatives. The tracker can be viewed in multiple ways, including chronological order of policy actions and by category (Mental Health; Opioids\/Substance Use Disorder; Federal Infrastructure\/ Data\/Guidance; and Gun Violence).\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kff.org\/mental-health\/tracking-key-mental-health-and-substance-use-policy-actions-under-the-trump-administration\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tracking Key Mental Health and Substance Use Policy Actions Under the Trump Administration | KFF\" \/>\n<meta property=\"og:description\" content=\"A new KFF tracker highlights key federal policy actions during President Trump\u2019s second term that concern issues related to mental health and substance use. The second Trump administration has emphasized law-and-order strategies and scaled back several mental health and substance use-related services, while also continuing some treatment-focused initiatives. The tracker can be viewed in multiple ways, including chronological order of policy actions and by category (Mental Health; Opioids\/Substance Use Disorder; Federal Infrastructure\/ Data\/Guidance; and Gun Violence).\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kff.org\/mental-health\/tracking-key-mental-health-and-substance-use-policy-actions-under-the-trump-administration\/\" \/>\n<meta property=\"og:site_name\" content=\"KFF\" \/>\n<meta property=\"article:published_time\" content=\"2025-12-10T18:05:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-23T21:49:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/08\/251212_Tracker_Key-Mental-Health-and-Substance-Use-Federal-Policy-Actions_FI.png\" \/>\n\t<meta property=\"og:image:width\" content=\"3840\" \/>\n\t<meta property=\"og:image:height\" content=\"2160\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta 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