Advocacy Alert: Padilla, Smith, Baldwin, Sanders Slam Trump Admin Proposal to Dissolve Mental Health Agency
May 15, 2025
U.S. Senators Alex Padilla, Tina Smith, Tammy Baldwin, and Bernie Sanders condemned the Trump Administration’s proposed dissolution of the Substance Abuse and Mental Health Services Administration (SAMHSA) as part of the Department of Health and Human Services’ (HHS) restructuring plan and the White House Office of Management and Budget’s HHS budget proposal. In their letter to HHS Secretary Robert F. Kennedy, Jr., the Senators expressed deep concerns about the consequences of dismantling SAMHSA, outlined the impacts on the worsening behavioral and mental health crisis, and detailed why the proposal is unlawful.
According to the National Survey on Drug Use and Health, nearly 50 million Americans aged 12 and older battled a substance use disorder and 58.7 million Americans aged 18 and older experienced a mental illness in 2023. The programs administered by SAMHSA are crucial to addressing this national crisis. The Trump Administration’s actions harm the operations of crucial programs, including roughly $7 billion in grant distribution, access to early intervention for mental health care, and support services for crisis care, many of which are statutorily required.
The Senators emphasized the importance of SAMHSA’s essential work in administering programs including State Opioid Response grants, the National Survey of Drug Use and Health for crucial behavioral health data collection, the Assisted Outpatient Treatment Program for funding community-based care, and FindTreatment.gov for connecting people to mental health care resources including the 988 Suicide & Crisis Lifeline.
Furthermore, the Senators stressed that Congress has passed multiple bills creating and expanding SAMHSA’s behavioral and mental health services, and that eliminating SAMHSA would violate the law. The bipartisan Alcohol, Drug Abuse, and Mental Health Administration Reorganization Act (ADAMHA), signed into law by President George H.W. Bush in 1992, established SAMHSA and included requirements for various grant programs and roles that the Trump Administration has proposed eliminating. The ADAMHA Reorganization Act codified additional positions and transferred numerous authorities to SAMHSA.
Moreover, the 21st Century Cures Act established the Interdepartmental Serious Mental Illness Coordinating Committee through 2027, which the Trump Administration terminated, and codified SAMHSA’s Center for Behavioral Health Statistics and Quality to administer the annual National Survey of Drug Use and Health, but the team responsible for the survey was reportedly eliminated in the mass layoffs.
The Senators concluded by demanding answers on the Trump Administration’s plans for the continuity of SAMHSA’s statutorily required roles and programs and the impacts of HHS’ restructuring.
Read the full announcement (and full text of the letter) here.
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