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The Trump administration on Tuesday evening unexpectedly canceled up to $1.9bn in funding for substance use and mental health care, which providers say will immediately affect thousands of patients.

“It feels like Armageddon for everyone who’s on the frontlines of the addiction and mental health space,” said Ryan Hampton, founder of Mobilize Recovery, a national advocacy organization for people in and seeking recovery.

“The scope of care that’s disrupted by these grants is catastrophic. Tens of thousands, if not hundreds of thousands, of people will die.”

As many as 2,800 grantees through the Substance Abuse and Mental Health Services Administration (Samhsa) received a letter immediately ending their funding – about 26% of Samhsa’s entire budget.

“These are programs that save lives, so the impact could be really devastating,” said Regina LaBelle, former acting director of the Biden White House office of national drug control policy and professor at Georgetown University.

“It really covers the spectrum of prevention, treatment and recovery services, both on substance use and mental health,” said Yngvild Olsen, who until last July served as the director for the Center for Substance Abuse Treatment at Samhsa and is now a national adviser at Manatt Health.

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Source: The Guardian, 14 January 2026

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