A little-known federal agency that touches the lives of people across the United States by funding the 988 crisis line, naloxone distribution and addiction treatment may be weakened and possibly eliminated in the of the U.S. Department of Health and Human Services.
In 's plan, the $8 billion Substance Abuse and Mental Health Services Administration, or SAMHSA, would be absorbed into a new office, where its more than 700 staffers would co-exist with employees from other agencies responsible for chemical exposures and work-related injuries. In all, five agencies are to be swallowed up under what will be called the Administration for a Healthy America, or AHA, echoing Kennedy鈥檚 Make America Healthy Again slogan.
Merging SAMHSA into a larger agency 鈥渨ill increase operational efficiency and assure programs are carried out because it will break down artificial divisions between similar programs," according to an HHS news release.
鈥淢illions of Americans who get mental health and substance use services depend on SAMHSA even if they have never heard the name of the agency,鈥� said Brendan Saloner, an addiction researcher at Johns Hopkins Bloomberg School of Public Health.
During Kennedy's confirmation hearings, he said he was addicted to heroin for 14 years and has been in recovery for 42 years. He called medication-assisted treatment such as Suboxone (buprenorphine) and methadone medically necessary 鈥� but also said he considers the gold standard to be 12-step programs like Alcoholics Anonymous and Narcotics Anonymous. During his presidential campaign, Kennedy had proposed a network of 鈥渉ealing farms鈥� where people could work while recovering from addiction.
SAMHSA was created by Congress in 1992, so closing it is illegal and raises questions about Kennedy鈥檚 commitment to treating addiction and mental health, said Keith Humphreys, a Stanford University addiction researcher.
鈥淏urying the agency in an administrative blob with no clear purpose is not the way to highlight the problem or coordinate a response,鈥� Humphreys said.
Other experts said crippling SAMSHA could stall The agency regulates methadone clinics and pays for addiction prevention efforts in all 50 states.
鈥淭here鈥檚 a reason why we have reduced overdose in this country, it鈥檚 because SAMHSA has been doing its job so well,鈥� said Dr. Ruth Potee, medical director for seven methadone clinics in Massachusetts. 鈥淢y jaw drops at this news.鈥�
Noting the over a recent 12-month period, former White House drug czar Dr. Rahul Gupta said he's concerned the bureaucratic overhaul will slow momentum.
鈥淎 worsening overdose crisis is the last thing our nation needs,鈥� said Gupta, who served under President Joe Biden.
The announcement follows that have created an atmosphere of shock and fear among government-funded researchers and federal health employees.
Saloner said overhauling a large organization could be done in a way that leads to better services for people, 鈥渂ut I am troubled by the lack of a deliberative process that seems to be creating chaos and driving really talented people out of the federal workforce.鈥�
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Carla K. Johnson, The Associated Press
