Congressional Update

At the beginning of February, President Trump signed legislation to partially end a government shutdown, moving forward $1.2T in appropriations. While the bill was not inclusive of Department of Homeland Security funding or a solution for the recently expired ACA Enhanced Premium Tax Credits, it did include appropriations for the Department of Health and Human Services (HHS) that would impact behavioral health. If another partial shutdown does occur, HHS programs would not be impacted.

Total funding for the Substance Abuse and Mental Health Services Administration (SAMHSA) was provided at $7.4 billion, relatively level to FY24 funding, when appropriations bills were last previously enacted. (FY25 saw a yearlong continuing resolution rather than an appropriations bill.)

Overall, many mental health and substance use programs saw level or slightly increased funding. This is a tremendous win for the field, particularly in a challenging fiscal environment.

The Labor, Health and Human Services, Education, and Related Agencies (LHHS) agreement also extends Medicare telehealth flexibilities through the end of 2027, including a delay of in-person requirements for Medicare telehealth services for mental health under Medicare.

Additional language in the agreement includes a requirement that HHS notify the committee at least three days prior to announcing or providing notice of a grant termination. It also directs SAMHSA to consult with Congress before issuing a funding opportunity announcement. This language provides additional congressional oversight in the agency grantmaking process.

For additional information:

The Ohio Council will continue to monitor developments related to the federal budget and will keep Ohio Council members informed of any changes or potential impacts.