
Lawmakers in Washington, D.C., are weighing spending cuts to dependancy healthcare and analysis applications responding to the nation’s lethal overdose disaster. Activists and well being staff submitted a letter to Congress on Monday protesting the proposed price range reductions.
OLIVER CONTRERAS/AFP by way of Getty Photos/AFP
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OLIVER CONTRERAS/AFP by way of Getty Photos/AFP
A coalition of dependancy consultants stated greater than 300 physicians, hurt discount staff and researchers signed a letter delivered to Congress late on Monday warning of “dire penalties” if the U.S. cuts funding for applications that assist communities battle the drug overdose epidemic.
“(W)e are seeing drastic cuts to key businesses,” the letter stated, pointing to proposals within the White Home price range for 2026 that may slash billions of {dollars} from the Facilities for Illness Management and Prevention, the Substance Abuse and Psychological Well being Providers Administration, and different applications.
The letter, despatched to Democratic and Republican leaders, famous that deadly overdoses dropped by roughly 26 % in 2024 in contrast with the earlier yr, in line with the newest federal information from the CDC. That is the most important one-year discount in demise for the reason that opioid disaster started within the Nineties.

“The discount in overdose deaths we witnessed in 2024 was the results of sustained and rising monetary funding,” the letter reads. “Now will not be the time to cut back these investments.”
The trouble to foyer lawmakers was organized partially by legal professional Chad Sabora, an dependancy restoration activist and a former drug person in St. Louis who helped flow into the letter. He stated the dependancy neighborhood is frightened by the magnitude of spending cuts proposed by the White Home.
“This could mainly implode the present construction that treats dependancy as a public well being challenge,” Sabora stated. “This could reverse what has labored.”
President Trump campaigned partially on a promise to “finish” the fentanyl disaster that fueled a lethal surge in overdoses over the past decade. NPR requested White Home officers for touch upon how proposed spending cuts may have an effect on the nation’s fentanyl and drug overdose response. They did not reply.
Drug overdose deaths nonetheless declare roughly 82,000 lives within the U.S. each 12 months, in line with the newest out there preliminary CDC information from November 2024.
That price of drug demise stays far larger than in different nations, however represents a steep drop from a peak of roughly 114,664 deaths in a 12 month interval recorded in August 2023.
Consultants warned dependancy restoration applications in rural areas and poor city neighborhoods might be hit particularly exhausting if lawmakers observe the Trump administration’s proposed price range. There’s additionally concern that analysis efforts monitoring new artificial road medication being bought in American communities may be defunded. “It should make the whole lot mainly a guessing recreation,” Sabora stated.
This comes as drug coverage consultants, hospitals and restoration clinics are additionally bracing for attainable cuts to Medicaid funding. Underneath the Reasonably priced Care Act, Medicaid expanded quickly and now supplies a lot of the insurance coverage protection within the U.S. for individuals looking for medical therapy for dependancy.
“It is a scary time. We’re terrified about the potential for what would possibly occur if Medicaid is diminished considerably,” stated Dr. Stephen Taylor with the American Society of Habit Drugs. “Our hope is to have the ability to persuade policymakers and individuals who have management of issues to not make adjustments we all know would devastate the individuals we maintain.”
A preliminary estimate compiled by the Congressional Funds Workplace, launched by Democratic lawmakers on Sunday, discovered that Medicaid cuts proposed by Home Republicans would cut back the variety of low earnings Individuals coated by medical insurance by “no less than 8.6 million in 2034.” It isn’t clear how lots of the individuals affected are receiving take care of dependancy.