It’s been a month since the federal government shutdown began, and there’s still no sign of resolution. For organizations like TR, this uncertainty raises big questions about what comes next for the programs that keep our clients healthy, housed, and stable.
The good news is that Medicaid, the program which nearly all our clients rely on, is still operating. Medicaid is considered a “mandatory program,” so coverage and payments are continuing for now, however, this doesn’t mean smooth sailing ahead as the shutdown continues.
While people will not lose their coverage, the shutdown’s ripple effects are growing. Confusion and delays are causing slowdowns as many federal employees have been furloughed and agencies’ capacity is reduced as they continue operations. Providers who are already at their limits are facing more uncertainty and potential funding gaps, meaning there could be considerable interruptions to the larger network of care that many people, including our clients, rely on to remain stable and healthy.
The Centers for Medicare and Medicaid Services will have enough to fund Medicaid through the first quarter of FY 2026. If the shutdown continues and federal funds dry up, the states need to decide how they will move forward with funding. For Washington state, the situation is especially challenging. As the legislature navigates a $5 billion budget shortfall, behavioral health and housing programs could face additional cuts if federal funds remain stalled. For our clients and many others in our community, that means more uncertainty at a time when demand remains high and resources are stretched thin.
At the same time, behavioral health services continue to be hit hard at the federal level with ongoing workforce cuts to the Substance Abuse and Mental Health Services Administration (SAMHSA). This is the agency that oversees the 988 Suicide and Crisis Lifeline, a critical tool in the care system that helps people find the assistance they need when facing a mental health crisis. The agency also funds mental health and addiction programs through grants and other funding. Cuts to this agency have struck another crushing blow to mental health programs when services and support are needed more than ever.
How You Can Help
Nonprofits like TR are working hard to fill the gaps, but we can’t do it alone. Your support helps us continue providing critical behavioral healthcare and housing for those whose stability depends on these programs.
- Make a donation. Unrestricted gifts help us keep services running when funding is delayed or uncertain. Monthly giving is especially helpful as we can rely on predictable and steady support to help our clients.
- Spread the word. Let others know that when the government shuts down, it’s local nonprofits who carry the weight and the support of the community is vital during these times.
- Contact your representatives. Let Congress know you support protecting Medicaid and behavioral health funding during the shutdown and beyond. Personal stories from providers, clients, and families make the biggest impact.