SAMHSA Awards $42.3M for Treatment First Behavioral Health and Recovery Housing

OACRA News & Policy Review Federal · Behavioral Health · Recovery Housing
AWARDED · $42.3M HHS · SAMHSA · September 2026
SAMHSA Awards $42.3M for Treatment First Behavioral Health and Recovery Housing

States and territories are receiving new federal behavioral-health funding for mental-health system coordination and recovery housing, with an additional $2 million supporting nationwide implementation assistance.

Published September 19, 2026 OACRA News & Policy Review United States
Funding status HHS and SAMHSA announced the supplemental awards September 18. The $42.3 million is being distributed through two federal behavioral-health block grants.
Funding action $17.3 million supports mental-health system implementation and $25 million supports expansion and quality infrastructure for sober and recovery housing.

The U.S. Department of Health and Human Services, through the Substance Abuse and Mental Health Services Administration, has awarded $42.3 million in supplemental funding to states and territories for behavioral-health coordination and recovery-housing infrastructure under the federal government's Treatment First initiative.

$42.3M total supplemental funding awarded through two block grants
$17.3M Community Mental Health Services Block Grant supplemental awards
$25M substance-use block-grant funding supporting recovery housing
+$2M separate ATTC implementation and technical-assistance funding
Funding signal The awards move Treatment First from federal policy guidance toward state-level implementation, with funding reaching behavioral-health systems, recovery-housing infrastructure and technical-assistance networks nationwide.

Two block grants carry the $42.3 million

Of the total, $17.3 million was awarded through the Community Mental Health Services Block Grant, or MHBG.

According to SAMHSA, that funding is intended to help states and territories develop the systems, partnerships, workforce capacity, policies and technical infrastructure needed to implement Treatment First principles.

The agency said this portion of the funding is focused primarily on technical assistance, training, policy development and cross-system coordination, rather than direct treatment services.

A separate $25 million was awarded through the Substance Use Prevention, Treatment, and Recovery Services Block Grant.

That funding is directed toward expanding capacity for safe, licensed, certified or chartered sober and recovery housing and toward strengthening training, technical assistance, quality standards and accountability within the recovery-housing sector.

Recovery housing is a major component

The $25 million substance-use block-grant supplement gives the announcement direct implications for recovery-residence operators and state behavioral-health systems.

SAMHSA says the funding can support efforts to increase the supply of recovery residences while strengthening licensure, certification, chartering, quality standards and accountability.

Implementation areas: recovery housing, behavioral-health coordination, workforce training, certification and licensing support, policy development, technical assistance, outcome measurement and cross-system partnerships.

A separate $2 million supplemental award is going to the Addiction Technology Transfer Center Network's national office and all 10 regional centers.

That funding is intended to help distribute implementation practices and tools involving workforce training, licensing, certification, charter support and outcome measurement.

Funding reaches states and territories nationwide

SAMHSA published jurisdiction-level award tables for both block-grant supplements.

The allocations vary by jurisdiction and include states, territories and other eligible recipients. Larger states receive some of the largest individual allocations under both funding streams.

For example, the published award tables show California receiving approximately $2.43 million through the mental-health supplement and approximately $3.56 million through the substance-use supplement. Florida receives approximately $1.47 million and $1.90 million, respectively.

The complete jurisdiction-by-jurisdiction allocation tables are available through SAMHSA's official September 18 announcement linked below.

Funding implements the administration's Treatment First policy

HHS and SAMHSA state that the awards support implementation of the federal government's Treatment First approach to homelessness, addiction and serious mental illness.

The agencies explicitly link the September 18 funding action to President Donald Trump's executive order titled “Ending Crime and Disorder on America's Streets.”

That attribution describes the administration's stated policy basis for the awards. The funding itself is being administered through existing federal behavioral-health grant structures and distributed to eligible state and territorial recipients.

Under the implementation framework described by SAMHSA, jurisdictions may use the supplemental funding to strengthen coordination among behavioral-health providers, healthcare systems, housing organizations, courts, law enforcement, homelessness-service organizations and community partners.

Policy-to-implementation signal The September awards are significant because they attach state-level implementation funding to the Treatment First framework rather than functioning only as federal guidance or policy messaging.

What the awards mean for the behavioral-health and recovery-housing market

The funding creates implementation activity across several parts of the behavioral-health and recovery-services ecosystem rather than establishing a single national grant competition for providers.

State agencies will control implementation through their block-grant structures, making state and territorial behavioral-health authorities important points to watch for subsequent funding decisions, contracts, technical-assistance activity and provider opportunities.

The recovery-housing component is especially relevant for organizations involved in sober living, recovery residences, certification, training, workforce development and behavioral-health coordination.

Because the federal awards have already been made, the next stage is implementation: how individual jurisdictions deploy their supplemental allocations and whether those funds result in subawards, contracting opportunities, expanded recovery-housing capacity or new state-level standards.

Current funding status

The federal supplemental awards are awarded, not proposed.

SAMHSA announced the allocations on September 18, 2026 and published state and territory award amounts for both block-grant supplements.

The separate $2 million ATTC supplement has also been awarded to the national coordinating office and the network's 10 regional centers to support implementation.

Official sources

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Editorial note: OACRA News & Policy Review is published by OACRA LLC, an independent private organization. OACRA is not affiliated with or endorsed by the U.S. Department of Health and Human Services, SAMHSA, the White House or any state or territorial agency referenced in this report. Funding amounts, program purposes and award status are based on official HHS and SAMHSA materials reviewed September 19, 2026. References to presidential or administration policy describe the stated federal policy basis for the funding and do not constitute endorsement by OACRA.

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