
National Prevention Science Coalition to Improve Lives
A professional organization dedicated to translating scientific knowledge from the field of prevention science into effective and sustainable practices, systems and policies.
Addiction Science Defense Network
News & Advocacy
Weekly Update: May 5-9, 2025
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Threats to the CDC Injury and Violence Prevention Center
This past week, the President submitted his FY 2026 "skinny" budget request to Congress that proposes to eliminate all funding for the CDC's Injury and Violence Prevention Center! This is a devastating proposal that would decimate all of the injury and violence prevention programs that we care about most and that we know keep Americans safe from the harms of injury, including from substance misuse, and violence.
Safe States, a major national organization, urges that we all speak out against these cuts and use this as an opportunity to build support for the "Dear Colleague" letters circulating in Congress that call on appropriators to continue their long-standing support for all Injury Center-funded programs. Please feel free to disseminate a link to their Advocacy Action Center across your networks to facilitate communication with Congressional offices. The House and Senate "Dear Colleague" letters are currently circulating. They are also hosting a webinar on May 6th so please sign up.
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This just in: Read: Trump budget proposal for 2026: The proposal describes devastating reductions in the budgets for the NIH institutes and the CDC, but it is difficult to specify the impact on addiction research at NIDA and NIAAA because of the massive reorganization being planned across the 27 institutes. The fate of SAMHSA is described in more detail, suggesting the termination of many of its programs, particularly treatment, prevention, and harm reduction, and its elimination as a federal program.
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Medical Journals hit with threatening letters from Justice Department - NPR: Although addiction specialty journals have not yet been targeted, some of the major journals owned by international publishers who also own addiction journals have received threatening letters.
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The Long Shadow of Institutionalization: How History Warns Against Trump and RFK Jr.’s ‘Wellness Farms’ | by Center for Racial and Disability Justice | Feb, 2025 | Medium: According to the author, under the guise of public health and wellness, the next iteration of the War on Drugs will include rehabilitation camps where drug users and other marginalized populations will be housed. Real solutions lie in harm reduction programs and community-based, non-carceral care.
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The United States is witnessing the return of psychiatric imprisonment | Jordyn Jensen | The Guardian: From ‘wellness farms’ to expanded involuntary commitment policies, the US is embracing psychiatric incarceration under the guise of compassion. Reinstitutionalization is returning under a more therapeutic facade: “wellness farms”, court diversion programs, expanded involuntary commitment. At the same time, SAMHSA, responsible for coordinating addiction services, crisis response and community mental health care, is being gutted, threatening programs such as the 988 crisis line and opioid treatment access.
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Support science across the country by writing opinion pieces in local papers: Here is a valuable resource for those who want to use their writing skills to stand up for addiction science.
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How the Trump administration is dismantling science in the U.S. | Science | AAAS: The scientific workforce, biomedical research, and global health initiatives all face widespread, perhaps permanent damage. Former NIH director Harold Varmus is quoted as saying: “To single out certain categories of individuals who would not be appropriate to study seems ludicrous to me ... one of the great strengths of America is that we are diverse."
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Future investments in science in jeopardy: American leaders have historically seen science as an investment in the future. Will this administration foreclose it? Australian academics have stopped attending conferences in the U.S. for fear of being detained. Now some American scientists are looking for the exits.
Weekly Update: April 28- May 2, 2025
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NIH Grant Terminations. This page is updated nightly with information on terminated grants, based on both information published by HHS and self-reported terminations from scientists. Every effort is made to ensure accuracy, but there is uncertainty in data shared or published. Grant Tracker: NIH Grant Terminations in 2025. Related to the termination issue is a new and upsetting NIH notice issued today for all NIH recipients in their Terms and Conditions “Notice of Civil Rights Term and Condition of Award”. The notice says: By accepting the grant award, recipients are certifying that: (i) They do not, and will not during the term of this financial assistance award, operate any programs that advance or promote DEI, DEIA, or discriminatory equity ideology in violation of Federal anti-discrimination laws; and (ii) They do not engage in and will not during the term of this award engage in, a discriminatory prohibited boycott.
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Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump - KFF Health News: Although this report is not specific to substance use research, it does document the states most impacted by NIH grant terminations, and it provides some interesting insights into the rationale for terminations. Given the research conducted on the impact of alcohol consumption and AUD on exposure to COVID, this information from an NIH grant termination might be of interest: “It is the policy of NIH not to prioritize research activities that focuses gaining scientific knowledge on why individuals are hesitant to be vaccinated and/or explore ways to improve vaccine interest and commitment,” the notice read.
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Medicaid’s Ongoing Critical Role in the U.S. Response to the Opioid and Overdose Crisis. This issue brief discusses Medicaid's crucial role in opioid use disorder prevention and treatment, from sustaining innovative programs for families (Manatt) and assessing post-COVID pandemic disenrollment impacts on buprenorphine access (RAND), to tracking Medicaid policies for incarcerated populations (Legal Action Center) and engaging states on funding priorities (NASHP).
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These Words Are Disappearing in the New Trump Administration, and from the keywords listed in grant applications!
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Trump-Allied Prosecutor Sends Letters to Medical Journals Alleging Bias - The New York Times “A federal prosecutor has sent letters to at least three medical journals accusing them of political bias and asking a series of probing questions suggesting that the journals mislead readers, suppress opposing viewpoints and are inappropriately swayed by their funders. The letters were signed by Edward Martin Jr., a Republican activist serving as interim U.S. attorney in Washington, D.C. He has been criticized for using his office to target opponents of President Trump. Some scientists and doctors said they viewed the letters as a threat from the Trump administration that could have a chilling effect on what journals publish.” Will addiction specialty journals be next? https://www.nytimes.com/2025/04/18/health/trump-martin-us-attorney-medical-journals.html?smid=nytcore-ios-share&referringSource=articleShare
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Trump vs. Science. Although this NYTimes article does not mention addiction research, it does provide a useful explanation of the administration’s approach to science. “By some measures, every dollar spent on research returns at least $5 to the economy.”
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New NIH director defends grant cuts as part of shift to support MAHA vision | Science | AAAS “ In his first public remarks, Bhattacharya emphasizes his overall support for agency but was neither encouraging nor discouraging in his remarks about DEI and institute consolidation at the NIH. On the discontinuation of grants related to DEI, he said “DEI is a “political ideology,” he said, that doesn’t directly address chronic disease. The term does not apply to studying disease in minority populations, he said, which “are a central focus of the NIH and will continue to be under my watch.” Regarding consolidation and reductions in research budgets, several people at the meeting reported in this article “asked about a draft White House proposal to cut more than 40% from NIH’s 2026 budget and pare its 27 institutes and centers down to just eight. Bhattacharya said he could not comment on the budget but noted that he has met with many members of Congress and that “bipartisan support for NIH [is] continuing.””
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NIH guts its first and largest study centered on women | Science | AAAS President Donald Trump’s administration appears to be killing much, if not all, of a historic initiative that was the first, and is still the largest, National Institutes of Health (NIH) effort centered on the health needs of women. The Women’s Health Initiative (WHI) has enrolled tens of thousands of participants in clinical trials of hormones and other medications and tracked the health of many thousands more over more than 3 decades.
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RFK Jr. faces mixed reception, unruly crowd at major addiction conference. In speech punctuated by protests, Kennedy stressed personal and supported use of addiction medications.
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‘This Is Not How We Do Science, Ever’ This article describes how the Trump administration is manipulating government-sponsored research to get the answers it wants.
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Trump proposes massive NIH budget cut and reorganization | Science | AAAS April 17 “The abolished institutes focus on nursing research, alternative medicine, minority health, and global health research. Fifteen of the remaining 20 institutes would find homes in five new institutes, dealing with “body systems,” neuroscience, general medical science, disability, and behavioral health.” “This is going to completely kneecap biomedical research in this country,” says Jennifer Zeitzer, deputy executive director at the Federation of American Societies for Experimental Biology.”
Weekly Update: April 21-25, 2025
This week’s bad news:
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Forecasting Trump's Behavioral Health Plan for Addiction Treatment Providers in 2025 — Behavehealth.com Although this one was posted on January 20, 2025, it contains interesting insights into the playbook that is now being performed before our very eyes. See also the following Update on Trump's Addiction Treatment Policies, and What the Future May Hold for Behavioral Health — Behavehealth.com February 20, 2025
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SAMHSA meets Delilha, first round? RFK Jr Announces SAMHSA Closure - Addiction Treatment and Behavioral Health Brace for Big Changes with AHA — Behavehealth.com Can they really shut SAMHSA down, or are they just cutting it to pieces?
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What comes next, NIDA and NIAAA? Maybe yes, according to this headline: Internal Trump administration document reveals massive budget cut proposal for NIH institutes. CNN April 16, 2025. Read this and weep: “The preliminary plan would slash the National Institutes of Health’s budget by more than 40% and reduce its 27 research institutes and centers down to just eight. While the National Cancer Institute, the National Institute of Allergy and Infectious Diseases, and the National Institute on Aging would be preserved. Institutes researching childhood illnesses, mental health, chronic disease, disabilities and substance abuse would be shuffled into five new entities: the National Institute on Body Systems, National Institute on Neuroscience and Brain Research, National Institute of General Medical Sciences, the National Institute of Disability Related Research and National Institute of Behavioral Health.” It will be very interesting to see how Congress responds to these drastic changes in the federal government, especially around such a sensitive issue as mental health and substance use."
Weekly Update: April 14-18, 2025
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This item is gleaned from the APA Division 50 Discussion listserv. ONDCP has just released a report on the Trump administration's drug policy priorities: 2025-Trump-Administration-Drug-Policy-Priorities.pdf. In a major shift from the previous four years, high priority will be given to interdiction and supply control, despite the lack of evidence for these measures. Given the cuts to staffing and funding for SAMHSA, NIH, and CDC, and the looming cuts to Medicaid, treatment services are likely to become more scarce and more expensive
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A closer look at the nationwide impact of NIH cuts More than 500 counties will lose more than $6.25 million in funding.
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Exclusive-US NIH scientists barred from attending conferences on their own time and dime Researchers at the U.S. National Institutes of Health have been told they cannot attend scientific conferences and meetings without official permission, even if they pay their own way and go during time off, three current and former NIH scientists told Reuters.
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Government shuts CDC office focused on alcohol-related harms and prevention: https://www.statnews.com/2025/04/10/trump-cuts-cdc-program-alchohol-related-harm-6-million-budget-cut-felt-in-11-states/ The team’s work ranged from documenting Americans’ patterns of drinking over time and by group, to understanding what health problems resulted, and studying and implementing prevention strategies.
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DOGE takes over federal grants website, wresting control of billions - The Washington Post. DOGE to review and approve proposed grant opportunities across the federal government, a procedure that threatens to further delay or even halt billions of dollars that agencies usually make in federal awards.
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'How is it possible that you have this job?': RFK Jr. was not aware of the addiction and mental health programs he was cutting. See the first 1 min 30 sec of this MSN clip.
Weekly Update: April 7-11, 2025
This week’s bad news
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Drug policy pervasion. Here is an action alert put out by the Partnership to End Addiction last week. “Despite rhetoric otherwise, recent actions of the current federal administration seem to demonstrate that it views the overdose crisis solely as an issue of fentanyl trafficking at the border, not as a health problem.” The Alert urges its readers to: “Send the letter below to federal officials to urge them to prioritize and protect the structures and supports integral to addressing the addiction crisis.”
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SPARE the rod. Christie Fowler, UCI, SRNT drew our attention to the Safeguard Pets, Animals, and Research Ethics (SPARE) Act, a bill that aims to end federally funded animal research in the United States. Urge Congress to Oppose the SPARE Act
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Firing on all cylinders. Chaos in US health agencies after mass firings.
This week’s good news (sort of)
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In support of the ASDN Clarion Call: After Kennedy's Destruction at NIH, Alcohol Prevention and Addiction Medicine Must Stand In Solidarity - Alcohol Justice This article about the ASDN Clarion Call comes from Alcohol Justice, a nonprofit organization that advocates for evidence-based alcohol policy.
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Stand Up for Science funding. Letter endorsed by more than 660 professional organizations, including the College on Problems of Drug Dependence, that was sent to Congressional leaders of the House and Senate appropriations committees, urging them “to prioritize robust funding for the National Institutes of Health (NIH) in the Fiscal Year 2025 appropriations bill and, in that legislation, preserve existing protections against cuts to reimbursement for NIH grantee Facilities and Administrative costs.” NIH-Community-Sign-On-Letter-with-Signatures-03.03.2025.pdf
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At least someone is practicing restraint. Federal judge says she will temporarily block billions in health funding cuts to states