# Substance Abuse and Mental Health Services Projects of Regional and National Significance (93.243)

Source: https://welltoldgrants.com/programs/93-243-substance-abuse-and-mental-health-services-projects-of/  
Publisher: Well Told Grants. Data: USAspending.gov and Grants.gov, updated November 7, 2026.

Substance Abuse and Mental Health Services Projects of Regional and National Significance is run by Department of Health and Human Services. From fiscal 2021 to 2025 it awarded $13 billion in 5,689 grants, about $2.3 million per award.

## Objectives

SAMHSA was given the authority to address priority substance abuse treatment, prevention and mental health needs of regional and national significance through assistance (grants and cooperative agreements) to States, political subdivisions of States, Indian tribes and tribal organizations, and other public or nonprofit private entities. Under these sections, the Center for Substance Abuse Treatment, Center for Mental Health Services and Center for Substance Abuse Prevention (CSAP) seek to expand the availability of effective mental health, substance abuse prevention, treatment and recovery services available to Americans to improve the lives of those affected by alcohol and drug addictions, and to reduce the impact of alcohol and drug abuse on individuals, families, communities and societies and to address priority mental health needs of regional and national significance and assist children in dealing with violence and traumatic events through by funding grant and cooperative agreement projects. Grants and cooperative agreements may be for (1) knowledge and development and application projects for prevention, treatment and rehabilitation and the conduct or support of evaluations of such projects; (2) training, education, and technical assistance; (3) targeted capacity response programs (4) systems change grants including statewide family network grants and client-oriented and consumer run self-help activities; (5) programs to foster health and development of children; and (6) coordination and integration of primary care services into publicly-funded community mental health centers and other community-based behavioral health settings.

## Funding by fiscal year

| Year | Amount | Awards |
|---|---|---|
| 2021 | $2.6 billion | 2,733 |
| 2022 | $2.4 billion | 2,902 |
| 2023 | $3.4 billion | 3,644 |
| 2024 | $1.7 billion | 3,316 |
| 2025 | $3.0 billion | 3,080 |

## Largest recipients

| Recipient | State | Amount |
|---|---|---|
| The Mental Health Association of New York City, Inc. | New York | $1.1 billion |
| California Department of Health Care Services | California | $502 million |
| Florida Department of Children and Families | Florida | $427 million |
| Ohio Department Mental Health | Ohio | $376 million |
| Pennsylvania Department of Drug and Alcohol Programs | Pennsylvania | $268 million |
| New Jersey Department of Human Services | New Jersey | $248 million |
| Health & Human Svc Commn TX | Texas | $236 million |
| Research Foundation for Mental Hygiene, Inc. | New York | $236 million |
| Massachusetts Department of Public Health | Massachusetts | $208 million |
| Michigan Department of Health and Human Services | Michigan | $180 million |
| Illinois Department of Human Service | Illinois | $178 million |
| North Carolina Department of Health & Human Services | North Carolina | $171 million |
| Maryland Department of Health | Maryland | $167 million |
| Tennessee Department of Mental Health & Substance Abuse Services | Tennessee | $147 million |
| Indiana Family and Social Serv | Indiana | $141 million |
| Health Services Kentucky Cabinet for | Kentucky | $138 million |
| Arizona Health Care Cost Containment System | Arizona | $137 million |
| Department of Behavioral Health and Developmental Disabilities | Georgia | $134 million |
| Health Care Authority | Washington | $133 million |
| Department of Behavioral Health & Developmental Services | Virginia | $127 million |