Update: On Wednesday night, a Trump administration official told NPR that the cuts would be reversed. 

A Trump administration decision to terminate hundreds of health services grants sent several Massachusetts mental health and addiction treatment providers scrambling for further details and plans to cover new funding gaps.

According to a federal notice issued Tuesday, grants from the Substance Abuse and Mental Health Services Administration were terminated as of January 13. The funding supported many nonprofit groups that provide care for homelessness, mental health and addiction.

“SAMHSA is adjusting its discretionary award portfolio, which includes terminating some of its awards, in order to better prioritize agency resources,” the notice said, suggesting that the affected programs do not align with the administration’s objectives.

National groups estimate that $2 billion in grants have been terminated nationwide.

Gov. Maura Healey said the state received notice that $5 million in grants were terminated. She estimated that, in total, tens of millions of dollars will be cut from state agencies and nonprofits.

Among the cuts are $499,000 grant to the state’s Department of Mental Health for psychosis prevention and $2 million to the Department of Public Health to integrate behavioral health and primary care to improve care for mental health and substance use disorders.

Healey called the cuts “callous and cruel” and said they will affect programs that helped reduce the state’s drug overdose death rate to it’s lowest level since 2013.

“I can’t believe Donald Trump is cutting funding for mental health and addiction services. I don’t know a family in America that hasn’t been touched by one or both of these issues,” Healey said.

The full extent of the terminated grants in Massachusetts is unclear. Some providers said they received notices, others said they did not. According to the grant administration’s website, Massachusetts agencies received more than $200 million in federal funding for substance use and mental health treatment in fiscal year 2025. Other grant funding is awarded to states to designate to various programs.

“What we know at this point is that these cuts are going to slash provider capacity in all of the areas of the substance use disorder care continuum — so  prevention, treatment, harm reduction, reentry programs. It’s almost, I think at this point, easier to try to figure out who has been spared,” said Julie Burns, president and CEO of RIZE, a nonprofit that provides funds to various substance abuse disorder organizations around Massachusetts.

Burns said she’s heard from some providers whose grants were terminated and others who said they received termination notices, but then notices that funding had been restored.

Sarah Porter, president and CEO of Victory Programs, said she received a notice by email Tuesday night indicating that a $500,000 grant for HIV and infectious disease testing for vulnerable populations was terminated.

“This morning I showed up to do this work and I have no money to do it,” Porter said. “There is no conversation, no planning, no talk about winding down. I think providers have spent today just shaking their heads.”

Victory Programs provides addiction treatment, mental health care and housing assistance to about 5,000 people a year. Porter said her agency is still assessing the termination and how to continue to provide some of the services that were funded by the grant.

“This nightmare scenario, done without precedent or any type of warning, will cause incalculable harm to people who desperately need support, including people recovering from substance use disorder and those re-entering society from incarceration,” said Lydia Conley, President and CEO of the Association for Behavioral Health Care, an organization that represents Massachusetts care providers. “By withdrawing this vital support, the long-term costs to society and the federal government will be far greater.”

“We did not see this coming,” said Bob Franks, president and CEO of The Baker Center for Children and Families, based in Boston and Waltham. He said the organization is losing two grants totaling $1 million.

One of the grants allowed the Harvard-affiliated center to train providers nationwide as part of an initiative on child traumatic stress that’s enjoyed bipartisan support for more than 25 years, and the other funded treatment services for Massachusetts children experiencing PTSD from experiences such as abuse, violence and exposure to substance abuse, said Franks, who is a child psychologist.

“In as little as six to eight months of outpatient treatment, we see their symptoms reduced significantly enough so that they no longer have the PTSD diagnosis,” he said.

Boston Health Care for the Homeless Program has lost $400,000 in funding to help prevent homelessness and arrange substance use disorder treatment for those released from incarceration.

“Ultimately the concern and the fear is that important services will no longer be able to be sustained in the community,” said Dr. Denise De Las Nueces, interim CEO of Boston Health Care for the Homeless Program. “That is what we are working at in our program, and I’m sure many others are as well, to help to protect against as much as possible.”

Massachusetts Attorney General Andrea Campbell promised to sue over the funding terminations.

“I will do everything in my power to protect Massachusetts from these disgraceful cuts and will see the Trump Administration in court,” Campbell said in an emailed statement.

Even those agencies that were spared are concerned. Kevin Martone, president and CEO of Bay Cove Human Services, which provides services to 25,000 people a year, did not receive notice of any federal grants being terminated. But he said clients of his programs likely will be affected by other services being cut. He said Bay Cove will have to try to step in to fill the gaps.

Martone also pointed to other federal “safety net” programs facing reductions such as Medicaid, food stamps and grants from the federal Housing and Urban Development Department to address homelessness.

“This will have a cumulative effect on all the services and supports that our clients rely on,” Martone said. “It’s going to significantly put people at risk. To roll out these cuts abruptly and just sort of disregard the safety and wellbeing of people who are relying on these services, it is frankly just cruel.”

Several providers said they want to understand why the White House would cut money for programs that deal with issues that it says it wants to address.

“It is ironic that on the SAMHSA website, they’re promoting substance use disorder treatment month with a series of messages and support for substance use treatment providers at the same time that they’re making these cuts,” Burns said.

With reporting from Lynn Jolicoeur, Lisa Mullins and Dan Guzman.