January 12, 2026
Introduction
As we step into 2026, the policy landscape for health and recovery services remains complex and dynamic. From federal budget negotiations to evolving public health guidelines and shifting drug policy, these developments will shape the future of recovery support and public health initiatives. Here’s a look at the key issues making headlines as the new year begins.
Looking Ahead: Policy Challenges in 2026
The largest concern remains the federal budget for FY 2026, which is still incomplete. If chatter around the Capitol proves accurate, we could see an appropriations bill that funds HHS by the end of January. If not, a continuing resolution would be needed to avoid a second government shutdown.
Why the Appropriations Bill Matters
This bill carries significant implications for the future of SAMHSA as an agency. Congress, in committee drafts from both the House and Senate, has rejected the White House proposal to fold SAMHSA into the proposed “Administration for a Healthy America.” The legislation also potentially funds many important programs critical to the future of recovery support services.
FDA Updates Dietary Guidelines: Alcohol Removed
In early January, the Department of Health & Human Services Food & Drug Administration released a new version of dietary and nutritional guidelines. For decades, alcohol had been part of these guidelines, with previous recommendations defining moderate consumption as no more than two drinks per day for men and one for women.
The latest update removes alcohol from the guidelines entirely, causing confusion and concern among advocates. While the new guidance advises limiting alcohol for better health, it does not set clear limits. Notably, warnings about increased cancer and cardiovascular risks from even moderate drinking—present in the 2020 guidelines—are absent.
Cannabis Rescheduling: A Presidential Directive
In late December, President Trump signed an Executive Order directing the Drug Enforcement Agency to begin the process of rescheduling cannabis from Schedule I to Schedule III. This move could accelerate research into cannabis’s potential uses, but it also raises public health concerns. While some members of Congress voiced opposition, early indications suggest limited political pushback.
Conclusion
The start of 2026 brings both uncertainty and opportunity. Decisions on the federal budget will influence the future of SAMHSA and critical recovery programs, while changes in dietary guidelines and cannabis policy signal shifting priorities in public health. As these developments unfold, staying informed and engaged will be essential for advocates and stakeholders committed to advancing recovery support and health equity.
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