The screen displays the final draw during the FIFA World Cup 2026 Official Draw at John F. Kennedy Center for the Performing Arts Friday in Washington D.C.
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This morning, FIFA drew teams for the top men's soccer tournament, taking place across the U.S., Canada and Mexico. L.A. is one of the host cities.
Where and when: The draw — at the John F. Kennedy Center for the Performing Arts in Washington, D.C. — determined which opponents all 48 teams participating in the World Cup will eventually face in the initial group stage. As of now, 42 teams are set and six more will be added in the Spring.
Takeaways: In a World Cup of 48 teams, it predictably led to pretty stark contrasts, with a soccer powerhouse such as Spain set to face debutant Cape Verde — or a matchup between Germany and Curaçao, the smallest country to ever qualify for the World Cup with a population of just over 150,000.
The 42 teams that have qualified so far for next year's FIFA World Cup now know who they'll face in the initial phase of the tournament taking place across the U.S., Canada and Mexico next year.
That's after the draw for the men's flagship soccer tournament was held on a cold, wintry day at the John F. Kennedy Center for the Performing Arts in Washington, D.C.
And it yielded interesting matchups, including Spain versus Uruguay, England versus Croatia, and France against Senegal, a contest with an interesting history given the African country famously beat the European powerhouse at the 2002 World Cup.
Then there are the hosts. The U.S., for example, will open the tournament with a match-up against Paraguay in Los Angeles, and will also face Australia and a yet-to-be-determined European rival.
As has been typical in recent draws, the ceremony attracted a slew of celebrities, including tenor Andrea Bocelli, as well as older and younger superstar athletes from both the soccer world and the host nations, including retired American quarterback Tom Brady.
And the event attracted controversy, too. As widely expected, President Trump received FIFA's first "Peace Prize," given "on behalf of football-loving people from all around the world" — though no fan ever voted for such an award.
Here are five things to know about the World Cup draw.
What was the draw for?
In short, it was to determine which teams will make up the 12 groups of four that mark the opening stage — or the group stage — of the World Cup.
The tournament has never been this big before — with 48 teams taking part, up from the 32 that participated at the last World Cup in Qatar in 2022.
Not all teams that will take part in the 2026 World Cup are known, though. So far, 42 countries have qualified, with the remaining six — including Italy — set to compete inplayoffs next March to determine the final list of participants.
And teams still do not know the locations and kickoff times for the games set to be held across all 16 host cities. That will be determined on Saturday, at a separate event.
So what did the draw look like?
In a World Cup of 48 teams, it predictably led to pretty stark contrasts, with a soccer powerhouse such as Spain set to face debutant Cape Verde — or a matchup between Germany and Curaçao, the smallest country to ever qualify for the World Cup with a population of just over 150,000.
There will also be other matches that will likely draw attention, including Portugal with aging star Cristiano Ronaldo set to face off against Colombia, the finalist at the regional Copa America last year.
The top two sides of each of the 12 groups will automatically qualify. But even finishing third in a four-team group can ensure qualification: in fact, the eight-best third-placed teams will advance.
Is there a group of death? What about some of the favorites?
Just like in any tournament, one of the biggest talking points will become which group will be perceived as the "Group of Death," the moniker given to the group perceived to be the most difficult in a tournament.
There are a couple candidates this time around. Netherlands, Japan, Tunisia and whoever emerges from a playoff involving Ukraine, Poland, Albania, or Sweden could be one such group.
The other could very well be the one made up by England, Croatia, Ghana and Panama — or the one made up by France, Senegal, Norway and whoever emerges from the playoffs involving Bolivia, Iraq and Suriname.
But some of the favorites will face much lower-ranked teams in the group stage. That's the case for Argentina, which will face Algeria, Austria and World Cup debutant Jordan.
Top-ranked Spain, meanwhile, will face a tough opponent in 16th-ranked Uruguay but also 60th-ranked Saudi Arabia and tournament newbie Cape Verde.
What does the path look like for the hosts?
The United States and Mexico mostly avoid particularly high-ranked teams. Canada faces a tougher time.
The U.S., for example, ranked 14th will face 39th-ranked Paraguay in its opening game, as well as 26th-ranked Australia, and whoever emerges from a playoff involving Slovakia, Kosovo, Turkey or Romania.
Meanwhile, Mexico will face lower-ranked teams in South Africa, South Korea and a yet-to-be-determined European team.
Canada faces the potentially tougher path, set to face Qatar, but also higher-ranked Switzerland and potentially Italy, which will be in a playoff involving Bosnia and Herzegovina, Wales and Northern Ireland.
And why did President Trump receive a peace prize?
It's not quite clear — but one thing's for sure, it ensured that the draw wasn't all about sports.
Politics have typically been kept offstage at FIFA's World Cup draw ceremonies given the organization's long-held rules about staying politically neutral.
But on Friday, FIFA president Gianni Infantino presented Trump with the first-ever Peace Prize, crediting him with ending a number of wars and conflicts (something the U.S. president likes to boast about, though the evidence is less clear.)
Infantino and FIFA have justified the award, which it unveiled for the first time on Friday, as intended to acknowledge "exceptional actions for peace and unity."
But the award sparked criticism from some soccer fan groups and was seen by many of these critics as another step in Infantino's persistent and controversial courtship of President Trump, which FIFA's leader has justified as needed to ensure the successful staging of the World Cup.
The World Cup runs from June 11 through July 19, 2026.
NPR sports correspondent Becky Sullivan contributed to this report.
Sita Davis points to a photo of death cap mushrooms in the book Mushrooms of the Redwood Coast during an educational mushroom walk at Anthony Chabot Regional Park in Oakland.
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State health officials on Wednesday issued their second warning this season to avoid mushroom foraging as illness and deaths from eating wild mushrooms known as death caps rise to unprecedented highs.
Illnesses and deaths: Thirty-five people have gotten sick so far this season, three needed liver transplants, and three died, compared to a typical year that sees only three to five cases. Doctors worry more cases are coming amid a “super bloom” of death caps, sparked by early rains and warm temperatures in the fall. Immigrants from Mexico and China make up a disproportionate number of the cases, as death caps, or Amanita phalloides, look very similar to edible mushrooms that grow in those countries. Some dogs have also died.
Take precautions: Death caps grow along the West Coast and no part of California is a death cap-free zone. People who believe they or a family member may have ingested a toxic mushroom — or health care providers who have a patient showing signs of mushroom toxicity — can call the state’s toll-free poison control hotline 24/7, free of charge for advice: 1-800-222-1222.
State health officials on Wednesday issued their second warning this season to avoid mushroom foraging as illness and deaths from eating wild mushrooms known as death caps rise to unprecedented highs.
Thirty-five people have gotten sick so far this season, three needed liver transplants, and three died, compared to a typical year that sees only three to five cases. Doctors worry more cases are coming amid a “super bloom” of death caps, sparked by early rains and warm temperatures in the fall.
“We anticipate that these mushrooms could continue to be fruiting in abundance throughout the rainy season in California,” said Dr. Craig Smollin, medical director of the San Francisco division of the California Poison Control System.
Immigrants from Mexico and China make up a disproportionate number of the cases, as death caps, or Amanita phalloides, look very similar to edible mushrooms that grow in those countries. The California Department of Public Health released a series of fact sheets and videos on Wednesday in multiple languages, including Mixteco, an indigenous language of Mexico spoken by communities in Monterey County, where the first poisonings emerged in November.
Since then, people have been treated in hospitals throughout the Bay Area after eating mushrooms found in the Oakland Hills, Stinson Beach and Pinnacles National Park, among other sites, though Smollin said that they grow along the West Coast and that no part of California is a death cap-free zone. Some dogs have also died.
Death cap mushrooms sit by the side of a trail during an educational mushroom walk at Anthony Chabot Regional Park in Oakland on Dec. 12, 2025. Mushroom foraging is not allowed in the park.
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“It’s a really dangerous time to be mushroom hunting and foraging right now,” said Dr. Rita Nguyen, assistant state public health director. “It can be very hard, even for experts, to identify the difference between edible mushrooms and not.”
Symptoms of death cap poisoning include nausea, vomiting and diarrhea, and can occur 6 to 24 hours after ingestion. Extreme cases can lead to liver failure, necessitating an urgent liver transplant or death. Cooking, boiling or freezing the mushrooms does not inactivate the toxin.
“A single bite of the mushroom could cause significant toxicity,” Smollin said.
Local mushroom experts and enthusiasts have bemoaned the state’s messaging around the poisonings as narrow and fear-based. Many would prefer to see an emphasis on education, rather than a prohibition on all foraging, and point out that touching, smelling and looking at mushrooms is safe.
“There’s a lot more nuance,” said Debbie Viess, co-founder of the Bay Area Mycological Society. “It’s much more important to steer people to places where they can educate themselves about the safety and the dangers of eating wild mushrooms.”
Viess said field reports coming into her organization suggest the growth of death caps may be slowing in the Bay Area, while another kind of poisonous mushroom known as the destroying angel, or Amanita ocreata, is starting to pop up.
People who believe they or a family member may have ingested a toxic mushroom — or health care providers who have a patient showing signs of mushroom toxicity — can call the state’s toll-free poison control hotline 24/7, free of charge for advice: 1-800-222-1222.
Translation services are available in any language, and all personal information is kept confidential, said Dr. Cyrus Rangan, a pediatrician and toxicologist with poison control.
“We can then determine whether you need to go into the emergency department or whether we, as poison experts, can help you treat the situation at home,” he said.
Jimmy Orlandini looks at the structure of the Woodbury Building on Jan. 12, 2026.
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A year after Eaton Fire, some business owners aim to return or go on while also dealing with rebuilding their homes.
Why it matters: The small business owners and others CalMatters spoke with for this story stressed the importance of thoughtful and timely help from insurance companies, community organizations and all levels of government for businesses and residents as key to the recovery of the unincorporated town of about 43,000 residents — even for the businesses that survived the fire.
‘The heart of Altadena’: Jimmy Orlandini, owner of Altadena Hardware, thinks it might take five years to reopen his business at its original location after almost the whole building burned down.
Read on... for more on how businesses are trying to recover in Altadena.
A year after the Eaton Fire, some small business owners in Altadena are striving to rebuild, in some cases while also grappling with being displaced from homes that burned down or were severely damaged.
For others, such as Steve’s Pets Store owner Carrie Meyers, it’s just too much.
“People want me back,” Meyers said. “But I don’t know if we can survive up there. No one lives there … mentally I’m not there.”
Meyers said she had just received a delivery before the fire last January, so about 65 animals perished, including cats, rats, birds and a 40-year-old parrot. The store is now permanently closed, and its website shows a message from former employee Michael Mersola, who said he would miss it because “people would just (hang out) here, I swear it was Starbucks for animal lovers lol.”
Meanwhile, Carrie’s husband Ed is dealing with trying to rebuild their home, which burned down. He has dealt with a long insurance process with State Farm that has, four claims adjusters later, finally improved.
One adjuster “was the king of no” and “existed like a great cloud in our lives for four to five months,” Ed Meyers said. “Then one day, like winning the lottery, we got a new adjuster.”
Other survivors of the fire that killed 19 people have complained about insurance companies assigning them multiple adjusters, slowing things down. Now, Ed said things are looking better than they were six months ago and they are on their way to rebuilding, though they were underinsured, something many fire survivors have in common.
The small business owners and others CalMatters spoke with for this story stressed the importance of thoughtful and timely help from insurance companies, community organizations and all levels of government for businesses and residents as key to the recovery of the unincorporated town of about 43,000 residents — even for the businesses that survived the fire.
“Our struggling businesses can’t afford patience,” said Nic Arnzen, chief of the Altadena Town Council, who called the community’s path to recovery a chicken-and-egg situation. “Without the population returning to Altadena, they’re in a tough corner.”
Los Angeles County has received about 2,700 applications for permits to rebuild in Altadena, according to the county’s dashboard. Of those, the county has issued about 1,200 permits and 560 homes are being rebuilt right now.
‘The heart of Altadena’
Jimmy Orlandini, owner of Altadena Hardware, thinks it might take five years to reopen his business at its original location after almost the whole building burned down.
“Five years is an eternity to not have a business running,” he said. As others rebuild, they will need a hardware store, so he is looking for a temporary place to run his business as he waits for the property owner to rebuild. He had 21 employees at the time of the fire; he thinks most of them have found other jobs, while some are relying on unemployment benefits.
His family has been in the hardware business for decades, and he has two other locations elsewhere. But he has deep ties to the community, having lived in Altadena for 40 years, since he was 2.
Jimmy Orlandini stands inside what’s left of the Woodbury Building on Jan. 12, 2026.
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Orlandini displays a photo on his phone of what Altadena Hardware looked like before it burned in the Eaton Fire last year. It’s one of the few photos he has of the store. All other photos of his business were kept in the store and burned during the fire.
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The Woodbury Building in Altadena on Jan. 12, 2026. The building burned during the Eaton Fire last year. Since then, it has undergone some repairs, but has yet to be largely rebuilt.
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The Woodbury Building in Altadena on Jan. 12, 2026. The building burned during the Eaton Fire last year. Since then, it has undergone some repairs, but has yet to be largely rebuilt. Photo by Jules Hotz for CalMatters
“It’s really difficult,” he said. “Altadena was our best store in terms of revenue, and our relationship with the customer base.” (Another business owner CalMatters spoke with, the owner of a pizza restaurant, called the hardware store “the heart of Altadena.”)
Orlandini and his family returned to their house in October. It did not burn down even as “everything around us burned,” he said. But Mercury Insurance eventually deemed it a total loss because of smoke damage and lead contamination of all its contents.
“We have no couch,” he said. “We’re sitting on camping chairs in the living room. The kids still haven’t gotten their toys back.” But he said they finally received a big portion of the payout for the contents of their house a couple of weeks ago, so “now we can start buying stuff.”
Uneven help
A common refrain among Altadena’s small business owners: Some of the help available to homeowners is not extended to them.
Matt Schodorf co-owns Café de Leche with his wife, Anya. Their home, about 15 to 20 minutes away in Highland Park in Los Angeles, is fine except for some ash in the attic. He understands that Altadena homeowners whose homes were destroyed and want to rebuild need assistance — those are his customers.
But their Altadena coffee shop, the only one whose building they owned out of their four locations and which he said was their busiest store, burned down. Now they’re dealing with the rebuilding process and in some ways are feeling left out.
“FEMA in particular excluded us from debris removal originally,” Schodorf said. So Schodorf and his wife complained and were featured “on all the media” including CNN. FEMA included Café de Leche in federally funded clearing of debris after the media appearances, Schodorf said. He also credited L.A. County Supervisor Kathryn Barger’s office for advocating for them.
Schodorf also said, as did others, that the Los Angeles Department of Economic Opportunity has been a huge help in providing information about grants and other support.
Still, “it feels frustrating because it feels we are very small potatoes, especially from the perspective of the government,” he said. “It doesn’t seem like it would be too much to ask: waive permit fees, clean our lots out. Don’t make us go on national news pleading for help.”
Melted glass on a window pane in the Woodbury Building on Jan. 12, 2026. The building burned during the Eaton Fire in Altadena last year.
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Daniel Harlow, whose office was destroyed, agreed that businesses need more help. His custom computer programming and software development business is up and running again, but it was in a separate structure at his home and was a total loss.
“A lot of rules for homeowners insurance don’t apply to businesses,” he said. “To not have more assistance for small and medium businesses is a problem.”
For example, the state law that allows homeowners to get some upfront payouts without having to provide a full inventory of the contents of their home does not apply to businesses.
Harlow is now dealing with both rebuilding his office and repairing his house, which suffered some damage. He’s living in a rental home.
“I’m trying to find architects and contractors while running my business,” he said. “It’s basically (another) full-time job.”
A shift, and more changes ahead
Zak Fishman’s Prime Pizza in Altadena is the only pizza restaurant of the four in Altadena that survived the fire. It was a bit of good news for his family. Their house burned down, and they’re now rebuilding.
Fishman, who owns several other locations in the Los Angeles area and elsewhere, said his Altadena location was closed for about a month but is now doing pretty well, considering the circumstances.
“We do see a shift,” he said. “You see different types of people coming. A lot of workers in the area had nowhere else to eat (lunch).”
Fishman opened the Altadena location in September 2023 and was seeing a lot of growth, he said. He said sales at the location probably would have been up 20% over the prior year if the fire hadn’t happened. Now he says they’re up about 8% to 10%.
“I’m certainly not complaining, it’s amazing,” he said.
With about half of Altadena’s businesses destroyed in the fire, it’s going to be a long way back.
Judy Matthews, president of the Altadena Chamber of Commerce, said her group is working with other chambers and the county to help promote shopping local, and to identify more opportunities for grants and help for small and medium-size businesses.
“There’s increasing collaboration between local government and business,” she said. “That’s critical. No one man can stand alone and say I did it.”
A “We Are Altadena Strong” sign outside the Woodbury Building on Jan. 12, 2026.
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When more of the community is able to rebuild, it could end up looking drastically different. Whether homeowners return could depend on their insurance provider and whether they can fill the gap from being underinsured, some said. Whether small businesses rebuild could depend on what type of service or goods they offer, and their location.
“Most worrisome are retail and specialty shops, and those that depend on a steady flow of customers,” Matthews said, noting that Altadena’s limited foot traffic and visibility because of its location has been and will continue to be a factor.
Arnzen, the town council chair, said there is “a lot of competition for funds and assistance. There’s potential for people to feel left out. That is exacerbated by feelings of trauma and in some cases, historical neglect, especially from marginalized communities.”
Nearly half of Black households in Altadena, or 48%, were destroyed or had major damage, according to the NAACP.
“We need to ensure a balanced recovery that supports diverse types of businesses,” Matthews said.
Orlandini, owner of the hardware store, said he expects his business and customers to change.
“It’s definitely going to be a different town,” he said. “My store was catered to older homes, and a lot of those are gone now.”
He added: “That’s the thing that bothers me most about the fire — how much of the history is gone and will never come back.”
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The State Department said Wednesday it will suspend the processing of immigrant visas for citizens of 75 countries, including Afghanistan, Iran, Russia and Somalia, whose nationals the Trump administration has deemed likely to require public assistance while living in the United States.
Why now: The State Department, led by Secretary of State Marco Rubio, said it had instructed consular officers to halt immigrant visa applications from the countries affected in accordance with a broader order issued in November that tightened rules around potential immigrants who might become "public charges" in the U.S.
Why it matters: The step builds on earlier immigration and travel bans by the administration on nearly 40 countries and is part of President Trump's ongoing efforts to tighten U.S. entry standards for foreigners.
Read on... for more on the list of countries affected by the suspension.
The State Department said Wednesday it will suspend the processing of immigrant visas for citizens of 75 countries, including Afghanistan, Iran, Russia and Somalia, whose nationals the Trump administration has deemed likely to require public assistance while living in the United States.
The State Department, led by Secretary of State Marco Rubio, said it had instructed consular officers to halt immigrant visa applications from the countries affected in accordance with a broader order issued in November that tightened rules around potential immigrants who might become "public charges" in the U.S.
The step builds on earlier immigration and travel bans by the administration on nearly 40 countries and is part of President Donald Trump's ongoing efforts to tighten U.S. entry standards for foreigners.
"The Trump administration is bringing an end to the abuse of America's immigration system by those who would extract wealth from the American people," the department said in a statement. "Immigrant visa processing from these 75 countries will be paused while the State Department reassess immigration processing procedures to prevent the entry of foreign nationals who would take welfare and public benefits."
The suspension, which will begin Jan. 21, will not apply to applicants seeking non-immigrant visas, or temporary tourist or business visas, who make up the vast majority of visa seekers. Demand for non-immigrant visas is expected to rise dramatically in the coming months and years due to the upcoming 2026 World Cup and 2028 Olympics both of which the U.S. will host or co-host.
Cable calls for screening of non-immigrant visa applicants
A separate notice sent to all U.S. embassies and consulates said that non-immigrant visa applicants should be screened for the possibility that they might seek public benefits in the United States.
"With the uncovering of massive public benefits fraud across the United States, the Trump administration is laser-focused on eliminating and preventing fraud in public benefits programs," said the cable that referred specifically to most non-immigrant visa applications and was sent on Monday.
The cable, a copy of which was obtained by The Associated Press, urged consular officers to ensure that foreigners wanting to travel to the U.S. "have been fully vetted and screened" for whether they may rely on public services before they are issued a visa.
The cable noted several times that it is up to the applicant to prove that they would not apply for public benefits while in the U.S. and said consular officers who suspect the applicant might apply should require them to fill out a form proving their financial bona fides.
President Trump's administration has already severely restricted immigrant and non-immigrant visa processing for citizens of dozens of countries, many of them in Africa, Asia and Latin America.
Consular officials must consider a range of personal details
The November guidance on which Wednesday's decision is based directed U.S. Embassy and consulate officials to comprehensively and thoroughly vet visa applicants to demonstrate that they will not need to rely on public benefits from the government any time after their admission in the U.S.
Secretary of State Marco Rubio makes a statement to reporters while meeting with Armenian Foreign Minister Ararat Mirzoyan at the State Department in Washington on Tuesday.
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While federal law already required those seeking permanent residency or legal status to prove they wouldn't be a public charge, Trump in his first term widened the range of benefit programs that could disqualify applicants, and the guidelines in the cable appear to go further in scope.
Immigrants seeking entry into the U.S. already undergo a medical exam by a physician who's been approved by a U.S. Embassy. They are screened for communicable diseases, like tuberculosis, and asked to disclose any history of drug or alcohol use, mental health conditions or violence. They're also required to have a number of vaccinations.
The new directive expanded those with more specific requirements. It said consular officials must consider a range of specific details about people seeking visas, including their age, health, family status, finances, education, skills and any past use of public assistance regardless of the country. It also said they should assess applicants' English proficiency and can do so by conducting interviews in English.
Experts said at the time it could further limit who gets to enter the country at a time when the Republican administration is already tightening those rules.
The countries affected by the suspension announced on Wednesday are: Afghanistan, Albania, Algeria, Antigua and Barbuda, Armenia, Azerbaijan, Bahamas, Bangladesh, Barbados, Belarus, Belize, Bhutan, Bosnia, Brazil, Burma, Cambodia, Cameroon, Cape Verde, Colombia, Congo, Cuba, Dominica, Egypt, Eritrea, Ethiopia, Fiji, Gambia, Georgia, Ghana, Grenada, Guatemala, Guinea, Haiti, Iran, Iraq, Ivory Coast, Jamaica, Jordan, Kazakhstan, Kosovo, Kuwait, Kyrgyzstan, Laos, Lebanon, Liberia, Libya, Macedonia, Moldova, Mongolia, Montenegro, Morocco, Nepal, Nicaragua, Nigeria, Pakistan, Republic of the Congo, Russia, Rwanda, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Senegal, Sierra Leone, Somalia, South Sudan, Sudan, Syria, Tanzania, Thailand, Togo, Tunisia, Uganda, Uruguay, Uzbekistan and Yemen.
After a tense day of confusion and backroom negotiations, the Trump administration moved Wednesday night to restore roughly $2 billion in federal grant money for mental health and addiction programs nationwide.
Why now: The money had been cut off late Tuesday without warning, sending shockwaves through a segment of the country's patchwork system of public health that relies on grant funding.
Why it matters: "After a day of panic across the country, non-profits and people with mental health conditions are deeply alarmed, but also hopeful that this money is being restored," said Hannah Wesolowski with the National Alliance on Mental Illness.
Read on... for more about the restoration of grants.
After a tense day of confusion and backroom negotiations, the Trump administration moved Wednesday night to restore roughly $2 billion in federal grant money for mental health and addiction programs nationwide.
The money had been cut off late Tuesday without warning, sending shockwaves through a segment of the country's patchwork system of public health that relies on grant funding.
"After a day of panic across the country, non-profits and people with mental health conditions are deeply alarmed, but also hopeful that this money is being restored," said Hannah Wesolowski with the National Alliance on Mental Illness.
An administration official confirmed to NPR that the cuts, first announced by the Substance Abuse and Mental Health Services Administration (SAMHSA), were being reversed. They asked not to be identified because they didn't have permission to speak publicly about the decision.
They said all of the roughly 2,000 organizations affected by the whiplash series of events were being notified that full funding would be restored.
NPR was unable to confirm who triggered the initial decision to terminate the grants by sending letters that abruptly signaled programs no longer "aligned" with the Trump administration's public health agenda.
After sending the letters, officials at the Department of Health and Human Services and SAMHSA went silent, offering no clarification to health care providers or the public about what would happen next or where patients should go for care.
The sudden defunding and lack of communication triggered a backlash from local officials and care providers, who said the American public would see a rapid dismantling of essential safety net programs.
"We provide treatment, life saving treatment," said Dan Lustig who runs the Haymarket Center, the largest non-profit addiction treatment program in Chicago, which treats people at high risk while using illicit drugs like fentanyl and methamphetamines.
"If people don't get access to treatment they just die. That's a fact," Lustig said. "You can spin this any way people want to, but people are going to die."
The American Medical Association weighed in, issuing a statement saying it was "deeply concerned" by the cuts and calling for grants to be restored.
"At a time when patients already face too many barriers to care, sudden funding disruptions risk leaving them without the support and treatment they urgently need," the statement said.
That message reached members of Congress. Republican and Democratic lawmakers scrambled to urge White House and Health and Human Services officials to reverse course.
"We heard from offices on both sides of the political aisle who were working on this issue throughout the day," said Wesolowski. The bipartisan pressure, she added, "really speaks to the power of the collaboration on this issue."
While most of the talks happened behind closed doors, some Democratic lawmakers publicly blasted the Trump administration and Health Secretary Robert F. Kennedy Jr. for what they described as roughshod treatment of front-line care providers.
"After national outrage, Secretary Kennedy has bowed to public pressure and reinstated $2 billion in SAMHSA grants that save lives," said Rep. Rosa DeLauro, a Democrat from Connecticut.
"Our policy must be thoughtful – not haphazard and chaotic. This episode has only created uncertainty and confusion for families and health care providers," she added.
While confusion over funding was apparently short-lived, public health organizations and other sources told NPR that the termination letters demoralized staff in a system already weakened by deep cuts to Medicaid, enacted by the Republican-controlled Congress last year.
For 24 hours, it was unclear which programs would survive and who would still have jobs when the dust settled.
Dr. Yngvild Olsen, an addiction treatment physician who served as the director for the Center for Substance Abuse Treatment inside SAMHSA until July 2025, said the turmoil also raised questions about who in the Trump administration is making key public health decisions.
"My understanding is that much of the staff at SAMHSA was caught unaware," Olsen said. "These were decisions made without the input of experts in these programs and experts in this [addiction and mental health] field."
For months, Trump administration officials have been signaling they think many of the country's current public health programs are ineffective and need to be replaced.
But public health experts told NPR there has been little or no communication with frontline groups that provide much of the actual in the U.S. Meanwhile, no clear plan from the administration has emerged. Instead, local government agencies and non-profits caring for patients have faced a series of threats, disruptions and funding chaos.
"This sparks a lot of uncertainty about who's making public health decisions in this country," said NAMI's Wesolowski.
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