The Trump administration is considering restoring specialized suicide prevention services for LGBTQ+ youth through the 988 Suicide & Crisis Lifeline nearly a year after shutting them down, according to a newly disclosed federal letter sent to a bipartisan group of lawmakers.

In a Tuesday correspondence obtained by The Advocate, the Substance Abuse and Mental Health Services Administration said on behalf of Health and Human Services Secretary Robert F. Kennedy Jr. that it is evaluating how to restore the 988 Lifeline's specialized services for LGBTQ+ youth, commonly known as the "Press 3" option, following Congress's direction in fiscal year 2026 funding legislation. The letter was addressed to Rep. Raja Krishnamoorthi, an Illinois Democrat, and copied to Reps. Sharice Davids of Kansas, Brian Fitzpatrick of Pennsylvania, and Seth Moulton of Massachusetts. Rep. Michael Lawler, a New York Republican, was also copied on the letter.

But the agency also said any restoration would need to comply with President Donald Trump's Executive Order 14168, which requires federal agencies to recognize only two sexes and rejects federal recognition of transgender identities.

"SAMHSA is currently assessing the most appropriate approach to implementing this congressional directive for the 'Press 3' option within the 988 Suicide and Crisis Lifeline, while ensuring compliance with Executive Order 14168," Christopher Carroll, SAMHSA's principal deputy assistant secretary for mental health and substance use, wrote.

He noted that the law specifically requires LGBTQ+ youth cultural competency training for counselors and the establishment of a system that routes LGBTQ+ youth to specialized providers. The announcement marks a notable reversal from the administration's position last year.

In June 2025, SAMHSA announced it would eliminate the LGBTQ+ youth specialized services, arguing it would "no longer silo" LGBTQ+ callers into a dedicated subnetwork and instead would serve all callers through the broader 988 system. The administration simultaneously proposed eliminating the program's dedicated $33.1 million funding stream while maintaining funding for the national suicide hotline.

The shutdown took effect July 17, 2025, ending the "Press 3" option and other pathways that connected LGBTQ+ young people directly with counselors trained to address the unique challenges LGBTQ+ youth often face during a mental health crisis.

Trump administration considers restoring LGBTQ+ youth crisis line it eliminated last year