2026-12977NoticeWallet

SAMHSA Seeks Comments on PAIMI Reporting Update

Published Date: 6/26/2026

Notice

Summary

SAMHSA wants to update and keep collecting info from groups that help people with mental illness through the PAIMI program. They’re asking the public to comment on these changes before the current approval expires on July 31, 2026. This helps make sure the program runs smoothly without adding extra paperwork or costs.

Analyzed Economic Effects

4 provisions identified: 0 benefits, 2 costs, 2 mixed.

Community Representation Funding Threshold

Under 42 U.S.C. 10804(d), a P&A system may use its PAIMI allotment to represent individuals with mental illness who reside in the community only if the total PAIMI allotment for the fiscal year is $30,000,000 or more. If funding falls below $30,000,000, PAIMI programs must give priority to representing PAIMI-eligible individuals as defined in statute.

Paperwork Burden and Estimated Cost

SAMHSA estimates the annual PAIMI reporting burden at 1,710 total hours across 114 responses (57 PAIMI PPR responses at 20 hours each and 57 ACR responses at 10 hours each), with a total hourly wage rate of $38.74 and a total annual cost of $66,246. The per-instrument estimates are 1,140 hours ($44,164) for the PPR and 570 hours ($22,082) for the ACR.

American Indian Consortium Funding Floor

The American Indian Consortium may only be funded under PAIMI if total PAIMI program funding is at least $25,000,000, per 42 U.S.C. 10822(a)(2)(D). This is a statutory funding threshold that controls whether the 57th P&A system (the American Indian Consortium) can receive PAIMI grant dollars.

Demographic Questions Removed From Reports

SAMHSA proposes removing the sexual orientation question and a paragraph on gender identity and sexual orientation from the PAIMI PPR and ACR instructions, replacing the word 'Gender' with 'Sex', and keeping only 'male' and 'female' response options for the question on sex of PAIMI Advisory Council (PAC) members. These changes will take effect for FY 2026 PPR reports due January 1, 2027.

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Key Dates

Published Date
Effective Date
6/26/2026
1/1/2027

Department and Agencies

Department
Independent Agency
Agency
Health and Human Services Department
Substance Abuse and Mental Health Services Administration
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