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Rights & Freedoms · Report · File No. 261027-323

Press 3 LGBTQ+ suicide line is back, but HHS vows to 'restore biological truth'

The 988 lifeline's LGBTQ+ option returned after 14 months and a congressional order. HHS won't say how counselors are trained or how the service will change, which worries advocates.

Every quote in this story (1) was matched word for word against its source. How we work

Tammy Baldwin
Tammy Baldwin. Photo: Sen. Tammy Baldwin, Public domain

The "press 3" option on the national 988 Suicide & Crisis Lifeline is back online, The Guardian reported Tuesday. The option connects LGBTQ+ callers with specialized counselors. The Trump administration ended it in July 2025 1.

Before the shutdown, counselors answered more than 1.5 million calls, texts and online chats over nearly three years 1. The federal agency that oversees the lifeline, the Substance Abuse and Mental Health Services Administration (Samhsa), cut it for financial reasons, it said. Critics cited political motives 1.

Congress forced the change

After pressure from activists, LGBTQ+ groups and politicians, Congress approved more than $33 million for services for queer youth, including the specialized lifeline 1. In June, an HHS spokesperson said Samhsa was working with the 988 network administrator, Vibrant Emotional Health, to reactivate the option by year's end 2.

Samhsa official Christopher Carroll wrote to lawmakers in June that the agency was assessing how to carry out the order while staying consistent with Executive Order 14168. That order requires federal agencies to recognize only two sexes 2.

What HHS says, and what it won't say

The Department of Health and Human Services (HHS) told The Guardian it "remains fully aligned with President Trump’s Executive Orders to defend women from gender ideology extremism and restore biological truth to the federal government." HHS did not answer repeated requests for details on policy changes 1.

The Guardian messaged the restored service through its live chat. A counselor offered gender-affirming support and asked what makes the writer feel "most yourself and affirmed in your identity" 1. One chat does not show how the service will work over time.

Tammy Baldwin
For 14 months, ‘Press 3’ was shuttered because President Trump and RFK, Jr. made a choice to put politics over people and cut off life-saving services for young Americans.
Tammy Baldwin, U.S. Senator, Democrat-Wisconsin1

Baldwin, of Wisconsin, wrote the 2020 law that created the national lifeline. Baldwin and Rep. Seth Moulton applauded its reopening and said they intend to keep fighting for its preservation 1.

Advocates want clear standards

The Trevor Project, a nonprofit focused on suicide prevention for queer youth, lost a $25 million federal contract and let go of more than 200 counselors when the service ended. It was also shut out of the new version because it was considered an inactive member of the 988 network 1.

Its privately funded lifeline kept running, helped by a campaign that raised more than $20.4 million from about 26,000 donors 1. Mark Henson, a vice president at the group, said it is "uncertain" whether the executive orders affect how inclusive the services will be 1.

That matters because the Centers for Disease Control and Prevention's 2023 survey data show queer youth are more than three times as likely to attempt suicide as their heterosexual and cisgender peers 1. The 988 line itself stayed open during the shutdown for all callers, with specialized help for veterans 1.

What happens next is unclear. HHS has not said how counselors will be trained or what policy changes apply. Advocates say they will keep watching 1.

The Record

  1. The Trump administration ended the 988 'press 3' LGBTQ+ option after it handled more than 1.5 million contacts (exact day not given; July 2025) 1.
  2. HHS said Samhsa was working with Vibrant Emotional Health to reactivate Press 3 by the end of the year 2.
  3. The Guardian reported the service back online, with HHS citing its pledge to 'restore biological truth' and giving no rollout or training details 1.

Sources

  1. The Guardian, “Trump reopened an LGBTQ+ suicide hotline. But the department that runs it vows to ‘restore biological truth’” (2026-10-27). theguardian.com/world/2026/oct/27/trump-reinstate-lgbtq-yout
  2. Attitude, “Trump administration to restore LGBTQ+ youth suicide hotline service after axing it” (2026-06-16). attitude.co.uk/news/trump-administration-lgbtq-youth-suicide

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