FCC approves texting ‘988’ to expand access to the Suicide Prevention Hotline by next year

Author

Image of Seamus-Dowdall.jpg

Seamus Dowdall

Legislative Director, Telecommunications & Technology
Image of Blaire-Bryant.jpg

Blaire Bryant

Legislative Director, Health | Large Urban County Caucus

Upcoming Events

Conference

NACo AI Regional Forum Series

Conference

NACo AI Northeast Regional Forum

Conference

NACo AI South Regional Forum

Related News

Advocacy

County Countdown – April 21, 2025

Image of GettyImages-1307095695.jpg

Key Takeaways

On November 18, the Federal Communications Commission (FCC) unanimously voted to expand access to the National Suicide Prevention Lifeline (Lifeline) by requiring text messages sent to 988 by routed to Lifeline beginning on July 16, 2022. The expansion comes as the latest development in the FCC’s adopted rules to establish 988 as the new national, three-digit phone number for Americans in crisis to access suicide prevention services and mental health counselors. The roll-out of 988 will happen over a two-year period, with the transition initiated in July 2020 and final implementation expected to be complete by July 16, 2022. At-risk individuals can call 1-800-273-8255 to reach Lifeline today – 988 is not a nationwide calling code yet.

Counties are an integral part of the local behavioral health crisis care continuum and will be key facilitators of the implementation of the 988 National Suicide Prevention Lifeline. The expanded ability to send text messages directly to Lifeline will improve access for at-risk communities, youth and individuals with disabilities.

In 2020, 44,834 individuals died by suicide in the United States, and evidence suggests that the COVID-19 public health emergency has only exacerbated stress on the mental health and wellbeing of many Americans. Studies also find that suicide significantly impacts at-risk communities, including youth, the Black and LGBTQ+ communities, veterans, and those with hearing, visual, or speech disabilities among others. The introduction of text message ability for 988 will allow those to more easily contact a crisis counselor by permitting increased anonymity as opposed to engaging in a phone conversation.

For more information on Lifeline’s transition to calling 988, click here. NACo will continue to monitor updates to the 988 Lifeline program and provide updates as needed.

Related News

Stethoscope on dollars
Advocacy

NACo offers new Medicaid resources as Congress advances Budget Resolutions with major Medicaid reform implications

On April 10, the U.S. House of Representatives voted to adopt a Senate-passed budget resolution, marking the next step in the budget reconciliation process. The proposed funding levels therein represent significant potential cost shifts to counties, particularly in the area of Medicaid financing. To help county leaders understand what’s at stake, NACo has developed two new resources.

THE_County Countdown_working_image-4.png
Advocacy

County Countdown – April 21, 2025

Every other week, NACo's County Countdown reviews top federal policy advocacy items with an eye towards counties and the intergovernmental partnership. This week features the ARPA reporting deadline, a budget reconciliation update and more

Image of GettyImages-1397838530.jpg
Advocacy

U.S. House reintroduces legislation to address the Medicaid Inmate Exclusion Policy

Two bipartisan bills aimed at addressing the Medicaid Inmate Exclusion Policy (MIEP) were recently reintroduced in the U.S. House of Representatives.