December 5, 2025Open Access

Two lawsuits challenge Idaho's cuts to ACT, peer support for SMI population

Key Points

Cuts to the Assertive Community Treatment program may increase hospitalization rates among individuals with severe mental illness, indicating a critical service loss.
Two lawsuits were filed by mental health clinics and patients in response to the elimination of specialized services, highlighting growing concerns over access to care.
The approach to mental health care in Idaho faces scrutiny as the elimination of peer support poses risks for homelessness and incarceration among vulnerable populations.
The legal challenges emphasize the importance of retaining effective community-based mental health services in supporting at-risk individuals.

Abstract

Idaho's Assertive Community Treatment (ACT) program — long considered a “last resort” for people with severe mental illness at high risk of hospitalization, homelessness or incarceration — was officially dismantled on Dec. 1. The move by Magellan of Idaho to eliminate ACT, peer support and other specialized services has sparked two lawsuits, one filed by mental health clinics and another by patients, both arguing the cuts will have devastating consequences for vulnerable individuals.

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