As a nurse educator and a psychiatric-mental health nurse, we have built our careers on evidence-based practice, ethics, and compassion when caring for patients. Politics never entered the picture. Our responsibility has always been to provide care guided by science, professional standards, and the individual needs of our patients, not political ideology or partisan priorities. That is why the Office of Management and Budget’s proposed rule, Docket OMB-2026-0034, which would hand healthcare funding decisions to political appointees, stops us cold.

At first glance, this proposal may sound administrative or technical. In reality, it would fundamentally alter how federally funded healthcare, nursing education, behavioral health programs, and scientific research are approved, monitored, and terminated. Under rule §200.340, any grant can be ended at any point if it no longer aligns with the priorities of the administration. That is not oversight. It is political control.

For nurses, the consequences would not be abstract. They would be immediate, personal, and dangerous for the patients we care for.

Psychiatric nursing already operates within a fragile system. Across the United States, communities face severe shortages of mental health professionals; long wait times for psychiatric care; rising suicide rates; surging substance use disorders; and escalating mental health crises among children, veterans, and older adults. Nurses are often the last line of support for patients who have nowhere else to go.

Healthcare funding decisions should be based on patient outcomes, workforce needs, public health evidence, and community impact, not whether a program aligns with the political priorities of whichever party holds power.

Every day, we talk with parents who are doing everything they can to find behavioral care for their children, but too often they feel frustrated and alone. Parents often share that they spend months calling providers, sitting on waitlists, and navigating insurance paperwork, all while trying to support their child through daily challenges at school and at home.

Hospitals are faced with the daunting task of finding inpatient services for patients in crisis. Sometimes the search for placement takes hours or even days, resulting in patients, many of them young people and the elderly, sitting in over-crowded emergency departments, waiting for care that may never come.

Many of the programs that train psychiatric nurses, support community mental health services, fund suicide prevention initiatives, and expand rural behavioral healthcare depend on federal grants and cooperative agreements. Under §200.205, the proposed OMB rule places a single political appointee in control over those funding decisions, with the power to override independent scientific and professional review.

This should alarm every American, regardless of political affiliation.

Healthcare funding decisions should be based on patient outcomes, workforce needs, public health evidence, and community impact, not whether a program aligns with the political priorities of whichever party holds power. Mental healthcare especially requires stability, continuity, and trust. When funding becomes politicized, patients inevitably suffer.

We are equally concerned about the chilling effect this rule would have on nursing schools and healthcare education programs. Federal support helps nursing programs prepare students to work in underserved communities, conduct behavioral........

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