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Trump policy clears way for civil commitment of homeless in some states

▶ Watch Video: Advocates express concern about Trump’s push to move homeless people from Washington, D.C.

In the year since President Trump signed an executive order aimed at moving homeless people off the streets, federal agencies have given states a green light to expand the use of civil commitment for homeless individuals with mental illness or substance abuse problems.

Pending a court challenge, the primary system of funding for organizations combating homelessness could be transformed by the Department of Housing and Urban Development to comply with Mr. Trump’s executive order. 

The president’s order argues that past policies neglected “root causes” of homelessness and created a public safety risk. 

Opponents say that the administration would strain the limited number of state treatment centers, criminalize the homeless population and would be an unnecessary shift away from “Housing First” policies. Housing First is an approach that promotes non-conditional access to housing — that is, without requiring sobriety, compliance with treatment or making other demands of recipients. 

Civil commitments

Mr. Trump’s order prompted the Justice and Health and Human Services Departments to prioritize funding for states that carry out involuntary psychiatric treatment — or “maximally flexible civil commitment” of individuals with mental illness who “pose a danger to others or are living on the streets and cannot care for themselves.”

His order argued that “public order” would be restored by committing homeless people to “long-term institutional settings for humane treatment.” 

It called on the Justice Department to reverse any consent decrees that would impede these civil commitments. The order also prioritized funding for states and cities that ban urban camping, urban squatting and open illicit drug use. 

About 30% of those experiencing chronic homelessness have a serious mental illness, according to the Office of National Drug Control Policy. Meanwhile, two-thirds have a substance use disorder or other chronic health condition. 

The call for a tougher law-and-order approach has prompted multiple Republican states to pass laws that penalize homeless encampments or expand the facilitation of involuntary institutionalizations.

Utah recently approved more than $43 million in spending earlier this year in part to target “high utilizers,” those who repeatedly cycle through homeless shelters and jail. It is reinforced by a new law that allows these individuals to be put under the supervision of Utah’s Division of Adult Probation and Parole.

Both Indiana and Louisiana passed bills this year that make it a crime to sleep overnight or camp on public property. Louisiana’s HB 211, called the “Streets to Success Act,” punishes first-time violators with fines up to $500. To avoid spending up to six months in jail, eligible individuals may sign up for a new “Homelessness Court Program.”

The program would supervise participants for a year and give them access to substance abuse treatment, mental health services, job training and housing assistance. Those who complete the program could have their conviction erased. Those who don’t risk a jail sentence. 

Participants “may be confined in a treatment facility” or released on a probationary basis, the state law says. The court could also impose rehabilitation conditions on participants. 

The National Homelessness Law Center called it “one of the cruelest, most extreme anti-homeless bills.” Louisiana Gov. Jeff Landry defended the homeless courts, arguing they’d help “start removing the homeless off of our streets and into the places that they belong.”

Shaina Bessonet, a dental hygienist in Louisiana who experienced homelessness from January 2022 to March 2026, testified against the bill before the state legislature. 

“Just because someone is homeless, because they don’t have a place to sleep, doesn’t give anybody the right to take them and punish them just for not having a place to go. It’s not fixing the problem, it’s making it worse,” she told CBS News. 

Devon Kurtz, a policy director at the Cicero Institute, said the executive order and a June Justice Department legal opinion, gives states “considerably more discretion” on their psychiatric care. That opinion made it easier for states to keep those with mental illness institutionalized, rather than provide them with in-home or community-based care. 

The Cicero Institute, a conservative think tank that was established by Palantir co-founder Joe Lonsdale, advised the White House on the crafting of the executive order.

“This executive order was really a signal to those agencies that they have to revisit all of these key touch points that are creating these unnecessary burdens and ceilings on state experimentation with policy,” Kurtz said.

He argued that the Housing First approach and similar ideas have “been rewarding the places that have done the worst.”

But Jennifer Mathis, deputy director of the Bazelon Center for Mental Health, said civil commitment could be more expensive than providing long-term housing and should be “a last resort.” 

Mathis, a Biden-era official in the Justice Department’s Civil Rights Division, said the executive order “created an environment where states felt either pressured or permitted to focus on more coercive strategies, to focus less on housing as a solution.”

“The basic notion behind the executive order seems to be that these people who are unhoused don’t deserve housing,” she said.  “They’re either criminals or they’re problem people, and we should basically be forcing them into treatment because it’s just their own fault.” 

It’s “just wrong at its core,” she said. 

Funding changes stuck in the courts

Administration officials claim Mr. Trump’s order has resulted in $700 million in HHS funding aimed at helping people with addiction and mental illness, as well as homelessness, though there are limits on the funding being used on Housing First or “harm reduction” policies.

But the administration’s vision of how HUD can “increase accountability” in the over $4 billion in grants proposed for homelessness assistance has been stuck in litigation.

Housing First policies have been used by HUD and other federal agencies to address homelessness since 2013. Housing First was initially adopted as a national federal strategy by President George W. Bush’s administration in 2004.

The department’s report on homelessness in 2025 claimed there’s been a roughly 27% increase in homelessness since 2013. 

HUD’s 2026 budget cut the available funds for permanent, supportive housing funding from about $3 billion to $2.4 billion, compared to 2024. And the 2026 HUD budget shifts a greater portion of funding — $1.3 billion — to new transitional, temporary housing programs, compared to the approximately $600,000 allocated in the 2024 budget.

A recent lawsuit cites a claim by the National Alliance to End Homelessness that the shift towards temporary, transitional housing could kick 97,000 people out of permanent supportive housing.

Attorneys general from 21 states and the National Alliance to End Homelessness sued HUD in July over the latest plan for funding. A legal challenge to stop HUD’s 2025 plan for funding was successful in April.

HUD Secretary Scott Turner said the 97,000 figure was “fear-mongering” and said it was “absurd” that litigation was blocking “long-overdue changes.”

“No one is being kicked out on the streets,” Turner said, arguing in a statement that the HUD plan would provide “more funding than ever before” and give homeless advocates and groups “greater flexibility to invest in the housing and services their neighborhoods need.” 

Ann Oliva, the CEO of NAEH, defended Housing First policies and called the administration’s opposition “disingenuous” and lacking context regarding how the increase in housing costs over the last decade “funnel[ed] people into homelessness.”

“It’s like they’re saying the emergency room is causing cancer. So we should just get rid of emergency rooms? Because cancer is still happening? That’s short-sighted,” she said.

Fauci diaries, released by Sen. Paul, touch on COVID origins, Trump

▶ Watch Video: Doctor discusses potential COVID origin after Dr. Anthony Fauci's diary release Washington — Republican Sen. Rand Paul of Kentucky has released more than a thousand pages of journal entries from Dr. Anthony Fauci, teeing up what is likely to be a contentious hearing with the nation's former top infectious disease expert on Wednesday about the origins of the COVID-19 pandemic. Paul, who heads the Senate Homeland Security Committee, subpoenaed Fauci to appear before the committee as part of the panel's investigation into the origins of the coronavirus. Paul, who has pushed the theory that the virus emerged from a leak at the Wuhan Institute of Virology in China rather than spilling over from animals to humans naturally, has long accused Fauci and other government officials of misleading the public and Congress about the source of the outbreak. The journal entries date from December 2019, in the days leading up to the U.S. declaring a public health emergency, until December 2022, when Fauci stepped down as the director of the National Institute of Allergy and Infectious Diseases, a position he held for nearly four decades.Fauci declined to comment to CBS News about the release. Paul's office did not respond to a request for comment about how they obtained Fauci's journal. Health and Human Services Secretary Robert F. Kennedy Jr. told Fox News the entries were retrieved from government computer servers in recent months.COVID origins controversyMany scientists believe the evidence suggests that the virus emerged naturally from infected bats before it circulated to other species and spread to humans who were handling those animals at a market in Wuhan, where the first human cases appeared in late 2019. But the FBI has assessed the coronavirus "most likely" emerged in a "lab incident in Wuhan." In January 2025, the CIA issued a new assessment that favored the "lab leak" hypothesis, though it said the finding was made with "low confidence." Some of Fauci's diary entries reflect early uncertainty about the source of the pandemic. In January 2020, he wrote that "we know the market was not the source, it was the amplifier," though he added that "somewhere the virus jumped from animals to humans." About a week later, he referenced a conference call in which several top infectious disease experts thought the coronavirus might not have originated in nature.Paul on Monday accused Fauci of saying one thing to "Dear Diary" while telling the public "it's implausible that it came from the lab, and we're really convinced it came from these wild animals in the marketplace. But that level of dishonesty is really astounding."In an entry dated May 26, 2021, Fauci wrote, "The situation continues to get 'out of control' with regard to the press reports concerning my 'flip flopping' concerning the theory of the origin of the virus. I had always said that the very highly likelihood is that the virus originated naturally from an animal reservoir jumping to a human. However, over the past couple of days given the amount of speculation about the possibility of a lab leak I have been saying that no one is 100% certain of the origin including me and so I am calling for a thorough investigation."Fame and media coverageMany of Fauci's diary entries note his interviews with the media, as well as his interactions with President Trump and other officials. At certain points, Fauci sounded bemused or bewildered by the sudden rush of attention and the "cult hero"-style fandom that he drew in some quarters near the start of the pandemic. "The situation with my national and international fame is explosive and really unimaginable. It is not hyoperbole [sic] to say that today I am the most famous and talked about person in the country and one of the most recognizable peson [sic] in the world," Fauci wrote in a May 21, 2020, entry. "POTUS seems to be enamored of me even though I am taking the spotlight away from him. We are developing a very unique and interesting relationship." Dr. Anthony Fauci testifies before the House Select Subcommittee on the Coronavirus Pandemic on June 3, 2024.  ALLISON BAILEY/AFP via Getty Images
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