Learn about SAMHSA accomplishments for FY 2018. In FY 2018, SAMHSA underwent significant changes to improve its business efficiency as well as to re-orient the organization to develop and implement a clinical, evidence-based focus in line with current needs to advance the behavioral health of the nation. During the fiscal year, the organization was required to implement significant reform based on the 21st Century Cures Act. SAMHSA Reimagined FY 2018 (PDF | 1 MB)