Last year, NASMHPD developed a 988 Fee FAQs document for State Behavioral Health Authorities to use as a reference guide when answering questions and addressing concerns related to a 988 telecommunications fee. As of late 2025, thirteen states have successfully implemented 988 fee legislation, with many others exploring the possibility. These FAQs have now been updated for 2025 and include information on the purpose and importance of 988, different types of 988 telecommunications fees, methods of oversight for 988 fees, and strategies states have used to successfully pass a 988 fee.