Public health / HHS / SAMHSA

State Opioid Response (opioid-settlement federal proxy)

Direct, non-competitive annual formula allocation. SAMHSA awards SOR grants directly to each state's Single State Agency for Substance Use Services, the District of Columbia, and the territories. Recipients then deliver and subaward funds for prevention, harm reduction, treatment, and recovery support services within the state. This is a formula award, not a competitive NOFO scored on merit; the published Appendix A table sets the maximum annual amount each jurisdiction may apply for.

  • $3.2Bobligated
  • $1.7Breceived
  • 118active awards
  • 117recipients
  • 56states
  • 209counties
Every figure sealed to source Sealed 2026-06-05 · 66f2a2b411 A synthesis across primary sources, each figure traceable to its origin.
Sources behind this dossier
  • Federal award record (USAspending)
  • Authorizing statute
  • Agency allocation table
  • 7 primary documents, sealed

Authority

State Opioid Response (opioid-settlement federal proxy) is authorized by 21st Century Cures Act, Section 1003, administered by HHS / SAMHSA, as a formula program. Statute.

Statutory formula under Section 1003 of the 21st Century Cures Act as amended. SAMHSA leverages national survey results the Secretary determines are the most objective and reliable measures of drug use and drug-related deaths, leveraging estimates of drug overdose deaths and opioid misuse per state. Each state and the District of Columbia receives a minimum award of 4,000,000; each territory receives a minimum award of 500,000. The formula must avoid a significant funding cliff between states with similar overdose mortality rates. A 15 percent set-aside is distributed among the 25 states with the highest opioid-overdose mortality rates. For FY 2024 the set-aside states were AK, AZ, CT, DE, DC, FL, IN, KY, LA, ME, MD, MA, MO, NH, NJ, NM, NC, OH, PA, RI, SC, TN, VT, WV, WI. Year-over-year funding decreases are capped (GAO reports a 5.52 percent floor on decreases and a 50 percent cap on increases). No applicant match or cost-sharing is required.

Allocations by jurisdiction

59 jurisdictions, from the published allocation table.

JurisdictionAmountNote
Alabama$16.2MFY 2024 annual formula maximum award (NOFO TI-24-008 Appendix A)
Alaska$6.0Mset-aside state
American Samoa$500Kterritory minimum
Arizona$34.8Mset-aside state
Arkansas$10.6MFY 2024
California$105.6MFY 2024
Colorado$20.8MFY 2024
Connecticut$15.0Mset-aside state
Delaware$38.8Mset-aside state
District of Columbia$25.2Mset-aside jurisdiction
Florida$104.3Mset-aside state
Georgia$28.9MFY 2024
Guam$500Kterritory minimum
Hawaii$4.0Mstate minimum
Idaho$7.8MFY 2024
Illinois$36.7MFY 2024
Indiana$30.3Mset-aside state
Iowa$9.0MFY 2024
Kansas$8.3MFY 2024
Kentucky$37.2Mset-aside state
Louisiana$18.0Mset-aside state
Maine$9.8Mset-aside state
Marshall Islands$500Kfreely associated state minimum
Maryland$53.1Mset-aside state
Massachusetts$59.5Mset-aside state
Michigan$36.4MFY 2024
Micronesia (Federated States of Micronesia)$500Kfreely associated state minimum
Minnesota$11.3MFY 2024
Mississippi$7.1MFY 2024
Missouri$26.3Mset-aside state
Montana$4.3MFY 2024
Nebraska$4.6MFY 2024
Nevada$16.6MFY 2024
New Hampshire$29.9Mset-aside state
New Jersey$68.8Mset-aside state
New Mexico$11.8Mset-aside state
New York$56.1MFY 2024
North Carolina$36.6Mset-aside state
North Dakota$4.0Mstate minimum
Northern Mariana Islands$500Kterritory minimum
Ohio$100.2Mset-aside state
Oklahoma$15.8MFY 2024
Oregon$15.3MFY 2024
Palau$500Kfreely associated state minimum
Pennsylvania$83.1Mset-aside state
Puerto Rico$12.5MFY 2024
Rhode Island$11.4Mset-aside state
South Carolina$18.8Mset-aside state
South Dakota$4.1MFY 2024
Tennessee$31.3Mset-aside state
Texas$52.1MFY 2024
Utah$10.7MFY 2024
Vermont$6.0Mset-aside state
Virgin Islands$500Kterritory minimum
Virginia$27.3MFY 2024
Washington$27.1MFY 2024
West Virginia$45.8Mset-aside state
Wisconsin$17.8Mset-aside state
Wyoming$4.0Mstate minimum

Where the money lands

Place-of-performance obligations by state, with per-capita, sealed in the location chain.

StateObligatedPer capita
Ohio$159.2M$13.49
Pennsylvania$138.6M$10.66
West Virginia$118.9M$66.27
California$117.4M$2.97
Delaware$106.9M$108.03
Massachusetts$99.5M$14.15
Florida$91.9M$4.27
Maryland$82.7M$13.39
New Jersey$80.9M$8.71
Kentucky$78.6M$17.45
District Of Columbia$64.3M$93.23
New York$61.8M$3.06
New Hampshire$59.2M$42.96
Texas$51.0M$1.75
North Carolina$48.6M$4.65
Arizona$46.9M$6.56
Tennessee$46.0M$6.66
Michigan$38.1M$3.78
Rhode Island$37.6M$34.24
Illinois$37.2M$2.90
Indiana$35.1M$5.18
Louisiana$30.3M$6.49
Missouri$29.5M$4.80
South Carolina$29.1M$5.68
Virginia$27.2M$3.16
Washington$26.8M$3.48
Connecticut$25.3M$7.03
Oregon$25.2M$5.95
Wisconsin$24.3M$4.13
Oklahoma$24.2M$6.11
New Mexico$22.4M$10.60
Colorado$22.1M$3.83
Maine$19.9M$14.60
Nevada$19.2M$6.20
Alaska$13.6M$18.58
Georgia$12.7M$1.19
Arkansas$10.8M$3.57
Utah$10.5M$3.21
Alabama$10.2M$2.02
Minnesota$9.7M$1.70
Iowa$9.2M$2.90
Kansas$9.1M$3.10
Vermont$8.3M$12.97
Idaho$7.5M$4.07
South Dakota$6.8M$7.71
Mississippi$6.6M$2.24
Montana$5.6M$5.12
Nebraska$5.5M$2.79
North Dakota$5.5M$7.01
Wyoming$5.0M$8.73
Puerto Rico$3.6M$1.11
Hawaii$3.6M$2.50
Northern Mariana Islands$500K$10.56
Guam$426K$2.77
American Samoa$345K$6.94
U.S. Virgin Islands$33K$0.38

Top recipients

RecipientAwardsObligatedReceived
HEALTH CARE SERVICES, CALIFORNIA DEPARTMENT OF1$215.5M$126.6M
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES1$212.3M$129.6M
OHIO DEPARTMENT MENTAL HEALTH1$203.9M$112.8M
PENNSYLVANIA DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS1$169.2M$78.4M
HUMAN SERVICES, NEW JERSEY DEPARTMENT OF1$140.0M$66.7M
PUBLIC HEALTH, MASSACHUSETTS DEPARTMENT OF1$121.0M$80.0M
RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC.1$114.4M$64.0M
MARYLAND DEPARTMENT OF HEALTH1$108.0M$49.1M
HEALTH & HUMAN SVC COMMN TX1$104.2M$59.0M
WEST VIRGINIA DEPT OF HUMAN SERVICES1$92.6M$57.4M

Source documents

7 primary documents, parsed and sealed by content hash.

Questions

How does State Opioid Response (opioid-settlement federal proxy) money reach recipients?
Direct, non-competitive annual formula allocation. SAMHSA awards SOR grants directly to each state's Single State Agency for Substance Use Services, the District of Columbia, and the territories. Recipients then deliver and subaward funds for prevention, harm reduction, treatment, and recovery support services within the state. This is a formula award, not a competitive NOFO scored on merit; the published Appendix A table sets the maximum annual amount each jurisdiction may apply for.
How much federal funding does State Opioid Response (opioid-settlement federal proxy) represent?
As of 2026-06-05, $3.2B was obligated across 118 active awards to 117 recipients in 56 states and 209 counties. This is a sealed point-in-time figure from USAspending, the federal system of record.
What law authorizes State Opioid Response (opioid-settlement federal proxy)?
State Opioid Response (opioid-settlement federal proxy) is authorized by 21st Century Cures Act, Section 1003, administered by HHS / SAMHSA.

All verified program data