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The '''State Targeted Response to the Opioid Crisis (Opioid STR) Grants''', established in 2017 under the 21st Century Cures Act of 2016, is administered by the Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA) through its Center for Substance Abuse Treatment (CSAT) to provide formula grants to states and territories, allocating over $6 billion since inception to serve approximately 1.8 million individuals annually by 2025. Initially funded with $485 million, it has grown to distribute $1.2 billion in FY 2024 across 56 awards, funding services like naloxone distribution, outpatient treatment, and peer recovery support in high-need communities.<ref>{{cite web |url=https://www.samhsa.gov/grants/grant-announcements/ti-17-014 |title=Opioid STR Grants |publisher=Substance Abuse and Mental Health Services Administration}}</ref> Despite its impact, challenges like funding sustainability and rural service gaps persist (web ID: 4), but it remains a foundational resource for SAMHSA’s opioid response efforts. {{Official URL (simple)|url=https://www.samhsa.gov/grants/grant-announcements/ti-17-014}} ==Goals== * Reduce opioid-related overdose deaths and substance misuse through targeted prevention and treatment services. * Increase access to medications for opioid use disorder (MOUD) and harm reduction strategies in high-need areas. * Support recovery and community-based services for individuals with OUD and co-occurring disorders.<ref>{{cite web |url=https://www.samhsa.gov/sites/default/files/grants/pdf/fy-2024-opioid-str-nofo.pdf |title=FY 2024 Opioid STR NOFO |publisher=Substance Abuse and Mental Health Services Administration}}</ref> ==Organization== The Opioid STR Grants are managed by CSAT within SAMHSA, overseen by Assistant Secretary Miriam E. Delphin-Rittmon since 2021, with states and territories implementing projects under federal oversight. It operates via annual appropriations, guided by the 21st Century Cures Act and subsequent funding acts like Public Law 117-328 (2022).<ref>{{cite web |url=https://www.samhsa.gov/about-us/who-we-are/leadership |title=About SAMHSA Leadership |publisher=Substance Abuse and Mental Health Services Administration}}</ref> ==Partners== * [[National Association of State Alcohol and Drug Abuse Directors]] * [[American Society of Addiction Medicine]] * [[Shatterproof]] * [[New York State Office of Addiction Services and Supports]] ==History== Authorized by the 21st Century Cures Act of 2016 (Public Law 114-255) and launched in 2017 with $485 million, the Opioid STR Grants expanded with annual appropriations, reaching $1.2 billion in FY 2024.<ref>{{cite web |url=https://www.congress.gov/bill/114th-congress/house-bill/34 |title=21st Century Cures Act |publisher=U.S. Congress}}</ref> It grew from serving 400,000 individuals annually in 2018 to 1.8 million by 2025, addressing the opioid crisis with innovations like mobile treatment units (web ID: 4). By 2025, it has awarded over $6 billion, though GAO notes sustainability concerns (web ID: 4). ==Funding== Initial funding of $485 million in 2017 supported the program’s launch, with over $6 billion appropriated by 2025 via annual HHS budgets—e.g., $1.2 billion in FY 2024.<ref>{{cite web |url=https://www.samhsa.gov/grants/grant-announcements/ti-17-014 |title=Opioid STR Grants |publisher=Substance Abuse and Mental Health Services Administration}}</ref> Ongoing appropriations under the 21st Century Cures Act sustain its operations, with no fixed end as it addresses ongoing opioid crisis needs. ==Implementation== Opioid STR distributes formula grants annually, requiring states to expand OUD services like MOUD and naloxone in high-need areas, tracked via SAMHSA’s Performance Accountability and Reporting System (PARS).<ref>{{cite web |url=https://www.samhsa.gov/grants/performance |title=Performance and Accountability |publisher=Substance Abuse and Mental Health Services Administration}}</ref> It progresses through state partnerships—e.g., 1.8 million individuals yearly—and service expansions, adapting to opioid needs with no set end, though rural gaps remain a challenge (web ID: 4). ==Related== * [[State Opioid Response Grants]] * [[Prevention and Treatment Block Grant Program]] ==External links== * https://www.samhsa.gov/grants/grant-announcements/ti-17-014 * https://www.nasadad.org * [[wikipedia:State Targeted Response to the Opioid Crisis Grants]] ===Social media=== * https://twitter.com/SAMHSA * https://www.linkedin.com/company/substance-abuse-and-mental-health-services-administration ==References== [[Category:Programs and initiatives]] [[Category:Department of Health and Human Services]] [[Category:Partnerships]]