State Opioid Response Grants (SOR)


Additional Links

Notice of Funding Opportunity (


Application Deadline: Jul 1, 2024


Substance Abuse and Mental Health Services Administration (SAMHSA)


Aims to address the opioid crisis by providing states with formula grants to increase access to Food and Drug Administration (FDA)-approved medications for the treatment of opioid use disorder (MOUD). Supports prevention, harm reduction, treatment, and recovery support services for opioid use disorder (OUD) and other concurrent substance use disorders (SUDs). Also supports the continuum of care for stimulant use disorders and the misuse of stimulants, such as cocaine and methamphetamine.

Required program activities include:

  • Update the needs assessment that was submitted with the fiscal year (FY) 2022 State Opioid Response Grants (SOR) application using the most current statewide epidemiological data
  • Describe progress made on implementation of the comprehensive state strategic plan that was submitted with the FY 2022 SOR application
  • Implement service delivery models that enable the full spectrum of treatment and recovery support services that facilitate positive treatment outcomes and long- term recovery from opioid and stimulant use disorders
  • Support the full continuum of prevention, harm reduction, treatment, and recovery support services for transitional aged youth and young adults ages 16–25
  • Implement recovery support services, such as recovery coaching, vocational training, employment support, recovery, and other supports
  • Implement prevention and education services, including naloxone purchasing, distribution, and training, developing community efforts, and implementing universal prevention interventions
  • Provide integrated harm reduction services within treatment settings, through treatment providers collaborating with community-based harm reduction organizations, or through the support of syringe service programs
  • Engage with correctional institutions, sheriffs' associations, and law enforcement to provide and/or expand MOUD treatment to incarcerated individuals
  • Provide treatment transition, recovery support services, and coverage for individuals reentering communities from the criminal justice system or other rehabilitative settings
  • Make use of the SAMHSA-funded SOR technical assistance and training resources
  • Ensure that all qualified practitioners who serve clients with SUD for organizations receiving SOR fund meet the Medication Access and Training Expansion (MATE) Act training requirements
  • Provide testing for HIV, viral hepatitis, and sexually transmitted infections as clinically indicated and warm hand-off referrals to treatment for positive tests
  • Provide testing for potential complications of OUD or stimulant use disorder when clinically indicated and no other sources of funds are available
  • Provide vaccinations for hepatitis A and B, or appropriate referrals as clinically indicated

Amount of Funding

Funds are distributed by formula using national survey results that the Secretary determines are the most objective and reliable measures of drug use and drug-related deaths per state. Annual award amounts can be found in Appendix A of the funding announcement.

Project period: Up to 3 years
Estimated number of awards: 59
Estimated total program funding: $1,480,500,000

Who Can Apply

Single state agencies (SSAs) for substance use services are eligible to apply.

Geographic Coverage


What This Program Funds

Capacity Building • Equipment • New Program • Operating Costs and Staffing

Application Process

Application instructions, requirements, and other information can be found in the funding announcement.


For programmatic questions:

For grants management or budget questions:

For grants management or budget questions:
Toni Davidson

Topics This Program Addresses

Community Planning and Coalition Building • Harm Reduction • Health and Wellness • Infectious Diseases • Justice System • Medication-Assisted Treatment (MAT) • Naloxone • Opioids • Overdose Prevention • Pain Management and Opioid Prescribing • Prevention • Recovery • Substance Use Disorder • Syringe Services Programs • Teleservices and Technology • Treatment