Opioid STR (93.788)
Opioid STR (Assistance Listing 93.788) is run by the Substance Abuse and Mental Health Services Administration, part of the Department of Health and Human Services. It awarded $2.1 billion in 336 grants from fiscal 2021 to 2025, about $6.2 million per award on average. No funding opportunity is open on Grants.gov right now.
The typical award was $250,000. Half of the 336 awards fell between $249,550 and $1.3 million, and they ranged from $5,777 to $116 million.
- Awarded, FY 2021 to 2025$2.1 billion
- Grant awards336
- Typical award$250,000
- Awarded in FY 2025$282 million
- Size rank161 of 1,823
- Type of assistanceFormula grants
Key findings
- It is the 161st largest of 1,823 federal grant programs by five-year awards.
- The 20 largest recipients received 73% of the money.
- Awards went to recipients in 58 states and territories.
What the program funds
Addressing the opioid crisis within such States, used for carrying out activities that supplement activities pertaining to opioids undertaken by the State agency responsible for administering the substance abuse prevention and treatment block grant under subpart II of part B of title XIX of the Public Health Service Act (42 U.S.C. 300x–21 et seq.); and Tribes and Tribal Organizations to address the opioid crisis within their communities.
Open opportunities
No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.
Past notices
Of 8 notices posted under this program since 2021, most went up in May (3), January (1) and March (1).
- TI-26-018: Emergency Department Alternatives to Opioids Program
- TI-26-012: Tribal Opioid Response
- TI-24-008: State Opioid Response Grants
- TI-24-009: Tribal Opioid Response
- TI-23-020: Comprehensive Opioid Recovery Centers
- TI-23-010: Emergency Department Alternatives to Opioids Demonstration Program (ED-ALT)
- TI-22-005: State Opioid Response Grants
- TI-22-006: Tribal Opioid Response Grants
Rules from the program listing
Who can apply
For the State Opioid Response (SOR) program - eligibility is limited to Single State Agencies (SSAs) and territories. Note: Tribes will be eligible to apply under a separate announcement. For the Tribal Opioid Response (TOR) program applicants must be a federally recognized American Indian or Alaska Native tribe or tribal organization. Tribes and tribal organizations may apply individually, as a consortia, or in partnership with an urban Indian organization. Indian Tribe, as defined at 25 U.S.C. § 1603(14) is any Indian tribe, band, nation, or other organized group or community, including any Alaska Native village or group or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C.A. § 1601 et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians. Tribal Organization, as defined at 25 U.S.C. § 1603(26) is the recognized governing body of any Indian tribe; any legally established organization of Indians which is controlled, sanctioned, or chartered by such governing body or which is democratically elected by the adult members of the Indian community to be served by such organization and which includes the maximum participation of Indians in all phases of its activities.
What the money can and cannot pay for
Uses: (A) Improving State prescription drug monitoring programs. (B) Implementing prevention activities,, and evaluating such activities to identify effective strategies to prevent opioid abuse. (C) Training for health care practitioners, such as best practices for prescribing opioids, pain management, recognizing potential cases of substance abuse, referral of patients to treatment programs, and overdose prevention. (D) Supporting access to health care services, including those services provided by Federally certified opioid treatment programs or other appropriate health care providers to treat substance use disorders. (E) Other public health-related activities, as the State determines appropriate, related to addressing the opioid abuse crisis within the State. Limitations: (1) notwithstanding any transfer authority in any appropriations Act, shall not be used for any purpose other than the grant program in subsection (c); and (2) shall be subject to the same requirements as substance abuse prevention and treatment programs under titles V and XIX of the Public Health Service Act (42 U.S.C. 290aa et seq., 300w et seq.).
Matching requirements
This program has no statutory formula. Matching requirements are not applicable to this assistance listing. MOE requirements are not applicable to this assistance listing.
Funding history and past recipients
From fiscal 2021 to 2025, Opioid STR (93.788) awarded $2.1 billion across 336 grant awards, an average of $6.2 million per award.
Who usually wins
State and local governments received 92% of the money, nonprofits 4.5% and tribes 2.4%.
| Recipient type | Awards | Amount | Share |
|---|---|---|---|
| State and local governments | 69 | $1.9 billion | 92% |
| Nonprofits | 31 | $92.9 million | 4.5% |
| Tribal governments and organizations | 200 | $48.9 million | 2.4% |
| Colleges and universities | 32 | $24.8 million | 1.2% |
| Other | 4 | $4.4 million | 0.2% |
By state
52 states have a page for this program: those that received at least $1 million or 10 awards.
| State | Awards | Amount |
|---|---|---|
| Ohio | 5 | $157 million |
| Pennsylvania | 4 | $139 million |
| West Virginia | 2 | $118 million |
| California | 35 | $118 million |
| Delaware | 2 | $104 million |
| Massachusetts | 5 | $98.9 million |
| Florida | 6 | $92.0 million |
| New Jersey | 6 | $82.9 million |
| Maryland | 3 | $82.6 million |
| Kentucky | 3 | $78.5 million |
| District of Columbia | 2 | $63.3 million |
| New York | 7 | $61.8 million |
| New Hampshire | 3 | $58.8 million |
| North Carolina | 6 | $48.4 million |
| Arizona | 11 | $47.5 million |
| Tennessee | 2 | $46.0 million |
| Texas | 3 | $43.4 million |
| Michigan | 9 | $38.1 million |
| Rhode Island | 6 | $36.9 million |
| Illinois | 2 | $36.9 million |
| Indiana | 3 | $34.9 million |
| Missouri | 3 | $30.1 million |
| Louisiana | 2 | $29.4 million |
| South Carolina | 3 | $29.1 million |
| Washington | 7 | $27.5 million |
| Georgia | 1 | $27.4 million |
| Virginia | 2 | $27.2 million |
| Connecticut | 4 | $25.4 million |
| Oregon | 6 | $25.3 million |
| Oklahoma | 40 | $22.9 million |
| Wisconsin | 15 | $22.5 million |
| New Mexico | 11 | $22.4 million |
| Colorado | 4 | $21.8 million |
| Maine | 7 | $20.1 million |
| Nevada | 6 | $19.3 million |
| Alaska | 34 | $13.8 million |
| Utah | 2 | $10.7 million |
| Alabama | 1 | $10.2 million |
| Iowa | 2 | $9.8 million |
| Minnesota | 5 | $9.7 million |
| Arkansas | 2 | $9.7 million |
| Kansas | 4 | $9.3 million |
| Vermont | 1 | $8.3 million |
| Idaho | 3 | $7.5 million |
| South Dakota | 10 | $6.6 million |
| Mississippi | 3 | $6.5 million |
| Montana | 12 | $5.4 million |
| North Dakota | 5 | $5.2 million |
| Wyoming | 4 | $4.9 million |
| Nebraska | 4 | $4.7 million |
| Hawaii | 1 | $4.4 million |
| Puerto Rico | 1 | $1.9 million |
| Palau | 1 | $600,000 |
| Guam | 1 | $462,017 |
| Federated States of Micronesia | 1 | $447,477 |
| Northern Mariana Islands | 1 | $283,629 |
| American Samoa | 1 | $109,915 |
| U.S. Virgin Islands | 1 | $33,161 |