Opioid Settlement Funding Initiatives

Initiatives and guidance for the use of opioid settlement dollars.
Opioid Settlement Funding Initiatives


OASAS is the lead agency responsible for the monitoring and oversight of the New York Opioid Settlement Fund. This includes the distribution of Regional Abatements to localities for specific initiatives that address and reduce the impact of addiction and opioid use disorder in communities across New York. Fifty-five Local Governmental Units and five cities were notified of the dollars available to each county out of a total $64 million. The amount available to each county is calculated based on a formula using population, overdose death rates, and mental health and equity indicators.

As specified in the Settlement Agreement, State Statute and in the 2022 Opioid Settlement Fund Advisory Board report, the allowable use of funds and identified priority areas are available to inform the local subdivisions and should be considered when utilizing settlement dollars. These priority areas include: harm reduction, treatment, investments across the service continuum, priority populations, housing, recovery, prevention, transportation, public awareness and research. Notably, three themes were identified as guiding principles for developing and prioritizing the Board’s recommendations. These include service integration to best treat co-occurring disorders, service equity, and meaningful evaluation that demonstrates reduced suffering and positive impacts on the social determinants of health.

Funding Initiatives

Comprehensive Low-Threshold Buprenorphine Services SETT-23001
$7,500,000 is currently available to support Comprehensive Low-Threshold Buprenorphine Programs through a maximum of 15 awards; each award may be up to $500,000; an additional two years of funding may be provided as available. OASAS seeks to award at least one program in each of the 10 Empire State Development (ESD) Regions.

Comprehensive Integrated Outpatient Treatment Program SETT-23004
More than $8 million in funding is available for the development of Comprehensive Integrated Outpatient Treatment Programs throughout the state of New York. A Comprehensive Integrated Outpatient Treatment Program has co-located Part 822 Outpatient Services and Opioid Treatment Programs (OTP) services under one PRU or operating certificate.

Outreach and Engagement Services – Clinic Model SETT-23005

Through Opioid Settlement Funds, OASAS is seeking applications for the delivery of outreach and engagement services following a clinic model.  Eligible applicant information and other details can be found in the RFA.

Outreach and Engagement Services – Street Outreach Model SETT-23006
OASAS is seeking applications for the delivery of street-level outreach and engagement services to populations with greater difficulty accessing harm reduction, substance use disorder treatment, and recovery support services. Funding of more than $3.7 million is currently available to eligible applicants for Year 1. Up to $250,000 per awardee is subsequently available for Year 2.

Connections to Care SETT-23008

$2.2 million is available via RFA to establish Connections to Care programs. Maximum of 11 awards of up to $200,000 per year for an anticipated three-year period. Eligible applicants can apply for a maximum of one award.

Community Prevention Coalitions: Fentanyl, Opioids, Rx SETT-23009

$1.4 million in funding is available for this initiative to fund seven (7) applicants up to $200,000 each to establish Fentanyl, Opioids, Rx coalitions, which will build on the successful implementation of evidence-based opioid and heroin use prevention strategies.

Youth Education and Engagement - SETT-23011

$4 million in Opioid Settlement Funds are available for the development of primary prevention education programs to work with schools who have a higher than average Opioid Burden as defined by DOH which includes opioid overdose deaths, non-fatal outpatient emergency department visits and hospital discharges involving opioid abuse, poisoning, dependence and unspecified use.

Non-Medical Transportation- SETT-23015

Approximately $6.3 million is available to serve up to 13 applicants at $240,000 each per year for two years based on funding availability.


Comprehensive Integrated Outpatient Treatment Programs - SETT-23016
Over $8 million in one-time funding is available for up to 15 individual awards to integrate OTP services and offer comprehensive integrated outpatient treatment.

Government-Academic Research and Evaluation - SETT-23014

OASAS seeks to partner with an academic institution to expand and enhance the monitoring and evaluation of the substance use and addiction service and treatment programs and initiatives supported by Opioid Settlement Funds. 


2023 Local Impact Initiatives through Opioid Settlement Funds - SETT-23019

$1.3 million is being made available to support small local community organizations working on initiatives to address substance use disorder.

What's Related
  • View all available funding opportunities for not-for-profit organizations, local governmental units, and other businesses and help support a comprehensive system of addiction services.  
  • Supplemental Block Grant Funding Initiatives offer supplemental funding to eligible parties; Grantees use awarded funds for prevention, treatment, recovery support, and other supportive services.

Community Input

OASAS holds regular calls with the community to address opioid settlement fund initiatives. Catch up on these meetings on Youtube.


Upcoming Meetings

OSF Community Meeting (September 2023)

Date and time: Wednesday, September 27, 2023 1:00 PM | (UTC-04:00) Eastern Time (US & Canada)

Join link: https://meetny.webex.com/meetny/j.php?MTID=mcac3341d9f3edf8e7b0f4828722a8635

Webinar number: 161 392 9932

Webinar password: u2mYV39XPJe (82698399 from phones and video systems)

Join by phone

+1-518-549-0500 US (English Menu)

+1-518-549-0059 US (Menú en Español)

Access code: 161 392 9932