State Funded Projects

Opioid Settlements Fund (OSF)

Pursuant to Government Code, Title 2, Division 3, Part 2, Chapter 6, Article 2, Section 12534, the Opioid Settlements Fund (OSF) was created in the State Treasury. . Funds from opioid settlements allocated to the state for Opioid Remediation shall be deposited into the OSF. Use of funds within the OSF is determined by the California Legislature and subject to normal state budgetary processes. Statewide activities funded by the OSF must be expended on future Opioid Remediation activities.

Below are the state-directed projects funded by opioid settlements in each state fiscal year (SFY). State departments receiving funds include the Department of Health Care Services (DHCS), California Department of Public Health (CDPH), Department of Rehabilitation (DOR), and the Department of Health Care Access and Information (HCAI).

SFY 2026-27

DHCS Projects:

• Naloxone Distribution Project (NDP) – $21,382,000
• Drug Medi-Cal Organized Delivery System (DMC-ODS) – $35,400,000

CDPH Projects:

• Overdose Prevention and Harm Reduction Initiative – $12,491,000
• Fentanyl Program Grants – $1,000,000
• Fentanyl Test Strip Innovation – $500,000
• Fentanyl Child Deaths (SB 908) – $259,000

SFY 2025-26

DHCS Projects:

• Naloxone Distribution Project (NDP) – $2,964,000
• Behavioral Health Transformation – $20,000,000

CDPH Projects:

• Overdose Prevention and Harm Reduction Initiative – $13,391,000
• Fentanyl Program Grants – $1,000,000
• Fentanyl Test Strip Innovation – $500,000
• Fentanyl Child Deaths (SB 908) – $259,000
• California Syndromic Surveillance – $2,500,000

SFY 2024-25

DHCS Projects:

• Naloxone Distribution Project (NDP) – $41,695,000
• Behavioral Health Transformation – $31,613,000

CDPH Projects:

• Overdose Prevention and Harm Reduction Initiative – $15,250,000
• Fentanyl Program Grants – $3,000,000
• Fentanyl Test Strip Innovation – $500,000

SFY 2023-24

DHCS Projects:

• Naloxone Distribution Project (NDP) – $73,367,000

CDPH Projects:

• Overdose Prevention and Harm Reduction Initiative – $15,250,000
• Fentanyl Program Grants – $5,000,000
• Fentanyl Test Strip Innovation – $2,500,000

HCAI Projects:

• CalRX Naloxone Access Initiative – $25,000,000

SFY 2022-23

DHCS Projects:

• Substance Use Provider Workforce Training – $51,113,000
• Naloxone Distribution Project (NDP) – $15,000,000
• ATLAS Platform Operation and Outreach Campaign – $7,500,000
• Statewide Anti-Stigma Campaign: Unshame California – $1,700,000

CDPH Projects:

• Youth Opioid & Fentanyl Education and Awareness Campaign – $40,800,000
• Opioid Overdose Data Collection and Analysis – $5,000,000

DOR Projects:

• Integrating Employment in Recovery Pilot Project – $4,000,000

For more information about DHCS’ state-funded opioid settlement projects, visit the Current Projects page.