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 settlement agreements allocated to the state for state 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.

State Fiscal Year 2022-2023

In SFY 2022-2023, the following projects were allocated opioid settlement funds by the California legislature:

California Department of Health Care Services (DHCS) Projects

California Department of Rehabilitation (DOR) Projects

  • Integrating Employment in Recovery Pilot Project – $4 million: Funding to establish a pilot program, Integrating Employment in Recovery, to provide training to the provider workforce on evidence-based practices to serve people with SUD related to opioid use as a part of holistic recovery.

State Fiscal Year 2023-2024

In SFY 2023-2024, the following projects were allocated opioid settlement funds by the California legislature:

California Department of Health Care Services (DHCS) Projects

California Department of Public Health (CDPH) Projects

  • Overdose Prevention and Harm Reduction Initiative – $15.250 million: Funding will be used to provide grants to local health jurisdictions and community-based organizations to support syringe exchange and disposal program activities, including treatment navigators.
  • Opioid and Fentanyl Response – $7.5 million: Funding will be used for fentanyl program grants to increase local efforts in education, testing, recovery, and support services to implement Chapter 783, Statutes of 2022 (AB 2365), and to support innovative approaches to make fentanyl test strips and naloxone more widely available.

Department of Health Care Access and Information (HCAI) Projects

  • CalRX Naloxone Access Initiative – $25 million: Funding will be used to support the development or procurement of a lower cost, generic version of a naloxone nasal product. This partnership will enable the state to make naloxone more accessible statewide.

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