Key takeaway
You have no insurance, and you hope a grant will pay for the bed. State Opioid Response money goes to state agencies. On September 22, 2025, the state awards were $1.48 billion. Tonight, ask a program whether it receives those funds, which services they cover, and what you would owe in writing.
Last updated: Mon Oct 05 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
You have no insurance, and you are hoping a grant will cover the bed. The money goes to state agencies. What changes your week is what one program will charge you.
If an overdose or withdrawal is already an emergency, call 911. For a mental health crisis, call or text 988.
Ask what you would owe
On September 22, 2025, HHS, through SAMHSA, announced more than $1.5 billion in fiscal year 2025 continuation funding for State Opioid Response and Tribal Opioid Response grants. The state portion is $1.48 billion. The table of state awards totals $1,480,500,000. Continuation funding means ongoing awards to agencies that already hold them.
The announcement says the money supports prevention, overdose reversal medications, treatment including medications for opioid use disorder, and recovery support. A clinic can receive that funding and still bill you for a service the grant does not cover.
Tonight, call a program and ask whether it receives State Opioid Response funds, which services those funds cover, and what you would owe with no insurance, in writing. Write down what you would owe. Search FindTreatment.gov for programs to call.
Call or text (800) 653-9376 if you want help asking a program what you would owe.
Additional Resources
Sources cited on this page:
- SAMHSA: HHS Provides More Than $1.5 Billion in State and Tribal Opioid Response Grants (September 22, 2025)
- SAMHSA: State Opioid Response Grants announcement TI-24-008
- SAMHSA: 2022 Report to Congress on the State Opioid Response Grants
- SAMHSA: Substance Use and Mental Health Block Grants
- SAMHSA FindTreatment.gov
- SAMHSA National Helpline
- 988 Suicide & Crisis Lifeline
- SmarterRecovery about page (referral disclosure)
Common Questions
Can I apply for this grant myself?
No. State agencies and territories receive it. The money is for FDA-approved medicine for opioid use disorder, for the rest of care around that disorder, and for stimulant use, including cocaine and methamphetamine. Call a program and ask whether those funds cover your visit, and what you would owe in writing.
What is the tribal award?
Tribal Opioid Response is separate from the state awards in the same September 22, 2025 announcement. Tribal funding is nearly $63 million, and the awards add up to $63,000,000. That money goes to tribal programs. Ask a program near you whether it touches the service you need.
What did the 2022 report add?
The grants began in fiscal year 2018 to increase access to medications for opioid use disorder, reduce unmet treatment need, and reduce opioid-related overdose deaths. Starting in fiscal year 2020, services could include stimulants such as cocaine and methamphetamine, and that continued in fiscal year 2022. Grantees have used approaches such as medication by telehealth and naloxone in opioid treatment programs and in the community. Ask your program what it offers. There is no FDA-approved medicine for stimulant addiction.
What if I need Medicaid or a sliding fee instead?
Medicaid and the substance use block grant are separate programs from this one. A clinic can receive State Opioid Response funds and still bill you for a service those funds do not cover. If the question is a sliding fee or a gap in coverage, start with [paying for rehab without insurance](/guides/paying-for-rehab-without-insurance/). Get the amount you would owe in writing.
Where do the medicines fit?
Medications in this grant mean FDA-approved medicines for opioid use disorder. [Medication for opioid use disorder](/guides/medication-faq-mat/) names them without doses. Overdose reversal medicines in the announcement include naloxone. Rent at a recovery residence is a separate bill. Ask the house what you would pay.