October 2, 2026

Opioid Settlement Board Allocates More Than $90 Million for Prevention, Treatment and Recovery Services Across Oregon

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Oregon Health Authority OHA 3

PORTLAND, Ore. — The Oregon Opioid Settlement Prevention, Treatment and Recovery (OSPTR) Board has allocated more than $90 million over the past two years to support substance use prevention, treatment and recovery services across Oregon, according to a newly released report detailing spending during 2024 and 2025.

The funding is part of Oregon’s share of national opioid settlement agreements reached with pharmaceutical manufacturers, distributors and pharmacies connected to the opioid crisis.

“These investments will create lasting, positive change in Oregon’s prevention, treatment and recovery systems, supporting vital programs for those impacted by the overdose and substance use disorder crisis,” said OSPTR Co-Chair Annaliese Dolph. “Together, we are seizing a historic opportunity to build and strengthen high-impact initiatives that reach those who need them most.”

During the 2023–2025 biennium, from July 2023 through June 2025, the board allocated 30% of the state’s opioid settlement funding — approximately $27.7 million — to the Nine Federally Recognized Tribes of Oregon.

In addition, 81 Oregon cities and counties received more than $71 million, representing 55% of the state’s opioid settlement funds. Local governments primarily used the funding to support treatment and recovery programs and connect people to care.

According to the report, 29% of local spending focused on supporting people in treatment and recovery, while 26% went toward improving access to care and services.

The OSPTR Board funded a wide range of programs and initiatives statewide, including:

  • $14.3 million to expand opioid treatment programs in high-need communities, including The Dalles, Klamath Falls, Redmond, Oregon City, Gresham, Northeast Oregon, rural Linn County, East Lane County, Florence and the North Coast. The funding also supports training and technical assistance for jails to improve access to medications for opioid use disorder.
  • $13.7 million for the Save Lives Oregon Clearinghouse to distribute naloxone and other life-saving supplies to organizations across the state.
  • $13.7 million to support prevention programs aimed at stopping substance use before it begins, including investments in county and community-based prevention services and efforts to strengthen Oregon’s substance use disorder prevention workforce.
  • $13 million to establish new recovery community centers in Coos Bay, Roseburg, Grants Pass and the Columbia Gorge region, while also expanding existing centers in Klamath Falls, Portland and Medford. Officials said the funding emphasizes increasing access to culturally specific recovery services.

Since July 2021, Oregon has secured agreements expected to provide more than $700 million in opioid settlement funding through 2039.

Under the settlement structure, 45% of funds are directed to the state and 55% to local jurisdictions. The state’s share is deposited into the Opioid Settlement Prevention, Treatment and Recovery Fund and managed by the 18-member OSPTR Board, with administrative support provided by the Oregon Health Authority.

More information about Oregon’s opioid settlement funding is available through the state’s opioid settlement website.


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