More than 6,000 people walked into a Lee County, KY recovery center since 2022, and the model now runs across seven rural counties on $865K in settlement awards.

144 residents of Colorado's Gunnison County got 10 paid therapy sessions in 2025, each choosing their own therapist from a network of 57 local clinicians.

Three Colorado counties pool settlement dollars from 19 local governments under one council, backed by the state's first fiscal-agency relationship policy.

A vacant state office building near Booneville, AR reopened as a licensed 24-bed residential treatment center on a one-time $738,903 settlement award.

64 community interviews told six rural Colorado counties what to fund, and the resulting plan won a $1.2 million award on two part-time facilitator salaries.

124 employers across 25 Colorado counties signed on to a recovery-friendly certification, built on a $500,000 opioid settlement infrastructure award.

231 people in four rural Colorado counties applied for therapy scholarships that pay $125 a session and ask for no diagnosis and no proof of a problem.

Five cohorts drew trainees from 13 Kansas counties, teaching community health workers the mental health and addiction skills other courses leave out.

54 Virginia emergency departments now hand patients a free naloxone kit at discharge, with settlement funds covering the one cost no payer reimburses.

A $199,929 grant asked 1,480 Wichita physicians what blocks addiction care, built the training they named, and opened Wichita's first addiction fellowship.

Western Colorado University pays tuition for 6 to 8 graduate fellows a year to run prevention projects in Gunnison County, CO, on a $216,600 settlement award.

Santa Clara County, CA puts every internal request for its $89M in opioid settlement funds through a grant-style review, tracked in one shared system.

Sacramento County, CA asked residents where to spend, ran its own gap analysis, and put $1.86M in opioid settlement funds out to bid across ten programs.

A free Arkansas app walks bystanders through naloxone in English, Spanish, and Marshallese and logs the save, built for $296,000 and $8,750 a year to run.

Peer mentors in Walker County, AL logged 2,498 service visits in 2025 at a walk-in recovery center that runs on a $150K settlement award, no appointment needed.

Montgomery County, MD built settlement spending to last: a dedicated division, three competitive grant cycles, and funding substantiated for at least 18 years.

Project Upstream reaches 500+ residents a year across 8 Greater Manchester, NH communities, pairing prevention with navigation before problems deepen.

In Wake County, NC, Healing Transitions sends peer and EMS responders to overdose survivors within 24 to 72 hours, when re-engagement is most likely.

82% of ER patients linked to follow-up care in the first year, and 7 Virginia health systems are adopting the model through a free toolkit built on a $150K award.

7 of 13 rural Arkansas coalitions won federal Drug Free Communities grants worth $13.1 million, all built on a $325,000 opioid settlement investment.