37 people in a northwest Virginia regional jail keep their opioid medication from the day they are booked, with counseling, peer support and groups inside.

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

117 women in Las Vegas got counseling, peer support, and care coordination through pregnancy and two years postpartum, not six weeks, on $594K in settlement funds.

622 people reached detox, treatment and sober living in one year, sent by peers at a Jonesboro, AR drop-in center built on a $250,000 settlement award.

Six townhomes in Lakewood, CO house whole families for a year of treatment and family therapy, keeping children out of foster care while a parent recovers.

Six settlement-funded peers work inside Maryland's public defender offices, moving clients from jail into vetted treatment under attorney-client privilege.

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.

99% of referred children have an adverse experience; College Station, TX answered by steering a $95,000 settlement award into a proven mentoring model.

227 justice-involved people in New Hampshire got peer support in 2025 from staff who had lived recovery and incarceration, on $287K a year in settlement funds.

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.

Pulaski County, AR shares one overdose team with five small police agencies, pairing a source investigator with a peer, on a $369,824 settlement award.

27 of 28 Virginia Beach school resource officers now teach the LEAD drug prevention curriculum in local classrooms, funded entirely by a $140K settlement award.

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.

The Shoulder runs an Alabama continuum that carries justice-involved adults from residential treatment through recovery, housing, and employment.

In two years, the University of Central Arkansas trained 874 people in overdose response and served 294 through peer recovery, on a $202K settlement award.

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.