Virginia Opioid Abatement Authority

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June 10, 2025

Opioid Abatement Authority Announces $32.6 Million in New Grant Awards, Focuses on Communities with Disparate Impacts

June 9,2025 – On June 5, the Virginia Opioid Abatement Authority (OAA) approved $32,614,372 in opioid settlement fund grants to communities across Virginia for initiatives aimed at addressing the opioid use crisis.

The awards include $3.4 million in new funds for seven Virginia communities where the rate of opioid overdose deaths among Black residents increased more than 100% from 2019 to 2023 (see chart on next page for details).

“While the overall rate of overdose deaths in Virginia is declining, not all communities have experienced the same reduction,” said Senator Todd Pillion, Chair of the OAA Board of Directors. “We are seeing alarming increases in the rates of fentanyl-related overdose deaths among Black Virginians,” he said. “The grants we announced this week include more than $3.4 million in additional awards designed to empower communities to implement targeted interventions aimed at reducing fentanyl-related harms in disproportionately affected areas.”

To date OAA awards are funding more than 130 projects across the Commonwealth. Dr. Sarah Thomason, vice chair of the OAA Board of Directors, emphasized the importance of investing in prevention, treatment, and recovery services. “As a clinician, I see firsthand the transformative impact that comprehensive care can have on individuals and families affected by opioid use disorder,” she said. “These settlement funds allow us to support evidence-based strategies that promote healing and long-term recovery in the communities that need it most.”

 

OAA Operation STOP!
(Specifically Targeted Overdose Prevention)

Cities and Counties with Disproportionately High Black or African American Opioid Overdose Deaths

Data Timeframe: 2019 – 2023
Source: Virginia Department of Health

(1) 5-year case counts of 20 or higher
AND
(2) rate of increase = 100% or higher

Black / African American Opioid Overdose Deaths

City or County

Opioid Overdose
Death Count

Percent of Rate Change

Chesapeake City

84

436%

Norfolk City

224

365%

Portsmouth City

172

300%

Richmond City

580

229%

Henrico County

212

167%

Newport News City

107

114%

Petersburg City

98

103%

 

The June 5 list of awards (attached) approved by the OAA includes $19.6 million to renew previously approved grants for another year, and $13 million in funding for new programs.

During 2023-2024 the OAA awarded a total of $47,156,502 to Virginia’s cities and counties, and $19,494,634 to state agencies for efforts to abate and remediate the opioid crisis. Details of those prior year projects are detailed in the OAA’s 2024 Annual Report. Combining those past year totals with the most recent announcement, the OAA has awarded $99 million in awards to date.

“We expect to exceed the $100 million mark in August when we announce awards to state agencies,” noted OAA Executive Director Tony McDowell. Virginia expects to receive a total of approximately $1.1 billion from litigation against manufacturers, distributors, and pharmacies that were alleged to have contributed to the opioid crisis. Payments from these settlements and bankruptcies began in 2022 and are expected to conclude by 2041.

The OAA was established by the General Assembly in 2021 to oversee the distribution of 55% of Virginia’s total settlement funds. Of the remainder, 30% is distributed directly to cities and counties, and the remaining 15% to the commonwealth. The use of funds is restricted by court orders and state statute, with the restrictions requiring that funds be used for opioid abatement and remediation efforts.

For more information contact info@voaa.us

Individual City/County Grant Renewals

City/County Name

Project Name

Total Amount

Albemarle County

Embedded Mental Health Clinician at the Emergency Communications Center

$48,723

Albemarle County

Jail-Based Sublocade Medication for Opioid Use Disorder (MOUD) Pilot Project

$46,331

Arlington County

Office Based Opioid Treatment

$154,433

Bedford County

Strategic Plan – Opioid Response

$0*

Charlottesville City

City Naloxone Distribution

$0*

Charlottesville City

Embedded Mental Health Clinician at the Emergency Communications Center

$25,508

Charlottesville City

Jail-Based Sublocade Medication for Opioid Use Disorder (MOUD) Pilot Project

$10,029

Danville City

Treatment Court

$74,069

Fairfax County

Young Adult Track Expansion

$159,538

Franklin County

Grace House PEARL Program

$0*

Gloucester County

Subsidized MOUD Treatment

$15,674

Gloucester County

Prevention and Treatment Specialist (GHS)

$32,225

Gloucester County

Enhancing Access to Treatment through Subsidized Transportation

$30,000

Hampton City

Hampton City Jail Substance Use Jail-Based MAT Services

$4,000

Henrico County

Additional Treatment Hours for Medication Assisted Treatment

$70,200

Henrico County

Kinship Navigator

$63,962

Louisa County

Region 10 New Clinician Position & Services Expansion

$25,855

Lynchburg City

Roads to Recovery Withdrawal Management Program

$0*

Manassas City

Harm Reduction through Education Services

$0*

Newport News City

Newport News Jail Based MAT Services

$99,854

Orange County

Orange County Opioid Response Program Coordinator

$44,684

Page County

Page County Adult Drug Treatment Court (PCADTC)

$18,490

Pittsylvania County

Treatment Court

$39,417

Richmond City

Harm Reduction Vending Machines

$41,240

Richmond City

Youth Prevention Campaign

$0*

Richmond City

Peer Specialist RFP

$0*

Roanoke City

Certified Peer Recovery Specialists

$63,713

Roanoke City

Roanoke City Schools Teen Outreach Project

$0*

Roanoke County

Family Services of Roanoke Valley

$40,000

Roanoke County

Partnership for Community Wellness

$121,252

Rockingham County

RHADTC OUD Treatment Support

$86,319

Smyth County

Smyth County Recovery Court Program

$81,985

Sussex County

Sussex Safety First

$11,796

Virginia Beach City

Teen to Teen Social Media Campaign & Outreach Initiative

$229,210

Virginia Beach City

VBCPS Online Substance Use and Wellness Interventions

$70,000

Virginia Beach City

Opioid Services at Juvenile Detention

$75,000

Virginia Beach City

Virginia Beach Police LEAD Program and Community Outreach

$20,000

Virginia Beach City

Youth Peer Support and Prevention Outreach

$100,500

Warren County

Raymond E. Santmyers Student Union and Activity Center

$37,154

Winchester City

Addiction Response Officer

$104,489

Wythe County

Wythe County Public Schools: Substance Abuse Prevention Specialist

$55,585

* Projects showing “$0” were approved for 2026 renewal using 2025 carryforward funds.

 

Individual City/County Grant – New Awards

City/County Name

Project Name (click link to see details)

Total Amount

Chesterfield County

Chesterfield County SUD Subgrants

$500,000

Culpeper County

Culpeper County Recovery Court

$204,993

Fairfax County

Youth Medication Assisted Treatment - Expansion (YMAT-E)

$1,117,032

Henrico County

Outreach: Concerning Addictive Behaviors in Adolescents

$9,900

Henrico County

Naloxone Distribution Cabinets for Libraries and MHDS

$17,986

Henry County

Kinship Navigator Position-Henry Martinsville Social Services

$56,651

Martinsville City

Kinship Navigator Position-Henry Martinsville Social Services

$28,326

Nelson County

Jail-Based Sublocade MOUD Pilot Project

$22,062

Prince William County

Opioid Response Coordinator

$175,000

Richmond City

Sub-awards to nonprofits based on highest need identified

$100,000

Warren County

Summer Camp Series

$13,500

Warren County

HOPE (Hopefulness in Opioid Prevention Efforts)

$35,000

 

Cooperative Partnership Grants – Renewals

City/County Partnership (bold indicates fiscal agent)

Project Name (click link to see more details)

Amount Total

Accomack County, Northampton

Eastern Shore Community Services Board (ESCSB) Expansion Project

$119,922

Albemarle County, Charlottesville, Nelson, Louisa, Fluvanna, Greene

Community Outreach at Region Ten’s Blue Ridge Center

$609,225

Albemarle County, Charlottesville, Nelson, Louisa, Fluvanna, Greene

CITAC Expansion and Crisis Response

$1,162,960

Alleghany County, Covington

CSB One-Stop SUD Continuum

$2,660,402

Buena Vista City, Lexington, Rockbridge

HOPE House Project

$496,904

Charlottesville City, Albemarle, Nelson, Orange, Fluvanna, Madison

Central Virginia Specialty Docket Enhancement Project

$13,504

Chesapeake City, Virginia Beach

Construct 20-bed Inpatient Psychiatric Unit

$0*

Chesterfield County, Powhatan, Colonial Heights, Petersburg

Mobile Outreach Services for Harm Reduction, Treatment, and Support (Content has been deleted)

$552,813

Culpeper County, Fauquier, Madison, Orange, Rappahannock

Overdose Response Unit

$287,436

Dickenson County, Lee County, Scott County

Wildwood Health and Wellness Center

$3,238,171

Fairfax County, Alexandria, Arlington, Loudoun, Prince William

Residential Treatment Program for Adolescents

$0*

Frederick County, Winchester, Fauquier, Clarke

NRADC Mat Program

$423,146

Gloucester County, Northumberland, Richmond, Westmoreland

Northern Neck Regional Jail MAT Program

$316,370

Grayson County, Carroll, Galax

Recovery Court - Enhancements & New Components to Existing Program

$188,511

Hanover County, Chesterfield, Richmond

Expansion of Project Recover

$157,620

Harrisonburg City, Rockingham

Peer Recovery Center

$103,494

Henrico County, Charles City, New Kent

Pregnant and Parenting Women Recovery Program

$361,256

James City County, Williamsburg, York, Poquoson

Outreach and Marketing of CSB-offered SUD Services

$33,288

James City County, Williamsburg, York, Poquoson

Recovery Court and Behavioral Health Docket

$0*

Lynchburg City, Campbell

Adult Detox Program

$129,393

Montgomery County, Floyd, Giles, Pulaski, Radford

Opioid Ecosystem of Recovery for the New River Valley (NRV)

$3,305,221

Newport News City, Hampton City

Mobile MAT and Outreach Unit

$248,256

Newport News City, Hampton City

Peer Recovery Oriented System of Care

$235,121

Prince William County, Manassas, Manassas Park

Office-Based Opioid Treatment / Office-Based Addiction Treatment

$708,206

Richmond City, Henrico

Resource Mapping of Substance Use Related Resources

$0*

Roanoke City, Roanoke County

Building & Expanding a Collaborative Regional Recovery Ecosystem

$374,573

Roanoke City, Roanoke County

Restoration Housing

$225,472

Rockingham County, Harrisonburg

Crisis Intervention Team Assessment Center & Crisis Co-Response Unit

$12,821

Russell County, Dickenson County

Recovery Residences – Russell County and Dickenson County

$216,755

Smyth County, Bland, Bristol, Carroll, Galax, Grayson, Washington, Wythe

Multi-Sector Collaboration to Address Substance Use Disorder in Far Southwest VA

$23,855

Smyth County, Carroll, Galax, Grayson, Wythe

Appalachian Center for Hope (ACH) Treatment Facility

$824,777

Smyth County, Dickenson, Lee, Russell, Tazewell, Wise, Wythe

Project Pathfinder – Southwest Virginia Legal Aid Society (SVLAS)

$275,040

Smyth County; Bland, Carroll, Galax, Grayson, Wythe

Expand OBOT/MAT Existing Services & Develop Regional Transitional Services

$915,039

Stafford, Fredericksburg, Caroline, King George, Spotsylvania

Mobile MAT and Support for Sunshine House

$648,899

Virginia Beach City, Norfolk, Chesapeake, Portsmouth, Suffolk

Regional Mobile Van for Primary Care and SUD Services

$242,503

Wise County, Lee, Norton, Scott

Recovery House – Gate City (Scott County)

$60,140

Wise County, Lee, Norton, Scott

Intensive Outpatient Treatment Facility (Youth, 5 days/week)

$56,591

 

Cooperative Partnership Grants – New Awards

City/County Partnership (bold indicates fiscal agent)

Project Name (click link to see more details)

Total Amount

Augusta County, Waynesboro, Staunton

Regional Prevention, Education, and Harm Reduction Services

$140,023

Chesterfield County, Colonial Heights

DSS Family Engagement & SUD Team

$512,009

Chesterfield County, Powhatan, Colonial Heights

Comprehensive Opioid Management and Patient Assistance for Substance Support (COMPASS)

$989,610

Chesterfield County, Richmond, Henrico

Chesterfield Recovery Academy Outreach and Transportation

$340,799

Clarke County, Warren, Page, Shenandoah

Northern Shenandoah Valley teen Mental Health First Aid

$115,050

Colonial Heights City, Petersburg, Hopewell

City of Refuge Transportation Program

$60,083

Danville City, Pittsylvania

Recovery 360

$268,809

Henrico County, Colonial Heights, Richmond, Hanover, Chesterfield

Hospital Liaisons – PPW

$270,350

Henrico County, Richmond, Chesterfield, Hanover

Regional Recovery Day

$46,946

Henry County, Martinsville, Franklin, Patrick

Piedmont Community Services Lighthouse Program

$1,197,347

Martinsville City, Henry, Franklin

Overdose Spike Response and Harm Reduction Access

$364,062

Prince Edward County, Nottoway

Piedmont Regional Jail Recovery Program

$50,000

Prince Edward County, Nottoway

Piedmont Health District Opioid Prevention/Connection Project 2026

$115,000

Prince George County, Dinwiddie, Hopewell, Surry

Mobile Overdose Response Unit

$174,433

Roanoke City, Roanoke County

Four Truths Recovery Pregnant & Postpartum Women's Implementation / Expansion

$154,800

Roanoke City, Roanoke County, Salem

Navigator Care Specialists

$108,000

Roanoke City, Roanoke County

Harm Reduction

$51,000

Virginia Beach City, Norfolk, Chesapeake, Portsmouth, Suffolk

Superintendents Region 2 Recovery High School

$163,634

Washington County, Bristol, Dickenson, Norton, Russell, Smyth, Tazewell, Wise County

Brighter Paths: Building Social-Emotional Strength for a Substance-Free Future

$840,000

Waynesboro City, Staunton, Augusta

River Ridge Learning Center (A Recovery High School in Waynesboro, VA)

$640,039

Wise County, Norton

Strong Futures Southwest Virginia Fourth Floor Residential Center

$597,727

 

Operation STOP! Grants – New Awards

City/County Name

Project Name (click link to see more details)

Individual Award

Operation STOP! Award

Operation STOP! Award Total Amount

Chesapeake City

Operation STOP, Chesapeake, VA

$0

$500,000

$500,000

Henrico County

Operation Stop!:Henrico

$0

$500,000

$500,000

Newport News City

Operation STOP! Newport News City

$0

$360,000

$360,000

Norfolk City

Operation STOP!: Norfolk City

$0

$500,000

$500,000

Petersburg City

Operation STOP!: Petersburg

$40,000

$500,000

$540,000

Portsmouth City

Operation Stop! Portsmouth City

$0

$500,000

$500,000

Richmond City

Operation STOP! City of Richmond

$119,950

$500,000

$619,950