{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T08:47:05Z","timestamp":1787734025672,"version":"build-2784847793"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1R01MH135034\u201001A1"],"award-info":[{"award-number":["1R01MH135034\u201001A1"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the potential of opioid settlement dollars disbursed to state and local governments to replace or supplement federal substance use disorder (SUD) funding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Setting and Design<\/jats:title>\n                    <jats:p>For each state, we calculated the percentage of Substance Use and Mental Health Services Administration (SAMHSA) SUD funding for each state that can be offset by settlement funds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources and Analytic Sample<\/jats:title>\n                    <jats:p>We estimated annual opioid settlement distributions (2022\u20132038) from KFF Health News and SAMHSA\u2010funded SUD awards (2024) from SAMHSA's website and the Tracking Accountability in Government Grants System.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings<\/jats:title>\n                    <jats:p>Across states, the mean difference between SAMHSA SUD funds and settlement funds was $56.83 (SD: $53.76) per capita, and the mean percentage of SAMHSA SUD funding that could be replaced by settlement funds was 51.16 (SD: 28.46) per capita. Oregon was the only state where settlement disbursements exceeded SAMHSA SUD funding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Substantial gaps remain between current federal SUD funding and what opioid settlement funds can offset. Our findings underscore that opioid settlement funds are not a viable replacement for federal funding, both because they were never intended to serve this purpose, and because they are insufficient in scale.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1475-6773.70094","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:29:49Z","timestamp":1772972989000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Examining the Potential Role of Opioid Settlement Funds in the Face of Impending Federal Budget Reductions for Substance Use Disorders"],"prefix":"10.1111","volume":"61","author":[{"given":"Zoe","family":"Lindenfeld","sequence":"first","affiliation":[{"name":"Edward J. Bloustein School of Planning and Public Policy Rutgers University  New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda I.","family":"Mauri","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, School of Public Health University of Maryland  College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachini","family":"Bandara","sequence":"additional","affiliation":[{"name":"Department of Mental Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4468-833X","authenticated-orcid":false,"given":"Jonathan H.","family":"Cantor","sequence":"additional","affiliation":[{"name":"RAND  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0073-0348","authenticated-orcid":false,"given":"Ryan K.","family":"McBain","sequence":"additional","affiliation":[{"name":"RAND  Arlington Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Winiker","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Tracking Federal Funding to Combat the Opioid Crisis","author":"Bipartisan Policy Center","year":"2019"},{"key":"e_1_2_10_3_1","unstructured":"Executive Office of the President Office of Management and Budget Washington DC 20503 \u201cMajor Discretionary Funding Changes \u201dpublished online May 2 2025 https:\/\/www.whitehouse.gov\/wp\u2010content\/uploads\/2025\/05\/Fiscal\u2010Year\u20102026\u2010Discretionary\u2010Budget\u2010Request.pdf."},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","unstructured":"Office AP \u201cHHS Announces Transformation to Make America Healthy Again \u201dMarch 27 2025 https:\/\/www.hhs.gov\/press\u2010room\/hhs\u2010restructuring\u2010doge.html.","DOI":"10.1002\/cpu.30970"},{"key":"e_1_2_10_5_1","unstructured":"National Opioid Settlement \u201cExecutive Summary\u2014National Opioids Settlement \u201d2024 https:\/\/nationalopioidsettlement.com\/executive\u2010summary\/."},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2023.4017"},{"key":"e_1_2_10_7_1","unstructured":"A.Pattani \u201cUsing Opioid Settlement Cash for Police Gear Like Squad Cars and Scanners Sparks Debate \u201dKFF Health News October 23 2023 https:\/\/kffhealthnews.org\/news\/article\/using\u2010opioid\u2010settlement\u2010cash\u2010for\u2010police\u2010gear\u2010like\u2010squad\u2010cars\u2010and\u2010scanners\u2010sparks\u2010debate\/."},{"key":"e_1_2_10_8_1","unstructured":"A.WinikerandL.Williams \u201cOpioid Settlement Funds and Supplantation in an Uncertain Budget Climate. Opioid Principles \u201dJune 30 2025 https:\/\/opioidprinciples.jhsph.edu\/opioid\u2010settlement\u2010funds\u2010and\u2010supplantation\u2010in\u2010an\u2010uncertain\u2010budget\u2010climate\/."},{"key":"e_1_2_10_9_1","unstructured":"CDC \u201cProducts\u2014Vital Statistics Rapid Release\u2014Provisional Drug Overdose Data \u201dSeptember 9 2025 https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug\u2010overdose\u2010data.htm."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajad.13465"},{"key":"e_1_2_10_11_1","unstructured":"A.Pattani \u201cFor Opioid Victims Payouts Fall Short While Governments Reap Millions \u201dKFF Health News April 8 2025 https:\/\/kffhealthnews.org\/news\/article\/opioid\u2010settlements\u2010payouts\u2010overdoses\u2010addiction\u2010database\/."},{"key":"e_1_2_10_12_1","unstructured":"KFF Health News \u201cOpioid Settlement Expenditures Methodology \u201dpublished online December 11 2024 https:\/\/kffhealthnews.org\/wp\u2010content\/uploads\/sites\/2\/2024\/12\/opioid\u2010settlement\u2010expenditures\u2010methodology\u2010121124.pdf."},{"key":"e_1_2_10_13_1","unstructured":"Guides for Community Advocates on the Opioid Settlements \u201cGuide for Opioid Settlement \u201dDecember 7 2024 https:\/\/www.opioidsettlementguides.com."},{"key":"e_1_2_10_14_1","unstructured":"NSDUH State Releases \u201cCBHSQ Data \u201daccessed July 31 2025 https:\/\/www.samhsa.gov\/data\/data\u2010we\u2010collect\/nsduh\u2010national\u2010survey\u2010drug\u2010use\u2010and\u2010health\/state\u2010releases."},{"key":"e_1_2_10_15_1","unstructured":"FAQ \u201cFAQ\u2014National Opioids Settlement \u201daccessed August 8 2025 https:\/\/nationalopioidsettlement.com\/faq\u2010explanatory\u2010charts\/faq\/."},{"key":"e_1_2_10_16_1","unstructured":"United States Census Bureau \u201cAmerican Community Survey Data \u201d2023 https:\/\/www.census.gov\/programs\u2010surveys\/acs\/data.html."},{"key":"e_1_2_10_17_1","unstructured":"SAMHSA \u201cSAMHSA Grants Dashboard \u201dAugust 1 2025 https:\/\/www.samhsa.gov\/grants\/grants\u2010dashboard."},{"key":"e_1_2_10_18_1","unstructured":"HHS TAGGS \u201cGovernment Grants\u2014Federal Funds Awarded \u201daccessed July 31 2025 https:\/\/taggs.hhs.gov\/."},{"key":"e_1_2_10_19_1","unstructured":"CDC \u201cProducts\u2014Vital Statistics Rapid Release\u2014Provisional Drug Overdose Data \u201d2024 https:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug\u2010overdose\u2010data.htm."},{"key":"e_1_2_10_20_1","unstructured":"Common Sense Institute \u201cOregon's Mental Health Crisis: Access Outcomes and the Cost of Inaction \u201daccessed January 17 2026 https:\/\/www.commonsenseinstituteus.org\/oregon\/research\/healthcare\/oregons\u2010mental\u2010health\u2010crisis\u2010access\u2010outcomes\u2010and\u2010the\u2010cost\u2010of\u2010inaction."},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2020.01656"},{"key":"e_1_2_10_22_1","unstructured":"H.Saunders \u201cImplications of Potential Federal Medicaid Reductions for Addressing the Opioid Epidemic \u201dKFF 2025 https:\/\/www.kff.org\/medicaid\/issue\u2010brief\/implications\u2010of\u2010potential\u2010federal\u2010medicaid\u2010reductions\u2010for\u2010addressing\u2010the\u2010opioid\u2010epidemic\/."},{"key":"e_1_2_10_23_1","unstructured":"J. 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Text\u2014H.R.1\u2014119th Congress (2025\u20102026): One Big Beautiful Bill Act \u201dJuly 4 2025 https:\/\/www.congress.gov\/bill\/119th\u2010congress\/house\u2010bill\/1\/text."},{"key":"e_1_2_10_24_1","unstructured":"CBHSQ Data \u201c2023 National Survey on Drug Use and Health (NSDUH) Releases \u201daccessed July 28 2025 https:\/\/www.samhsa.gov\/data\/data\u2010we\u2010collect\/nsduh\u2010national\u2010survey\u2010drug\u2010use\u2010and\u2010health\/national\u2010releases\/2023."}],"container-title":["Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.70094","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1475-6773.70094","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.70094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T07:03:09Z","timestamp":1780642989000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1475-6773.70094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,24]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/1475-6773.70094"],"URL":"https:\/\/doi.org\/10.1111\/1475-6773.70094","archive":["Portico"],"relation":{},"ISSN":["0017-9124","1475-6773"],"issn-type":[{"value":"0017-9124","type":"print"},{"value":"1475-6773","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,24]]},"assertion":[{"value":"2025-09-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70094"}}