Reauthorization of the Substance Abuse Prevention and Treatment (SAPT) Block Grant

The Substance Abuse Prevention and Treatment (SAPT) Block Grant, housed within the Substance Abuse and Mental Health Services Administration (SAMHSA), is a federal block grant distributed by formula to all States, Territories, and jurisdictions. The SAPT Block Grant supports States to “plan, implement, and evaluate activities that prevent and treat substance [use]” (SAMHSA, 2022). The SAPT Block Grant was last reauthorized in the 21st Century Cures Act (P.L. 114-255) in December 2016. The authorization applied through 2022. As a result, Congress is considering legislation to reauthorize the program through 2027.

The SAPT Block Grant serves as the cornerstone of States’ substance use disorder prevention, treatment, and recovery systems. State alcohol and drug agencies play a pivotal role in applying and receiving funds to distribute to counties, local communities, and providers. The funds are dedicated to help implement evidenced-based programming. States oversee the funds through tools such as performance data management/reporting, contract monitoring, corrective action planning, onsite reviews, and technical assistance. States are required to spend 20% of SAPT Block Grant funds on primary prevention strategies. In addition, the SAPT Block Grant by statute is designed to serve priority populations and service areas such as:
• Pregnant women and women with dependent children
• People who use intravenous drugs
• Tuberculosis services
• Early intervention services for HIV/AIDS


This fact sheet is a “living document and will continue to be updated as legislation progresses through Congress.

Available here.

Please reach out to Lacy Adams ( with any questions.