NASADAD has developed and released a comprehensive resource that summarizes fiscal year (FY) 2023 funding for key federal programs related to substance use disorders (SUD). As you may recall, President Joe Biden signed the Consolidated Appropriations Act, 2023 (H.R. 2617) now, Public Law No: 117-328, on December 29, 2022. This large omnibus bill included FY 2023 appropriations and a number of provisions reauthorizing certain expiring SUD prevention, treatment, and recovery federal programs.

The document includes a chart that summarizes FY 2023 funding for SUD programs housed within the following federal agencies:

• Department of Health and Human Services (HHS)
  • Substance Abuse and Mental Health Services Administration (SAMHSA)
    • Substance Use Prevention, Treatment, and Recovery Services (SUPTRS) Block Grant
    • Center for Substance Abuse Treatment (CSAT)
    • Center for Substance Abuse Prevention (CSAP)
    • Center for Mental Health Services (CMHS)
  • National Institute on Alcohol Abuse and Alcoholism (NIAAA)
  • National Institute on Drug Abuse (NIDA)
  • Centers for Disease Control and Prevention (CDC)
  • Health Resources and Services Administration (HRSA)
  • Administration for Children and Families (ACF)
• Department of Justice (DOJ)
• Office of National Drug Control Policy (ONDCP)

We wish to recognize Daniel Diana, Legislative Coordinator, and Lacy Adams, Policy Analyst, for their work to develop this comprehensive resource.

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This updated factsheet includes the federal revisions to guidance that occurred between 2020-2022 as a result of the COVID-19 pandemic.

Congress enacted the Alcohol, Drug Abuse, and Mental Administration Reorganization Act (Public Law No: 102-321) in 1992 that included a provision referred to as the Synar Amendment. The Amendment aims to decrease youth tobacco use by requiring States and Territories to enact and enforce laws prohibiting the sale or distribution of tobacco products to individuals under the age of 18.

In 1996, the Substance Abuse and Mental Health Services Administration (SAMHSA), within the Department of Health and Human Services (HHS) issued a regulation giving further guidance to States related to Synar implementation and enforcement. The regulation required States to conduct annual, unannounced inspections of tobacco retailers that provide a probability sample of the accessibility of tobacco products to minors under the age of 18. States had to meet at least an 80 percent compliance rate of retailers refusing tobacco sales to minors. States that have a retail violation rate of more than 20 percent resulted in penalization of up to 40 percent of a State’s Substance Use Prevention, Treatment, and Recovery Services (SUPTRS) Block Grant (previously named the Substance Abuse Prevention and Treatment [SAPT] Block Grant).

Over time, Congress worked with the Administration to offer an alternative penalty that was significantly less that the 40 percent marker but required the State to generate funds to remedy the violation. No federal funding was ever provided to the managers of the Substance Use Prevention, Treatment, and Recovery Services (SUPTRS) Block Grant – State alcohol and drug agencies – to specifically support Synar implementation and enforcement activities.

For questions or more information, please contact Lacy Adams (ladams@nasadad.org).  

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The State Opioid Response (SOR) grant program, housed within the Substance Abuse and Mental Health Services (SAMHSA), is a federal grant program designed to address the “opioid overdose crisis by providing resources to states and territories for increasing access to FDA-approved medications for the treatment of opioid use disorder (MOUD), and for supporting the continuum of prevention, harm reduction, treatment, and recovery support services for opioid use disorder (OUD) and other concurrent substance use disorders (SAMHSA, 2022).”

The National Association of State Alcohol and Drug Abuse Directors (NASADAD) serves as the voice of State alcohol and drug agencies in Washington, D.C. NASADAD’s members are the State Single Agencies (SSAs) responsible for applying, receiving, and distributing SOR funds to programs and providers. The SOR  grant program is currently up for reauthorization. As a result, NASADAD has developed an overview of key provisions in legislation in the the House of Representatives and Senate to reauthorize the program.

For more information about how States are using SOR funds, please visit the IMPACT OF STATE TARGETED RESPONSE & STATE OPIOID RESPONSE GRANTS.