The Virginia Opioid Abatement Authority (OAA) released its 2025 Annual Report, detailing a year of historic investment, strengthened accountability and measurable progress in addressing opioid use disorder and substance misuse across the Commonwealth.
According to the report, the OAA awarded more than $46.7 million in new opioid settlement funding in 2025, including $32.7 million to 81 cities and counties and $14 million to support initiatives led by 18 state agencies. Since beginning operations in late 2022, the OAA has directed more than $112 million to 176 opioid abatement projects statewide, reinforcing Virginia’s nationally recognized, collaborative approach to settlement fund stewardship.
The report also highlights Virginia’s continued leadership in transparency and accountability, with 69 of the Commonwealth’s 133 cities and counties voluntarily adopting the OAA’s “Gold Standard” principles for the responsible use of opioid settlement dollars. These guardrails help ensure funds are spent effectively, in alignment with court-approved settlement agreements and the Code of Virginia.
“Virginia continues to lead the nation in smart, targeted investments across the full spectrum of solutions to combat the opioid crisis and support long-term recovery,” said Senator Todd Pillion, Chair of the Opioid Abatement Authority. “This annual report reflects our commitment to accountability, data-driven decision-making and partnerships that save lives and strengthen communities. While progress is clear, our work is far from finished, and the Authority remains focused on ensuring these resources reach the Virginians who need them most.”
The 2025 Annual Report outlines several key initiatives launched or expanded during the year, including Operation STOP!, a targeted overdose prevention effort focused on communities experiencing rising overdose disparities, and the continued advancement of the Substance Use Data Analytics (SUDA) platform, the most comprehensive statewide system of its kind. Together, these efforts support equity-focused interventions, improved coordination, and evidence-based strategies across prevention, treatment, harm reduction and recovery.
The full 2025 Annual Report is available for download in the OAA newsroom, providing detailed insight into funding distributions, project outcomes and the OAA’s priorities for the year ahead.
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.

