Substance Use Disorder and Addiction

Governors have long been at the forefront of efforts to prevent and treat opioid use disorder (OUD) and substance use disorder (SUD), working with stakeholders to mount a comprehensive response to the opioid epidemic. Since 2012, the National Governors Association Center for Best Practices has supported states in their efforts to address this crisis and help save lives. Over the years, NGA Health and NGA Public Safety and Legal Counsel have jointly worked with states to identify and implement evidenced based best practices related to substance use disorder. NGA focus areas include but are not limited to:

  • Sharing evidenced based prevention, treatment, and recovery strategies and programs;
  • Using data and evaluation in policy development;
  • Improving outcomes for targeted populations (justice-involved individuals, pregnant and parenting women, LGBTQIA+, people of color, and other historically underrepresented populations);
  • Expanding access to medication for opioid use disorder (MOUD);
  • Identifying trends in polysubstance use and identifying comprehensive responses to addiction;
  • Addressing infectious diseases as a result of SUD/OUD;
  • Strategies to improve the treatment of individuals with co-occurring disorders; and
  • Increasing access to non-opioid management of chronic pain.

Current Projects

Improving Outcomes for Individuals with Opioid Use Disorder on Community Supervision

While states have made progress in implementing and expanding access to treatment services for justice-involved individuals within correctional facilities, many states continue to encounter significant barriers to continuity of care and access to evidence-based treatment upon reentry and reintegration into the community. In response, NGA and the American Correctional Association are supporting Alaska, Maryland, Tennessee, and Virginia through December 2021 on efforts to strengthen health and substance use treatment services for justice-involved populations on community supervision. This work includes increasing connections to, and continuity of, treatment services for justice-involved individuals, including MOUD. Additionally, pursing strategies to promote reentry planning and continuity of care and best practices from other states on supervision strategies that support access to community-based treatment for individuals with OUD.

Through a partnership with the Department of Justice Bureau of Justice Assistance Comprehensive Opioid, Stimulant, and Substance Abuse Program (COSSAP), NGA hosted a roundtable with officials from Arkansas, Delaware, Kansas, Pennsylvania, and Tennessee to discuss shared challenges and innovative approaches to improving community supervision of individual with substance use disorder. This roundtable culminated in a publication on Community Supervision and Treatment of Individuals With Substance Use Disorder Challenges and Opportunities for Governors and State Officials.

Improving Care for Stimulant and Polysubstance Use

NGA has been hosting a series of learning calls with national experts, Governors’ office staff and senior officials, researchers, academics, and local organizations to better understand the current landscape and challenges from state leaders for addressing stimulant and polysubstance use at the state level. These conversations culminated in a roundtable in July 2021, where eight focus areas emerged that Governors and their senior state officials could consider in developing and implementing equitable approaches to reducing stimulant and polysubstance use. To build on these efforts and continue supporting Governors, NGA will launch a Policy Academy this fall for four states on implementing and strengthening strategies aimed at improving care for individuals affected by stimulant and polysubstance use.


Substance Use Disorder and Addiction Library

NGA Opioid Summit for New Administrations

Washington, DC | April 8-9, 2019 AGENDA From April 8-9. NGA hosted the Opioid Summit for New Administrations in Washington, D.C. Public health and public safety officials from 33 states ...

NGA to Assist 13 States in Strengthening Policies Against Impaired Driving

Columbus, Ohio, Summit Kicks Off Technical Assistance to States To address the grim and growing toll of impaired driving, the National Governors Association is working with 13 states on efforts ...

Pennsylvania Gov. Wolf to Address Opioid Summit for New Gubernatorial Administrations

NGA Session to Highlight Successes and Lessons Learned from Pennsylvania to Inform Other States’ Opioid Response Pennsylvania Governor Tom Wolf will discuss his state’s nationally recognized efforts in addressing the ...
Governors Welcome Signing of Bipartisan Opioids Bill

Governors Welcome Signing of Bipartisan Opioids Bill

WASHINGTON—The National Governors Association (NGA) applauds the president’s signing of H.R. 6, the SUPPORT for Patients and Communities Act, which provides much-needed additional resources to states and communities as they ...
Governors Applaud Passage of Bipartisan Opioids Bill

Governors Applaud Passage of Bipartisan Opioids Bill

WASHINGTON—The National Governors Association (NGA) applauds the passage of H.R. 6, the SUPPORT for Patients and Communities Act, which provides much-needed additional resources to states and communities as they continue ...
Using Emergency Declarations to Address the Opioid Epidemic

Using Emergency Declarations to Address the Opioid Epidemic

The National Governors Association Center for Best Practices (NGA Center) released a white paper, Using Emergency Declarations to Address the Opioid Epidemic: Lessons Learned from States. States have used emergency ...
Governors Applaud Bipartisan Cooperation on Opioids, Urge Further Action by Congress

Governors Applaud Bipartisan Cooperation on Opioids, Urge Further Action by Congress

WASHINGTON—Today the National Governors Association (NGA) Chair Governor Steve Bullock and Vice Chair Governor Larry Hogan sent a letter to Senate leadership urging continued bipartisan action to combat the opioid ...
Opioid Crisis Legislation

Opioid Crisis Legislation

Letter to Senate Majority Leader Mitch McConnell and Senate Minority Leader Chuck Schumer regarding passage of legislation geared toward combatting the opioid epidemic. DOWNLOAD THE LETTER Full text August 16, ...

Letter Urging Congressional Support on Combatting Opioids

Dear Speaker Ryan and Minority Leader Pelosi:  On behalf of the nation’s governors, we write to thank you for your efforts to combat our country’s opioid crisis and urge continued ...