Emergency Department Alternatives to Opioids Program

The Emergency Department Alternatives to Opioids Program is a forecasted federal discretionary grant opportunity from the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. The opportunity number is TI-27-005, and the funding instrument is a grant. The program is categorized under Health and is associated with Assistance Listing 93.490, Center for Substance Abuse Treatment Projects of Regional and National Significance. The forecast was published on September 3, 2026, and was last updated on the same date. Grants.gov identifies this as a forecast rather than a currently posted funding opportunity. The purpose of the Emergency Department Alternatives to Opioids Program is to establish and implement practices that help participating organizations develop alternatives to pharmacological opioid interventions. The program is intended to reduce the potentially harmful consequences of opioid use for pain care in hospitals and emergency departments. Through these efforts, the program seeks to promote safer pain treatment while reducing the risk of future opioid misuse and possible opioid overdose. The source does not provide additional details about specific allowable or prohibited expenditures, required project activities, indirect cost limitations, subaward restrictions, or a defined period of performance. Eligibility is statutorily limited under 42 U.S.C. 294i-1 to hospitals and emergency departments, including freestanding emergency departments and rural emergency hospitals. The forecast also establishes a geographic priority rather than a geographic exclusion. Priority consideration will be given to applicants that are not from states where current grantees are located, in order to promote geographic distribution among grant recipients. The states identified as having current grantees are Arkansas, California, Florida, Illinois, Indiana, Maryland, Massachusetts, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, and Virginia. Organizations in those states are not stated to be ineligible; rather, applicants outside those states receive priority consideration. No cost sharing or matching requirement applies. The opportunity is forecasted to be posted on December 15, 2026. Because the source is a forecast, it does not yet provide an estimated application due date, an application package submission deadline, a pre-application deadline, or a stated recurring application schedule. The source also does not identify a letter of intent, concept paper, pre-proposal, notice of intent, initial application, or other pre-application gating requirement. No application questions, narrative requirements, required uploads, forms, registration steps specific to submission, or other application components are provided in the supplied forecast. Applicants will therefore need to rely on the subsequently posted opportunity and application package for submission requirements that are not yet available in this source. The forecast does not provide application evaluation criteria, scoring factors, review weights, or a description of the competitive review process. It does, however, explicitly state that priority consideration will be given to applicants outside the states where current grantees are located in order to ensure geographic distribution among recipients. This geographic priority is the only stated consideration relevant to applicant prioritization in the supplied material. The source forecasts nine awards but does not state an award floor, award ceiling, or estimated total program funding amount. The estimated award date is September 30, 2027. No estimated project start date, performance period, or archive date is provided. The opportunity is associated with fiscal year 2027. Because no application due date or recurring schedule is stated, no recurring deadline or next application cycle can be established from the supplied information. Questions concerning the forecast may be directed to Belinda Greenfield at Belinda.Greenfield@samhsa.hhs.gov or 240-276-2545. Additional application, funding, evaluation, and performance details are expected to depend on the future posting because they are not included in the supplied Grants.gov forecast.

Priority consideration will be given to applicants outside Arkansas, California, Florida, Illinois, Indiana, Maryland, Massachusetts, Missouri, New Jersey, New York, North Carolina, Ohio, Pennsylvania, and Virginia, where current grantees are located, to ensure geographic distribution among grant recipients.