College Well being is placing tens of millions of {dollars} from nationwide opioid settlements into dependancy restoration companies for Bexar County inmates, infants impacted by substance use throughout being pregnant, and the distribution of naloxone, a life-saving opioid overdose medicine generally offered beneath the model title Narcan.
Up to now, Texas has secured $3.3 billion as part of nationwide authorized settlements with drug producers, distributors and retailers for his or her position within the decades-long opioid disaster throughout the U.S, in accordance with the state Workplace of the Lawyer Normal.
Most of the settlements haven’t been finalized, so it stays to be seen how a lot the state and native governments will obtain over the following twenty years. A lot of the cash needs to be spent on dependancy remedy and restoration companies.
A portion of the cash the state receives is allotted to native governments and hospital districts. As of June, Texas has approved $80 million in settlement cash to 154 hospital districts and $100 million to cities and counties, in accordance with the Texas Comptroller’s Workplace.
To date, College Well being, Bexar County’s public hospital district, has acquired $5.6 million by allocations.
Town of San Antonio has acquired $1.6 million in opioid settlement cash to this point; the town expects to obtain $6.1 million in whole paid out over the following 18 years. Bexar County has acquired about $14.5 million up to now.

The Texas Opioid Abatement Fund additionally distributes a number of the cash the state receives by aggressive grants.
In 2024, College Well being was awarded a $25 million grant from the abatement fund for its statewide distribution of naloxone to forestall drug overdoses. College Well being is sending the life-saving drug together with coaching on how one can use it to counties throughout Texas.
The grant consists of $3.1 million particularly focusing on extra rural counties with populations of lower than 100,000 folks. Rural counties in North Texas like Younger, Childress and Wilbarger counties have traditionally seen extra opioid capsules distributed per capita, in accordance with a Washington Publish evaluation of federal information.
A lot of the $5.6 million goes towards improved entry to opioid dependancy remedy for Bexar County’s inmate inhabitants, in accordance with Serina Rivela, College Well being’s chief authorized officer.
And it’s serving to the hospital system offset prices related to caring for infants with neonatal abstinence syndrome, or NAS. The syndrome impacts infants whose moms took opioids or different addictive medication throughout being pregnant.
Infants born with NAS can expertise physique shakes, seizures, fever and different doubtlessly lethal issues, relying on how a lot and what sort of substances are of their system. They’re additionally extra prone to have low beginning weight, respiratory and feeding points.
The moms, too, face larger danger of prolonged hospital stays and issues following beginning.
From 2017-2021, Bexar County had a NAS fee of seven.7 out of 1,000 hospital births, the very best of any county, accounting for 23 p.c of all NAS instances in Texas, in accordance with information from the Texas Division of State Well being Providers.
“That is simply extra funding that we now have with a purpose to offset the prices related to that, as a result of typically they find yourself being born with a number of circumstances,” Rivela stated. “And it takes a multi-faceted medical care coaching staff, 24/7, with a purpose to correctly look after this child.”