In the fall of 2021, the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) funded the University of Missouri-Kansas City to serve as the national peer-run training and TA center for addiction recovery and peer support, creating the Peer Recovery Center of Excellence (PR CoE). Among other functions, the PR CoE was tasked with conducting an analysis of how states are spending SAMHSA dollars on recovery support services for people with substance use conditions. UMKC retained TAC to conduct this analysis.

In addition to highlighting strengths and obstacles related to recovery support services spending, this first baseline state spending analysis focused on four questions:

1. How much are states spending on RSS/RCO from SAMHSA Substance Abuse Block Grants, SAMHSA discretionary grants, and state general revenue?
2. What methods are states using to purchase these services?
3. What types of organizations are states using as vendors?
4. What services are being purchased?