The Tennessee Department of Mental Health & Substance Abuse Services (TDMHSAS) was awarded a $62,720,580 Project Grant under the Substance Abuse and Mental Health Services Projects of Regional and National Significance (CFDA 93.243) program from the Substance Abuse and Mental Health Services Administration (SAMHSA). The award, titled "TN SOR IV: Changing Behavior, Coordinating Care, and Restoring Lives", aims to increase access to medication-assisted treatment for opioid and stimulant use disorders, reduce overdose deaths, and enhance prevention, treatment, and recovery services across the state of Tennessee. Key services to be provided include expanding access to naloxone and fentanyl test strips, implementing an emergency department-initiated buprenorphine/naloxone program, piloting a low-barrier medication for opioid use disorder program, and launching a comprehensive treatment program for adolescents. The 3-year project period runs from September 30, 2024 to September 29, 2027.