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State-Ordered Study Says Opioid Settlement Money Should Target Treatment for Incarcerated People

A state needs assessment says 8 outside prison locations could support parolees with medications for opioid use disorder and follow-up care.

  • A $325,000 statewide assessment commissioned by the Department of Social Services recommends South Dakota spend opioid settlement money to address the needs of people entering or leaving prisons and jails.
  • With $32.8 million collected so far of an expected $99 million through 2038, the state distributes funds via a three-tiered grant system ranging from $5,000 to over $50,000.
  • On Monday, Secretary Matt Althoff told the South Dakota Legislature's Interim Committee on Appropriations that current justice system services are inadequate for addicted people in the criminal justice system.
  • Brenna Koedam, who leads the Department of Social Services Behavioral Health Division, noted that stigma and "misconceptions" still surround medications approved by the Food and Drug Administration for opioid use disorder.
  • Sen. Red Dawn Foster, D-Pine Ridge, urged the department to prioritize "innovative" approaches to addiction for those inside institutions, as the state aims to transition projects into operational and sustainable stages over the next year.
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South Dakota Searchlight broke the news on Tuesday, July 21, 2026.
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