Stopping overdoses is only the first step: Virginia must build what comes next
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By Sarah King
Published on April 24, 2026.
The author argues that addressing the issue of addiction in Southwest Virginia is only the first step towards building a comprehensive system that makes recovery last. The author points out that Virginia's current approach is still lacking, with many leaving treatment without the supports necessary to sustain recovery. The current licensing structure requires separate licenses for each level of care, leading to multiple applications, duplicative requirements and sequential delays. This is a crucial issue as Virginia is set to receive over $1 billion in opioid settlement funding over the coming years, with over $100 million already awarded through the Opioid Abatement Authority to localities and state agencies. Other states like Kentucky have also invested in integrated recovery systems that connect treatment, housing, employment and long-term support. The authors suggest that Virginia should move towards bundled, entity-level licensure with standardized service endorsements allowing qualified providers to operate multiple levels of care under one regulatory framework.
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