California

California

State Facts

5,420

Deaths or 59.1% of all overdose deaths in the year ending April 2025 involved opioids.¹

5 Million

or 3.4% of all Medicare Part D claims were for opioids in 2023 – an average of 36 per prescriber

13.5 Million

Prescriptions for opioids were written in California in 2023.3

$238 Billion

the estimated total societal cost of opioid use disorder (OUD) in California in 2024.⁴

Download FactSheet

Opioid Settlement Funds

$3,993,256,319.11
State Spending Recommendation

National approved use: providing support for non-opioid pain treatment alternatives, including training providers to offer or refer to multi-modal, evidence-informed treatment of pain.

Member & Endorser Footprint

Voices is backed by a broad coalition of organizations across the state united by a shared goal: ensuring patients have access to safe, effective, 
and individualized pain management throughout the continuum of care.

Co-Sponsors (119th)

Sen. Alex Padilla (D-CA)

Sen. Alex Padilla (D-CA)

Sen. Adam Schiff (D-CA)

Sen. Adam Schiff (D-CA)

Rep. Nannette Diaz Barragan (D-CA-44)

Rep. Nannette Diaz Barragan (D-CA-44)

Rep. Ted Lieu (D-CA-36)

Rep. Ted Lieu (D-CA-36)

Rep. Jimmy Panetta (D-CA-19)

Rep. Jimmy Panetta (D-CA-19)

Rep. Scott Peters (D-CA-50)

Rep. Scott Peters (D-CA-50)

Rep. Julia Brownley (D-CA-26)

Rep. Julia Brownley (D-CA-26)

Rep. Jim Costa (D-CA-21)

Rep. Jim Costa (D-CA-21)

Rep. Ro Khanna (D-CA-17)

Rep. Ro Khanna (D-CA-17)

Rep. Robert Garcia (D-CA-42)

Rep. Robert Garcia (D-CA-42)

ep. Ro Khanna (D-CA-17)

ep. Ro Khanna (D-CA-17)

Statements of Support

Statements of Support for the Alternatives to Prevent Addiction in the Nation (PAIN) Act

Learn More

1. Centers for Disease Control and Prevention (2025). Provisional Drug Overdose Death Counts. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

2. Centers for Disease Control and Prevention (2025). Medicare Part D Opioid Prescribing Mapping Tool. https://cms-oeda.maps.arcgis.com/apps/MapSeries/index.html?appid=5390718d875d4c049b1ac5976a9ff083

3. California Department of Pubic Health. 2025. California Overdose Surveillance Dashboard. https://skylab.cdph.ca.gov/ODdash/?tab=Home

4. Avalere Health (2025). The cost of addiction: Opioid use disorder in the United States. https://advisory.avalerehealth.com/wp-content/uploads/2025/05/Avalere-Health-White-Paper_The-cost-of-opioid-addiction_OUD-in-the-United-States.pdf