Pennsylvania proposes to address the opioid crisis and the increase of stimulant use by increasing access to treatment, reducing unmet treatment need, and reducing opioid overdose related deaths through the provision of prevention, treatment and recovery activities for opioid use disorder (OUD) and stimulant use disorder. The project will support a comprehensive response to the opioid epidemic and stimulant use increase using strategies to address identified needs along with the required activities of the grant. Strategies will include: Providing clinically appropriate treatment services to 3,500 individuals (7,000 during the project) who are under/uninsured; Continuation of the a hub and spoke model via the PA Coordinated Medication-Assisted Treatment program which plans to provide services to 3,600 individuals (7,200 during the project); Expand access to Medication-Assisted Treatment and stimulant use disorder treatment to individuals within the Criminal Justice System by providing services and utilizing Police Diversion programs to serve a combined total of 2,905 individuals (5,810 during the project). Expanding treatment capacity and recovery supports for special populations including 1,140 veterans (2,280 during the project), 814 pregnant women (1,628 during the project) and 2,000 homeless individuals (4,000 during the project); Establishment of Care Managers to assist 2,777 (5,554 during the project) individuals with navigation the treatment system, provide follow up care and community supports. Expansion of evidence-based prevention initiatives to educate 25,000 (50,000 during the project) parents and children; Increase in community awareness of OUD issues and resources through public awareness activities such as media outreach and stigma campaign; and Expansion of health promotion and harm reduction services to 66,660 (133,320 during the project) by supporting the Naloxone for First Responders Program.