Clark County Greenlights $165 Million Vegas Opioid Rehab Hub

Clark County is finally putting shovels on the horizon for a long‑planned opioid rehabilitation center in the Las Vegas area, after commissioners on May 5, 2026 voted to approve a key construction contract. The move pushes what county officials have billed as a first‑of‑its‑kind public recovery facility in Nevada into the preconstruction and construction phase.

According to the county’s meeting agenda, commissioners picked McCarthy Building Companies as the Construction Manager at Risk and cleared the chief financial officer to sign the contract and the initial Guaranteed Maximum Price authorization, as noted by Clark County. The item, listed as RFP No. 607802‑25 for preconstruction and construction services, was tucked onto the May 5 consent calendar, county‑speak for “no drama, just votes.”

Commissioners had already carved out opioid‑settlement money for the project. Local coverage notes the board signed off on roughly $165 million for the center last July, and county officials have said settlement dollars will underwrite much of the price tag. FOX5 reported on the July allocation, while the state Attorney General’s office has separately described the multi‑year opioid settlements that are filling local abatement funds and treatment programs.

Where It Will Go And What It Would Include

Early plans and procurement documents point to about 14.3 acres at the northwest corner of North Las Vegas Boulevard and Beesley Drive as the future home of the complex. The layout calls for multiple buildings clustered around courtyards, with a mix of detox and residential beds…

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