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State Opioid Settlement Spending Decisions: Illinois

This information was compiled based on information from publicly available legislation, state memorandums or executive orders, state websites, and press releases, as well as supplemental interviews with state officials with a role in administering opioid settlement funding.

It offers a snapshot of settlement spending and priorities at the state level (e.g., funding administered by state agencies or designated statewide abatement funds) as well as laws, agreements, and processes that the state has established for allocating funds. NASHP does not track spending at the local or county level, but includes any relevant state-level reports or dashboards that capture local spending within a state. For details on the definitions used here, check out the definitions at the bottom of this page. You can also get an overview of opioid settlement decisions in all states.

Settlement Spending Status

Background

The Illinois Opioid Settlements Initiative website, operated by the Illinois Department of Human Services Division of Substance Use Prevention and Recovery, houses reports on allocations from the Illinois Remediation Fund for specific opioid abatement strategies. These allocations were funded based on recommendations from the Illinois Opioid Remediation Advisory Board. Allocation details include the specific opioid abatement strategy, amount of funding, and type of procurement process

Has the state awarded settlement funds?

Yes. The settlement funds allocation site features information on expenditures from both the state share of settlement funding and the Illinois Remediation Fund, categorizing them into approved opioid abatement use. Investments from the remediation fund include capital investments, mobile medication-assisted recovery, and substance use prevention programs, while state expenditures include naloxone distribution and addressing the needs of pregnant and postpartum women with substance use disorder. The 2024 annual report also summarizes allocations from the Illinois Opioid Remediation Trust Fund in state fiscal year 2024.  

Has the state announced priorities or recommendations for spending?

No publicly available information.

Previous spending details

Not applicable.

Statewide reporting of local spending

The settlement funds allocation site details expenditure report from local governments, which receive one-third of total settlement funds coming to the state. Reports include information on total funding received, expended, and if funding was used for abatement or non-abatement purposes. Expenditures are also sorted into approved use categories.  

Legislation

Not applicable.

Process for Settlement Disbursement

The State’s Allocation Agreement gives final authority over spending from the Illinois Remediation Fund to the Governor’s Opioid Prevention and Recovery Steering Committee, with recommendations from a Remediation Fund Advisory Board. The governor and attorney general have announced that the state share will be distributed by the Department of Human Services and that another advisory board will provide recommendations for this share.

State and Political Subdivision Split

Structure

Abatement-Fund Controlled (>50 percent of funding controlled by statewide abatement fund)

Allocation Formula

20 percent state, 15 percent municipalities and townships, 10 percent counties, 55 percent Illinois Remediation Fund

Role of Advisory Committee

The Remediation Fund Advisory Board makes recommendations to the Governor’s Opioid Prevention and Recovery Steering Committee.

State Overviews

Explore each state's settlement spending progress and priorities, as well as available information on settlement-related laws, agreements, reports, and spending dashboards. Use the dropdown below to see details for each state. You can also see an overview of opioid settlement decisions in all states.

Awarded settlement funds: A designated state agency or statewide opioid abatement fund has published its intention to allocate a dollar amount to a specific abatement program, activity, strategy, service, or support OR an appropriation of settlement funds has been made through a legislative process. Due to the nature of budgeting and procurement processes, this funding could be in the process of being budgeted, obligated, expended, or disbursed.

Published general priorities or recommendations to guide spending: A state agency, abatement council, or advisory council has published priority areas of focus or recommended strategies to address the opioid crisis with settlement dollars but may or may not have allocated settlement funding yet.

Statewide reporting of local spending: NASHP will not be tracking every spending example at the local level, but this category includes states that have published dashboards or reports that include local expenditures.

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