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 New Hampshire Opioid Abatement Trust Fund and Advisory Commission, responsible for distribution and oversight of the majority of the state’s settlement funding, published a list of strategies to help inform state settlement funding decisions and build a shared understanding around the state’s priorities for addressing the opioid crisis. Details related to settlement-funded grants approved by the governor and executive council are made available through reports and public meeting information for the advisory committee.
Has the state awarded settlement funds?
Yes. The Opioid Abatement Advisory Commission publishes annual reports of settlement-related activities and keeps a running list of grant programs awarded to date. The most recent annual report highlights several statewide projects funded with state settlement dollars, including peer recovery support services, co-occurring substance use and mental health treatment services, and scholarships and support for behavioral health providers, among other examples.
Has the state announced priorities or recommendations for spending?
Yes. The Opioid Abatement Advisory Commission identified nine priority strategies for the use of state settlement funding. The strategies, paired with example initiatives for achieving the goals, include broadening access to opioid reversal medication and harm reduction services, expanding prevention and family–strengthening services, supporting data collection and quality oversight, supporting first responders, and expanding access to treatment for opioid use disorder and wraparound services. The Governor’s Commission on Alcohol and Other Drugs also published a funding source crosswalk to identify the programs being supported across different opioid abatement strategies and funding sources.
Previous spending details
Not applicable.
Statewide reporting of local spending
The New Hampshire Opioid Abatement Trust Fund website includes annual reports from several of the 23 subdivisions participating in the settlement.
State Settlement Website or Dashboard
Spending Plans and Agreements
Not applicable.
Process for Settlement Disbursement
Legislation gives the power to distribute the state share of settlement funding to the commissioner of the Department of Health and Human Services, with all distributions requiring approval from an Opioid Abatement Advisory Commission.
State and Political Subdivision Split
Structure
State-Controlled (>50 percent of funding controlled by states)
Allocation Formula
85 percent statewide trust fund, 15 percent local
Role of Advisory Committee
The Opioid Abatement Advisory Commission must approve any distributions made by the commissioner of the Department of Health and Human Services.
