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State Opioid Settlement Spending Decisions

States are in the process of implementing structures and plans to distribute at least $50 billion awarded to states and localities from opioid-related lawsuits. Through each state’s unique settlement process, states are working to identify priorities for reducing opioid-related deaths and investing in SUD prevention, treatment, and recovery infrastructure. 

This tracker offers a snapshot of which states have announced awards from settlement funding or published priorities to guide settlement spending, as well as context for how each state has set up their decision making and spending processes. The state overviews (available through the dropdown in the blue box below) provide additional details on state-level spending and include information on each state’s settlement-related laws, agreements, processes, reports, and spending dashboards.

State Overviews

Use the dropdown below to explore more details on each state's settlement spending progress and priorities, as well as available information on settlement-related laws, agreements, reports, and spending dashboards.

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States are in different places in the settlement decision-making process. While NASHP is not tracking expenditures made at the county or local level, the “Announced Awards” and “Published Recommendations” maps show a snapshot of which state agencies or statewide opioid abatement funds that have publicly-available information about settlement spending. The “Spending Authority” map details which body (i.e. state, local, abatement fund, or split) receives and delegates the majority of settlement funding. For details on the definitions used to categorize each map, see the definition box below.

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Announced awards: 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 recommendations: 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.

Abatement fund controlled: >50 percent of settlement funding is controlled by a statewide abatement fund.

Locally controlled: >50 percent of settlement funding is controlled by cities and/or counties.

Split: No institution controls more than 50 percent of funds.

State controlled: >50 percent of settlement funding is controlled by states.

 

 

Acknowledgments

NASHP’s state opioid settlement spending tracker 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. This is a dynamic policy space, and many states are in the process of making plans for distribution and awarding settlement funding. If you have any information that is not reflected in the tracker, please email Maddy Hraber at mhraber@nashp.org.

Maddy Hraber, Katie Greene, Rebekah Falkner, Sam Mermin, and Miriam Pearsall contributed to the development of this tracker. NASHP’s national opioid settlement state tracker and ongoing work to support state leaders in opioid settlement planning and spending are supported by the FORE Foundation.

For additional information on state settlement, including funding awards, reporting requirements, and other state specific information, see the following resources:

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