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
Alabama’s Oversight Commission on Opioid Settlement Funds is tasked with recommending expenditures from the state’s share of settlement funding and monitoring expended funds. The commission works in addition to the Alabama Opioid Overdose and Addiction Council, which published a 2024 annual report that included state priorities for opioid abatement investments and details regarding appropriations from the state settlement fund.
Has the state awarded settlement funds?
Yes. Recently passed legislation appropriated $41 million from the state settlement fund to a variety of organizations. The largest sum ($27.86 million) went to the Department of Mental Health for a variety of initiatives, including for grants, Medicaid state match, a 988 crisis line, and co-occurring civil commitment beds, among other projects. Other allocations award state agencies, such as the Department of Public Health, Office of Prosecution Services, and Department of Forensic Sciences, for a variety of projects, and universities for expansion of substance use training and residency programs.
Has the state announced priorities or recommendations for spending?
Previous spending details
The Alabama Overdose and Addiction Council’s previously published annual reports, which detail settlement allocations from previous years, can be found on the council’s site. Additionally, the Oversight Commission’s site details previous awardees from the Department of Mental Health’s grant programs supported by settlement funds.
Statewide reporting of local spending
State Settlement Website or Dashboard
Spending Plans and Agreements
Process for Settlement Disbursement
State and Political Subdivision Split
Structure
Split (no institution controls more than 50 percent of funds)
Allocation Formula
50 percent state, 50 percent political subdivisions
Role of Advisory Committee
The Oversight Commission on Alabama Opioid Settlement Funds develops a statewide plan for the investment and use of opioid settlement funds and reviews expenditures.
