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.
State Settlement Website or Dashboard
Legislation
Not applicable.
Spending Plans and Agreements
Process for Settlement Disbursement
State and Political Subdivision Split
Structure
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 Annual Report
State Overviews
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.