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 state legislature, in charge of allocating the state share of opioid settlement funds, authorized that 75 percent of the total be allocated to the Iowa Department of Health and Human Services (DHHS) and the remaining 25 percent be allocated to the State Attorney General’s Office for distribution to opioid abatement-related programs.
Has the state awarded settlement funds?
Yes. According to 2025 legislation, $29 million was appropriated to DHHS for a variety of opioid abatement-related programs, including development of a recovery-focused high school, infrastructure for dispensing medications for opioid use disorder in rural and underserved areas, and recovery housing and recovery community center development, among others.
Has the state announced priorities or recommendations for spending?
No publicly available information.
Previous spending details
Not applicable.
Statewide reporting of local spending
Not applicable.
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 Iowa Abatement Fund, 50 percent local governments
Role of Advisory Committee
Not applicable.
State Annual Report
Not applicable.
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.