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State Opioid Settlement Spending Decisions: Iowa

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

Process for Settlement Disbursement

Legislation creates an opioid settlement fund within the Office of the State Treasurer to hold the entire statewide share of the settlement funding and requires that money in this fund be used only upon appropriation by the legislature.

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

Explore each state's settlement spending progress and priorities, as well as available information on settlement-related laws, agreements, reports, and spending dashboards. Use the dropdown below to see details for each state. You can also see an overview of opioid settlement decisions in all states.

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.

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