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
Nebraska’s Opioid Remediation Advisory Committee helps inform the Department of Health and Human Services (DHHS) on allocations from the Nebraska Opioid Recovery Fund, which houses the majority of the state’s settlement funds. DHHS has published recommendations for settlement funding and reports highlighting expenditures from the recovery fund.
Has the state awarded settlement funds?
Yes. As of December 2023, $10 million has been distributed between the six regional behavioral health regions across the state. Though expenditures from the regions are not detailed, allocations may include programming for first responder needs, education and workforce development, treatment services and programs, and prevention activities, as detailed by DHHS. Additional expenditures include two legislative disbursements that fund programs for first responder training and formation of local overdose fatality review teams.
Has the state announced priorities or recommendations for spending?
Yes. In the state’s Opioid Settlement State Plan Overview, DHHS highlights opioid abatement strategy areas already covered by existing federal and state funds, proposing potential gaps for settlement investments to fill. Some settlement-funded projects proposed for consideration include integrated care development in rural communities, expansion of in-home visit programming for new and expectant mothers, building or developing treatment programs, and establishing rapid access behavioral health and substance use centers.
Previous spending details
Not applicable.
Statewide reporting of local spending
Not applicable.
State Settlement Website or Dashboard
Spending Plans and Agreements
Not applicable.
Process for Settlement Disbursement
State and Political Subdivision Split
Structure
Abatement-Fund Controlled (>50 percent of funding controlled by statewide abatement fund)
Allocation Formula
85 percent Opioid Recovery Fund, 15 percent participating local governments
Role of Advisory Committee
The Nebraska Opioid Settlement Remediation Advisory Committee makes recommendations to the Department of Health and Human Services.
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.