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
Every two years, the Advisory Committee for a Resilient Nevada publishes a report highlighting recommendations for strategically awarding settlement funding across gaps in substance use services, as well as progress toward goals outlined in the Nevada Department of Health and Human Services (DHHS) Opioid Needs Assessment and Statewide Plan. Informed by these recommendations, DHHS allocates funding from the Fund for a Resilient Nevada to various opioid abatement programs. Funded programs are highlighted through annual reports, and DHHS operates a dashboard that further details settlement allocations.
Has the state awarded settlement funds?
The 2024 FRN Annual Report details projects that either received funding or were allocated funding from the state’s share of settlement funding throughout the year. A project is grouped under a high-level abatement goal, such as “reduce harm related to opioid use” or “provide behavioral health treatment,” with some example projects including an opioid training and technical assistance center, purchase of syringes, and providing the matching funds to the Division of Health Care Financing and Policy for the All-Payor Claims Database. The FRN dashboard provides a quicker glance at awarded projects to date, featuring information such as the award amount, recipient, and a short project description.
Has the state announced priorities or recommendations for spending?
Yes. DHHS’s Opioid Needs Assessment and Statewide Plan outlines the state’s comprehensive plan to address the opioid crisis, while biennial reports assess progress toward these goals. The 2024 report includes details on which of the goals have been fulfilled by rounds of funding and what abatement areas or initiatives should be prioritized for funding moving forward.
Previous spending details
The state’s previous annual reports detail high-level goals based on recommendations from the needs assessment and statewide plan, as well as initial expenditures from the state abatement fund. In 2023, some example projects included a statewide conference addressing the opioid epidemic, pregnant and postpartum opioid support, and rural jail opioid disorder research.
Statewide reporting of local spending
Not applicable.
State Settlement Website or Dashboard
Legislation
Spending Plans and Agreements
Process for Settlement Disbursement
Legislation authorizes the Department of Health and Human Services to allocate the state share of settlement funding and creates an Advisory Committee for a Resilient Nevada to provide spending recommendations to the department.
State and Political Subdivision Split
Structure
State-Controlled (>50 percent of funding controlled by states)
Allocation Formula
43.86 percent state, 38.77 percent local governments, 17.37 percent Medicaid match allocated amount counties
Role of Advisory Committee
The Advisory Committee for a Resilient Nevada provides recommendations to the Department of Health and Human Services.
