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
Yes. In the 2024 grant cycle, the OneOhio Recovery Foundation awarded $45.4 million to 245 projects across the state. A table summarizes these projects, with information including the awardee organization’s name, project title, award amount and project length, region of the state, and main abatement strategy (e.g., recovery supports, services for impacted children and families, treatment and health care services, etc.). The foundation also compiled each funded project’s proposal abstract, which provides more specific details on components and goals of the project, and published a 2024 annual report highlighting the grant cycle and the foundation’s work throughout the year.
Has the state awarded settlement funds?
Yes. In the 2024 grant cycle, the foundation awarded $45.4 million to 245 projects across the state. A table summarizes these projects, with information including the awardee organization’s name, project title, award amount and project length, region of the state, and main abatement strategy (e.g., recovery supports, services for impacted children and families, treatment and health care services, etc.). The foundation also compiled each funded project’s proposal abstract, which provides more specific details on activities and goals of the project.
Has the state announced priorities or recommendations for spending?
Within the Ohio Memorandum of Understanding, a list of state abatement strategies are outlined. Strategies are categorized under three groups: strategies for community recovery, strategies for statewide innovation and recovery, and strategies for sustainability). Within each group are specific examples for potential settlement investments, including early intervention and crisis supports, stigma reduction and training, and research.
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
The OneOhio Memorandum of Understanding (MOU) provides a mechanism to distribute opioid litigation settlement funds in Ohio: 55% to a nonprofit foundation (OneOhio Recovery Foundation); 30% direct to local governments; 15% direct to the State of Ohio.
State and Political Subdivision Split
Structure
Abatement-Fund Controlled (>50 percent of funding controlled by statewide abatement fund)
Allocation Formula
15 percent state share, 55 percent Foundation share, 30 percent local government share
Role of Advisory Committee
The Foundation’s Governing Board has authority to make spending decisions for the Foundation Share.
The OneOhio Recovery Foundation is led by an executive director and governed by a 29-member board of directors. The 19 OneOhio Regions established in the OneOhio MOU have Regional Boards that work to identify and recommend funding to support local priorities and needs. The MOU also charges the Foundation Board with establishing an Expert Panel made up of professionals in addiction, pain management, public health and other opioid-related fields to make recommendations to ensure the Foundation and its Regions address the opioid epidemic both locally and statewide.
The OneOhio Recovery Foundation does not have any control over the 15% direct payments to the State of Ohio or the 30% direct payments to local governments.
