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State Opioid Settlement Spending Decisions: Oregon

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

Oregon’s Opioid Settlement Prevention, Treatment, and Recovery (OSPTR) Board, responsible for allocating the state’s portion of settlement funding, publishes annual reports outlining yearly settlement fund expenditures at both the state and county level. The Oregon Health Authority’s settlement website also outlines how state settlement funding is disbursed across eight spending categories, with the remaining percentage allocated to the nine federally recognized Tribes in Oregon.

Has the state awarded settlement funds?

Yes. According to the 2023–2024 Annual Report the OSPTR board has allocated approximately $74 million from the state’s portion of settlement funding. $27.7 million of the allocation went to the nine federally recognized Tribes in Oregon — this is equivalent to 30 percent of all funds anticipated this biennium. This 30 percent set-aside will continue throughout the life of the fund as additional settlement payments are deposited. Across the spending categories, funding was allocated for the state’s harm reduction clearinghouse, to strengthen Oregon’s prevention workforce, to establish recovery community centers, and to increase treatment capacity across opioid treatment programs and in carceral settings, among other examples.

Has the state announced priorities or recommendations for spending?

Yes. The OSPTR board will allocate settlement funding available through June 2025 across eight recommended categories. The categories receiving 21 to 22 percent of this funding include harm reduction and overdose prevention, primary prevention, treatment, and recovery, with remaining categories receiving 3 to 6 percent, including research and evaluation; leadership, planning, and coordination; emerging issues; and administrative costs and expenses.

Previous spending details

Not applicable.

Statewide reporting of local spending

Not applicable.

Process for Settlement Disbursement

Legislation requires that the statewide share of settlement funding be continuously appropriated to the Oregon Health Authority and creates an Opioid Settlement, Prevention, Treatment, and Recovery Board within the Health Authority to determine allocations for money in the fund.

State and Political Subdivision Split

Structure

Locally Controlled (>50 percent of funding controlled by cities and/or counties)

Allocation Formula

45 percent state, 55 percent participating subdivisions

Role of Advisory Committee

The Opioid Settlement Prevention, Treatment, and Recovery Board has authority to make spending decisions for the money in the statewide Opioid Settlement, Prevention, Treatment, and Recovery Fund.

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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