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 South Carolina Opioid Recovery Fund (SCORF) board is responsible for making spending decisions and reporting on annual expenditures from the state abatement fund’s portion of opioid settlement funding.
Has the state awarded settlement funds?
Yes. The SCORF board posted details of grant awards made to localities in 2023, 2024, and 2025 through a Guaranteed Political Subdivision Fund within the broader South Carolina Opioid Recovery Fund. Funding for all other qualified applicants, including nonprofits, hospitals, state agencies, educational providers, and any other person or entity working to help address the opioid epidemic, is distributed to awardees from the Discretionary Subfund — award recipients for 2023 are highlighted in the SCORF annual report.
Has the state announced priorities or recommendations for spending?
Yes. The state’s Department of Alcohol and Other Drug Abuse Services, alongside the South Carolina Institute of Medicine and Public Health, created a resource guide that outlines core strategies and approved uses for settlement funding. Under each strategy or approved use are definitions, links to relevant examples and resources for implementing the strategy, and references to relevant state-specific laws or resources.
Previous spending details
Annual reports detailing settlement expenditures from previous years, beginning in 2022, are available on the recovery fund’s site.
Statewide reporting of local spending
Not applicable.
State Settlement Website or Dashboard
Legislation
Spending Plans and Agreements
Process for Settlement Disbursement
A memorandum of understanding gives control of the Statewide Opioid Recovery Fund to a South Carolina Opioid Recovery Fund board, but requires that the Guaranteed Political Subdivision Subfund that makes up 85 percent of the Recovery Fund be sent by the board to subdivisions in amounts determined by a formula.
State and Political Subdivision Split
Structure
Abatement-Fund Controlled (>50 percent of funding controlled by statewide abatement fund)
Allocation Formula
82 percent Statewide Opioid Recovery Fund, 18 percent Statewide Opioid Fee Fund (These allocations apply to payments made through 2027. From 2028 forward they switch to 100% and 0%, respectively). Within the Opioid Recovery Fund, 85 percent goes to the Guaranteed Political Subdivision Subfund and 15 percent to the Discretionary Subfund. (These allocations apply through 2029; in 2030 they switch to 50 percent and 50 percent.)
Role of Advisory Committee
The Opioid Recovery Fund board has authority to make spending decisions for the 15 percent of the money in the Statewide Opioid Recovery Fund that is not designated to be sent to political subdivisions.
