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State Opioid Settlement Spending Decisions: West Virginia

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 West Virginia First Foundation, a private nonprofit, works to distribute the majority of the state’s settlement funding. The foundation, advised by board members and regional directors, creates and oversees grant programs supported by settlement funding. 

Has the state awarded settlement funds?

Yes. The 2024 Initial Opportunity Grants allowed for organizations to apply across four target areas: diversion and interdiction programs, youth prevention and workforce development, child advocacy centers and neonatal abstinence syndrome programs, and transitional or recovery housing expansion. A budget of over $19 million was allocated to the grant program, and each region of the state could receive up to four awards per target area per region. 

Has the state announced priorities or recommendations for spending?

No publicly available information.

Previous spending details

Not applicable.

Statewide reporting of local spending

Though the West Virginia First Foundation does not oversee local government spending, it collects reports from local governments on how settlement dollars have been spent. These are compiled into an annual qualified settlement fund expenditure report for local governments.  

State Settlement Website or Dashboard

Spending Plans and Agreements

Process for Settlement Disbursement

Legislation and a memorandum of understanding give control of the 72.5 percent Opioid Foundation Share to a Foundation Governing Board and control of the 3 percent state share of settlement funding to the attorney general.

State and Political Subdivision Split

Structure

Abatement-Fund Controlled (>50 percent of funding controlled by statewide abatement fund)

Allocation Formula

3 percent state, 24.5 percent local governments, 72.5 percent Opioid Foundation

Role of Advisory Committee

The West Virginia First Foundation Governing Board will assist the private foundation on how to effectively implement programs across the state.

State Annual Report

Not applicable.

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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