How is Your State Spending Opioid Settlement Money?
(Lydia Zuraw for KFF Health News; Getty Images)

How is Your State Spending Opioid Settlement Money?

The Year in Opioid Settlements: 5 Things You Need to Know

A person in a raincoat standing in a cemetery
Carrie Spears lost her 23-year-old nephew, Tanner, to an overdose two years ago. She paused near a cardboard memorial marker for him at a Trail of Truth event in Washington, D.C., on Sept. 23, 2023.?(

Opioid settlement money has gone from an emerging funding stream for which people had lofty but uncertain aspirations to a coveted pot of billions being invested in remediation efforts. Here are some important and evolving factors to watch going forward.?


Federal Lawmakers Take First Steps Toward Oversight of $50 Billion in Opioid Settlements

The four-page bill lists how states should spend settlement money, but it doesn’t specify consequences for flouting the rules or name who would monitor compliance.


Millions in Opioid Settlement Funds Sit Untouched as Overdose Deaths Rise

Some states haven’t begun using opioid settlement funds intended to help curb the opioid epidemic. Meanwhile, more than 100,000 Americans died of an overdose in 2022.?


Officials Agree: Use Settlement Funds to Curb Youth Addiction. But the ‘How’ Gets Hairy.

A silhouette of a couple of people with different thoughts
(Oona Tempest for KFF Health News)

Parents, educators, and elected officials agree that investing in school-based prevention efforts could help curb the rising rate of youth drug overdoses. The well-known D.A.R.E. program is one likely choice, but its effectiveness is in question.?


Statistical Models vs. Front-Line Workers: Who Knows Best How to Spend Opioid Settlement Cash?

A group of people standing together
(From left): Devin Burton, Lisa Teggart, Chance Shaw, and Larry Vahle are recovery advocates in Mobile who say they want opioid settlement dollars to support direct services like treatment and housing that can help people in crisis today. (

A mathematical model designed to direct spending of opioid settlement funds is at the center of a debate over whether to invest in technology to guide long-term decisions or focus on the immediate needs of people with addiction.?


Swap Funds or Add Services? Use of Opioid Settlement Cash Sparks Strong Disagreements

A woman holding a picture frame with a photo of her son that passed away from an opioid overdose.
Marianne Sinisi, of Altoona, Pennsylvania, lost her 26-year-old son, Shawn, to an opioid overdose in 2018.

The national opioid settlements don’t prohibit using money for initiatives already supported by other means, but doing so could dilute the impact.?


‘They See a Cash Cow’: Corporations Could Consume $50 Billion of Opioid Settlements

As opioid settlement dollars landed in government coffers, a swarm of businesses positioned themselves to profit from the windfall. But will their potential gains come at the expense of the settlements’ intended purpose — to remediate the effects of the opioid epidemic??


Track Opioid Settlement Payouts — To the Cent — In Your Community

Want to know how much opioid settlement money your city, county, or state has received so far? Or how much it’s expecting in the future? Use our new searchable database to find out.?

Visit the “Payback: Tracking the Opioid Settlement Cash” landing page to keep up with the latest reporting.?


Looking to catch up on the latest health care and health policy news? Check out KFF Health News’ weekday newsletter, Morning Briefing! Subscribe here.?

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