Aneri Pattani

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A wasted chance to fight addiction? Opioid settlement cash fills a local budget gap

State attorneys general vowed the funds would go toward tackling the addiction crisis. But as with the tobacco payouts of the 1990s, local officials have started using them to fill budget shortfalls.

Repeating History: California County Plugs Budget Gap With Opioid Settlement Cash

State attorneys general vowed that opioid settlement funds — unlike the tobacco settlement of the 1990s — would go toward tackling the underlying crisis. But in Mendocino County, officials have found a way to use some of its share to help fill a budget shortfall — a throwback to what agreement architects hoped to avoid.

Here’s who controls the $50 billion opioid settlement funds in each state

As money is funneled to states, opioid councils wield significant power in determining how it gets spent. They face concerns about conflicts of interest and lack of representation by affected groups.

Meet the People Deciding How to Spend $50 Billion in Opioid Settlement Cash

As settlement dollars land at the state level, state councils wield significant power in determining how the windfall gets spent. And, though they will likely include the most knowledgeable voices on addiction, these panels also face concerns about conflicts of interest and other issues.

Opioid Settlement Payouts to Localities Made Public for First Time

KFF Health News obtained documents showing the exact dollar amounts — down to the cent — that local governments have been allocated in 2022 and 2023 to battle the ongoing opioid crisis.

A Rural County’s Choice: Use Opioid Funds to Pay Off Debt, or Pay Them Forward to Curb Crisis

Greene County, Tennessee, so far has received more than $2.7 million from regional and national settlements with opioid manufacturers and distributors. But most of the money is not going to help people and families harmed by addiction.

The Biden Administration Vowed to Be a Leading Voice on Opioid Settlements But Has Gone Quiet

Billions of dollars are headed to state and local governments to address the opioid crisis. Policy experts and advocates expect the federal government to play a role in overseeing the use of the money. Failure to do so, they say, could lead to wasted opportunities. And, since Medicaid helps pay health care costs, the feds could have a claim to portions of states’ opioid settlements.

Biden promised a watchdog for opioid settlement billions, but feds are quiet so far

Billions of dollars are headed to state and local governments to address the opioid crisis. If the federal government fails to oversee how the money is spent, advocates worry it will be wasted.

Biden promised a watchdog for opioid settlement billions, but feds are quiet so far

Billions of dollars are headed to state and local governments to address the opioid crisis. If the federal government fails to oversee how the money is spent, advocates worry it will be wasted.

Localize This: Public Reporting of Opioid Settlement Cash

KFF Health News’ recent investigation offers a great opportunity for reporters to investigate an important issue of government accountability from a state or local angle.