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The Principles for the Use of Funds from the Opioid Settlements

These Principles – endorsed by more than 60 organizations across the country – are intended to help state and local governments spend opioid settlement funds wisely. More than 25 states are using the Principles to inform their spending.

THIS WEBSITE FEATURES

  • The Principles
  • Tools and resources to implement the Principles, including best practices on transparency around how the settlement money is being used
  • Examples of how state and local governments have used the Principles
  • A national dashboard showing how states and localities are spending settlement funds
  • Indicators to measure the impact of programs supported by settlement funds
  • Ideas and updates on the state of the overdose crisis and best practices in settlement fund spending

$50B

Funds awarded to state and local governments through opioid litigation

The Principles

State and local government are encouraged to adopt 5 principles when spending opioid settlement funds.

OVERVIEW

The 5 guiding principles.

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PRINCIPLE 1

Spend the money to save lives.

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PRINCIPLE 2

Use evidence to guide spending.

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PRINCIPLE 3

Invest in youth prevention.

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PRINCIPLE 4

Focus on racial equity.

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PRINCIPLE 5

Develop a fair and transparent process for deciding where to spend the funding.

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State and local examples

States, counties and cities throughout the country have begun investing settlement funds to abate the harms of the opioid epidemic. See examples of innovative programs, evidence-based spending, and best practices for investing settlement funds here.

See state and local funding use examples

Tools and Resources

Many factors must be considered when allocating settlement funds, including community-specific needs, perspectives of individuals with lived experience, and the existing evidence base. Explore a curated collection of reports, tools, and documents for policy makers and advocates that provide guidance on how to incorporate the Principles, conduct a needs assessment, establish a community advisory committee, monitor the impact of investments, make informed spending decisions, and much more.

View tools and resources

Measuring impact

Program evaluations enable states and localities to determine whether settlement fund investments are achieving their desired results. Our indicators database can help decision makers identify indicators and collect the data needed to assess program effectiveness and monitor the impact of their settlement spending.

Explore program impacts

Ideas and Updates

Polysubstance Use and the Current Overdose Epidemic

This piece considers whether the country’s treatment infrastructure is responsive to today’s overdose crisis and identifies opportunities to better address polysubstance use.
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Building Long-Term Treatment Capacity in Wood County, Wisconsin with Opioid Settlement Funds

Wood County’s investment of opioid settlement funds in a new FQHC addresses rural healthcare needs while building sustainable substance use treatment capacity.
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Research Brief: Examining the Potential Role of Opioid Settlement Funds in the Face of Impending Federal Budget Reductions for Substance Use Disorders

A recent study compares the scale of opioid settlement funds distributed to state and local governments with federal substance use disorder funding, highlighting the implications of potential federal budget cuts.
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Endorsing organizations

Join over 60 national, regional and local organizations who have endorsed the Principles.

See endorsers and add your group