Opioid Settlement Expenditures, 2024

Opioid Settlement Funds provide a critical opportunity for decision-makers to invest in life-saving strategies to abate the harms of the opioid crisis. As these funds are disbursed, governments should provide the public with clear, accessible information about policies, activities, and decision-making related to their use. Decision-makers have a responsibility to be good stewards of restitution dollars through fair processes and transparent public reporting of all settlement expenditures.

Between 2022 – 2023, state and local governments received an estimated $6 Billion in Opioid Settlement Funds. In 2024, over $6.5 Billion were received. To date, reporting and transparency requirements vary drastically state by state, and understanding the full scope of settlement fund usage can be challenging. To increase transparency, KFF Health News, the Johns Hopkins Bloomberg School of Public Health, and Shatterproof are co-leading an effort to collect, organize, and categorize all publicly available settlement fund expenditures and commitments. Data from two consecutive project years have been published: 2022-2023 (project year one) and 2024 (project year two). This website provides users with an opportunity to explore summaries of expenditure spending nationally and within each state across these project years. To best understand the findings, a review of this glossary is recommended for explanations about how key terms are defined.

Explore Expenditures by Year