In North Carolina, Opioid Settlement Fund allocation is split 85% to local governments and 15% to the North Carolina General Assembly.
Opioid settlement expenditures in North Carolina
Funding Use Examples
Main “Buckets” of Spending, 2022-2023
Most experts agree on 4 Buckets for opioid abatement: prevention, treatment, recovery, and harm reduction. Additional buckets were added for clarity when expenditures did not fit into the buckets. A full description of the buckets can be found in the project methodology.
Main “Buckets” of Spending, 2024
Most experts agree on 4 Buckets for opioid abatement: prevention, treatment, recovery, and harm reduction. Additional buckets were added for clarity when expenditures did not fit into the buckets. A full description of the buckets can be found in the project methodology.
10 Core Strategies, 2024
Exhibit E of many of the national settlement agreements includes a set of core strategies for opioid abatement. The “other” category includes expenditures that do not fit within the listed categories.
9 Core Strategies, 2022-2023
Exhibit E of many of the national settlement agreements includes a set of core strategies for opioid abatement. The “other” category includes expenditures that may encompass multiple categories or ones that were outside the listed categories.
2022-2023 Tracking Project
Note: Data collected as of August 2024. It reflects government actions as of Dec. 31, 2023.
• Read our 2022-2023 methodology • Download the 2022-2023 data
Source: Data collection by KFF Health News, the Johns Hopkins Bloomberg School of Public Health, and Shatterproof
Credit: KFF Health News’ Lydia Zuraw, Aneri Pattani, Henry Larweh, and Megan Kalata; Johns Hopkins Bloomberg School of Public Health’s Sara Whaley and Vivian Flanagan; Shatterproof’s Kristen Pendergrass and Sahvanah Prescott
2024 Tracking Project
Note: Data collected as of July 2025. It reflects government actions as of Dec. 31, 2024.
• Read our 2024 methodology • Download the 2024 data
Source: Data collection by KFF Health News, the Johns Hopkins Bloomberg School of Public Health, and Shatterproof
Credit: KFF Health News’ Lydia Zuraw, Aneri Pattani, and Henry Larweh; Shatterproof’s Kristen Pendergrass and Lillian Williams; and the Johns Hopkins Bloomberg School of Public Health’s Abigail Winiker, Samantha Harris, Isha Desai, Katibeth Blalock, Erin Wang, Olivia Allran, Connor Gunn, Justin Xu, Ruhao Pang, Jirka Taylor, and Valerie Ganetsky