# Alabama’s Opioid Settlements

*This Community Guide will describe how Alabama is spending its opioid settlements and whether Alabama is working to ensure community access to opioid settlement funds. Last revised September 1, 2024.*

<table data-view="cards" data-full-width="true"><thead><tr><th align="center" valign="middle"></th><th align="center" valign="middle"></th></tr></thead><tbody><tr><td align="center" valign="middle"><h4>Total Funds</h4></td><td align="center" valign="middle"><p><strong>$751.19 million</strong>[1]</p><hr><p>[1] Total is rounded. <em>See</em> <a href="https://www.opioidsettlementtracker.com/globalsettlementtracker">The Official Opioid Settlement Tracker Tally</a>. Accessed September 1, 2024.</p></td></tr><tr><td align="center" valign="middle"><h4>Allocation</h4></td><td align="center" valign="middle"><p>50% to the state and 50% to local governments</p><p><br><img src="https://278366375-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FhBG1rryqImyUnx30yKsr%2Fuploads%2FGO08tWFWFFcD9JS1WX99%2F_OpioidSettlement-DecisionMaking_Alabama%20(3).png?alt=media&#x26;token=0683b371-53c0-4ebc-be1a-c0d664c6f5c7" alt=""></p></td></tr><tr><td align="center" valign="middle"><h4>Mechanism</h4></td><td align="center" valign="middle"><strong>State-Local Agreements</strong> (McKesson Settlement Sign-On, Johnson &#x26; Johnson Settlement Sign-On, <a href="https://www.nationalopioidabatementtrust.com/Home/DownloadDoc?docpath=https%3A%2F%2Fpstoragenationalopioid.blob.core.windows.net%2Fprod%2FNOAT2%2F777%2F777_1059.PDF&#x26;docname=Notice%20of%20Filing%20on%20Behalf%20of%20Alabama%20-%20SAA#page=3">Opioid Bankruptcy Case Allocation Agreement</a>); <strong>Settlement Agreements</strong> (McKesson Alabama Settlement Agreement and Janssen Alabama State-Wide Opioid Settlement Agreement); <strong>Legislation</strong> (<a href="https://legiscan.com/AL/text/HJR204/id/2817389/Alabama-2023-HJR204-Enrolled.pdf">2023 AL HJR 204</a>); <strong>Executive Order</strong> (<a href="https://governor.alabama.gov/wp-content/uploads/2017/12/EO-708-Establishing-the-Alabama-Opioid-Overdose-Addiction-Council.pdf">Executive Order No. 708</a>)</td></tr></tbody></table>

<table data-header-hidden data-full-width="true"><thead><tr><th></th><th></th><th></th></tr></thead><tbody><tr><td> </td><td><h4>50% State Share</h4></td><td><h4>50% Local Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://alison.legislature.state.al.us/"><strong>Alabama state legislature</strong></a></td><td><strong>Local officials</strong> for municipalities, counties, and governmental public health entities (i.e., public hospitals, county health departments, boards of health)</td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><strong>The Alabama state legislature directly appropriates settlement funds</strong> with input and recommendations from the Oversight Commission on Alabama Opioid Settlement Funds and <a href="https://mh.alabama.gov/faq/alabama-opioid-overdose-and-addiction-council/"><strong>Opioid Overdose and Addiction Council</strong></a><strong>.</strong></td><td><strong>Localities decide autonomously</strong></td></tr><tr><td><em><strong>Supplantation</strong></em></td><td><strong>Discouraged but not prohibited</strong></td><td><strong>Discouraged but not prohibited</strong></td></tr><tr><td><em><strong>Grant Funding</strong></em></td><td><strong>Yes.</strong> For live opportunities, <em>see</em> Opioid Settlement Tracker’s <a href="https://www.opioidsettlementtracker.com/communitygranttracker/#notables">Community Grant Tracker</a>.</td><td><strong>Up to each locality</strong> (availability and processes will vary)</td></tr><tr><td><em><strong>Public Input</strong></em></td><td><strong>Depends on future programming</strong> (recurring opportunities not required)</td><td><strong>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><p><strong>Yes</strong> (required). <em>See</em> the Oversight Commission on Alabama Opioid Settlement Funds and the <a href="https://mh.alabama.gov/faq/alabama-opioid-overdose-and-addiction-council/">Alabama Opioid Overdose and Addiction Council</a>.</p><p>The Alabama Opioid Overdose and Addiction Council is required to include member(s) with lived and/or living experience while the Oversight Commission on Alabama Opioid Settlement Funds is not.</p></td><td><strong>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><p><strong>Neither intrastate nor public reporting required</strong></p><p><em>See</em> limited descriptions of uses in the Opioid Overdose and Addiction Council’s <a href="https://mh.alabama.gov/faq/alabama-opioid-overdose-and-addiction-council/">annual reports</a> (<em>e.g.</em>, <a href="https://mh.alabama.gov/wp-content/uploads/2024/01/2023-Alabama-Opioid-Overdose-and-Addiction-Council-Report-to-the-Governor.pdf">December 2023 report</a>).</p></td><td><strong>Neither public nor intrastate reporting required</strong></td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the state share, visit the Alabama Opioid Overdose and Addiction Council’s <a href="https://mh.alabama.gov/faq/alabama-opioid-overdose-and-addiction-council/">website</a>.</td><td>To find updates on the local share, a good starting point is to check the websites for your county commission, city council, or local health department.</td></tr></tbody></table>