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Alaska

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Alaska’s Opioid Settlements

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

85% State Share

15% Local Share

Ultimate Decisionmaker

and

Local officials for boroughs and cities

Decision-making Process

The Alaska state legislature appropriates funds to the Alaska Department of Health (DOH), which DOH then distributes with recommendations and guidance from the (GACOR) and Opioid Settlement Steering Committee.

Localities decide autonomously

Supplantation

Partially prohibited (grant condition)

Not prohibited

Grant Funding

Yes. For live opportunities, see Opioid Settlement Tracker’s .

Up to each locality (availability and processes will vary)

Public Input

Depends on future programming (recurring opportunities not required)

Generally, yes (public comments at public meetings required)

Advisory Body

Yes (required). See details on the Governor’s Advisory Council on Opioid Remediation (GACOR) and Opioid Settlement Steering Committee.

GACOR is not required to include members with lived and/or living experience.

Up to each locality (not required)

Expenditures

Neither intrastate nor public reporting required

Neither intrastate nor public reporting required

Updates

A single resource containing state share updates could not be found.

To find updates on the local share, a good starting point is to check the websites for your borough assembly, city council, or local health department. See, e.g., the Anchorage Health Department’s ​​​​.

Alaska state legislature
Alaska Department of Health
Governor’s Advisory Council on Opioid Remediation
Community Grant Tracker
Anchorage Community Opioid Response Network

Total Funds

$103.87 million[1]


[1] Total is rounded. See . Accessed September 1, 2024.

Allocation

85% to the state and 15% to local governments

Mechanism

Executive Order ()

The Official Opioid Settlement Tracker Tally
Administrative Order No. 324

Community Access

Can I provide input on spending?

  • 85% state share: Depends on future programming (not required). The Governor’s Advisory Council on Opioid Remediation (GACOR) did solicit public input on its proposed recommendations in 2022.[1] However, GACOR not established recurring opportunities for the public to provide input on uses of its 85% share.[2]

  • 15% local share: Generally, yes. Though local governments are not required to seek public input as to opioid settlement spending specifically, municipalities generally must accept public comments during their public meetings.[3] Take advantage of this requirement by showing up to meetings of your city council or board of county commissioners and offering comments on local settlement spending.

Can I apply for grants?

Where do I go for updates?

  • A single resource containing state share updates could not be found.

What else should I know?

Not applicable.

Citations

Yes. The Alaska Department of Health, Division of Public Health (DPH) established a program. Local governments may create grant programs to distribute their share of funds. The existence, parameters, and processes for local settlement grant programs will vary by locality, so stay alert for new opportunities. Visit the (OpioidSettlementTracker.com and Legal Action Center) for the most up-to-date information on settlement grant opportunities for community organizations.

To find updates on the local share, a good starting point is to check the websites for your borough assembly, city council, or local health department. See also individual localities’ websites, e.g., Anchorage Health Department: ​​​​.

See Recommendations for the Use of Janssen/Johnson & Johnson (J&J) and Distributors National Opioid Settlement Funds, Alaska Governor’s Advisory Council on Opioid Remediation. November 1, 2022. See also Lisa Phu. “.” Alaska Beacon. September 26, 2022. Accessed September 1, 2024. (Oct. 1, 2021), which created GACOR in 2021, requires that GACOR submit an annual report that includes “recommendations for a process, or improvements to the process, or receiving public input from communities.” However, as of September 1, 2024, GACOR has not submitted an annual report for 2023. In its 2022 submission, GACOR made six (6) recommendations on how public input can be incorporated into the planning process for opioid settlement funds, including “[a]ccepting ongoing feedback via an online portal or designated contact” and “providing a virtual means to attend [GACOR’s] meetings and accepting feedback during the meetings through public testimony.” See Recommendations for the Use of Janssen/Johnson & Johnson (J&J) and Distributors National Opioid Settlement Funds, . Alaska Governor’s Advisory Council on Opioid Remediation. November 1, 2022. ↑

If you see this change, email . There is no legal requirement for decision-makers to seek public input on uses of this share. GACOR has at one point maintained a list of “individuals and organizations interested in its work and recommendations” and sent “[t]hose on the list … a copy of all correspondence and invitations to council meetings.” However, the email address provided to sign onto the list is now defunct. See the announcing GACOR’s 2022 proposed recommendations. ↑

(a) (“The governing body shall provide reasonable opportunity for the public to be heard at regular and special meetings”). ↑

Statewide Opioid Settlement Grants
Opioid Settlement Community Grants Portals
Anchorage Community Opioid Response Network
Appendix C.
Public can weigh in on how Alaska should use millions of opioid settlement money
Alaska Admin. Or. No. 324
page 8
tips@opioidsettlementtracker.com
public notice
Alaska Stat. Sec. 29.20.020

Advisory Bodies

Has the state established an advisory body for settlement funds?

GACOR is responsible for submitting a report each year to the Commissioner of the Department of Health.[2] This report must include input and recommendations on:

  • Allocation of opioid settlement funds

  • Process(es) for receiving input from communities

  • Ways to implement “efficient, evidence-based approaches to opioid remediation statewide”[3]

Is the state advisory body required to include member(s) with lived and/or living experience?

No. GACOR is not required to include member(s) with lived and/or living experience.

What is the overall membership of the state advisory body?

GACOR consists of 13 members, nine (9) of whom are governor-appointed voting members:

  • Director of Public Health or their designee (to serve as GACOR’s chair)

  • Commissioner of the Department of Revenue or their designee

  • Chair of the Mental Health Trust Authority or their designee

  • Representative from “the leadership of an organization that monitors health policy issues at the federal and state levels the affect Alaska Native people”

  • Five local government officials who “collectively represent Alaska’s geographically economically, and demographically diverse municipalities”[4]

GACOR is required to meet at least quarterly, including by teleconference, and all meetings must be conducted in compliance with Alaska’s Open Meetings Act.[6] Any records of GACOR are subject to the Alaska Public Records Act.[7]

The Opioid Settlement Steering Committee includes eight (8) voting members, and the Director of Health and the Director of Behavioral Health serve as its co-chairs.[8] GACOR has recommended a composition of at least 50% local government representation,[9] but as of September 1, 2024, it is unclear whether this membership recommendation was taken.

Are local governments required to establish a settlement advisory body? If so, are local advisory bodies required to include member(s) with lived and/or living experience?

No (up to each locality). Local governments in Alaska are not required to establish opioid settlement advisory bodies to inform spending of the 15% local share. However, localities may choose to establish advisory councils that include members with lived and/or living experience to help ensure that settlement spending reflects community priorities.

What else should I know?

Not applicable.

Citations

Yes. established the 13-member to oversee the state’s 85% share of funds. An Opioid Settlement Steering Committee, whose role is to “help guide the distribution of funds to communities,” was created in response to GACOR recommendations.[1]

There are four (4) non-voting, ex-officio members appointed by legislative leadership. The local government representatives serve staggered three-year terms and the non-voting ex officio members serve two-year terms.[5] You can review GACOR’s current roster .

​. Alaska Department of Health press release. April 18, 2024. Accessed September 1, 2024; Recommendations for the Use of Janssen/Johnson & Johnson (J&J) and Distributors National Opioid Settlement Funds, . Alaska Governor’s Advisory Council on Opioid Remediation. November 1, 2022. See also Theresa Welton. Implementing the Opioid Settlements Funds in Alaska, . State of Alaska Department of Health. AML Local Government Conference. December 7, 2023 (“GACOR was the how of the Opioid Settlement funds, the Steering Committee is the who and what”). ↑

Alaska Admin. Or. No. 324 (Oct. 1, 2021) (“By December 1 of each calendar year, the Advisory Council shall deliver a report to the Commissioner of the Department of Health and Social Services, including [i]nput and recommendations regarding how to manage and allocate opioid remediation funds,” “[r]ecommendations for a process … for receiving input from communities regarding remediation strategies and responses to their specific opioid remediation needs,” and “[r]ecommendations to implement efficient, evidence-based approaches to opioid remediation statewide”). Note: , which became law on March 19, 2022, split the Department of Health and Social Services (DHHS) into two distinct departments: the Department of Health and the Department of Family and Community Services. GACOR’s 2022 recommendations indicate that its annual recommendations are to be submitted to the Commissioner of the Department of Health, whereas , effective October 1, 2021, refers to the now non-existent Department of Health and Social Services. ↑

(Oct. 1, 2021). ↑

(Oct. 1, 2021). ↑

(Oct. 1, 2021). ↑

(Oct. 1, 2021). See Alaska Stat. Secs. 44.62.310-44.62.319. The Open Meetings Act does not provide a right to comment at public meetings of state bodies. ↑

(Oct. 1, 2021). See Alaska Stat. Secs. 40.25.110-40.25.296. ↑

Theresa Welton. Implementing the Opioid Settlements Funds in Alaska, . State of Alaska Department of Health. AML Local Government Conference. December 7, 2023 (“GACOR was the how of the Opioid Settlement funds, the Steering Committee is the who and what”). ↑

Recommendations for the Use of Janssen/Johnson & Johnson (J&J) and Distributors National Opioid Settlement Funds, . Alaska Governor’s Advisory Council on Opioid Remediation. November 1, 2022 (“The council recommends … [c]reating a robust, cross-sector steering committee tasked with review of draft funding announcements and proposals/applications from entities. The steering committee will be made of at least fifty percent (50%) local government representation to meet the requirements of the current settlement and the bankruptcy settlements”). ↑

Administrative Order No. 324
Governor’s Advisory Council on Opioid Remediation (GACOR)
here
Statewide Opioid Settlement Funding Updates & Opportunities
Recommendation 8
Slide 21
Alaska Executive Order No. 121
Alaska Admin. Or. No. 324
Alaska Admin. Or. No. 324, Duties and Responsibilities
Alaska Admin. Or. No. 324, Composition and Officers of the Council
Alaska Admin. Or. No. 324, Composition and Officers of the Council
Alaska Admin. Or. No. 324, General Provisions
Alaska Admin. Or. No. 324, General Provisions
Slide 21
Recommendation 8

85% State Share

Where do these monies live?

The state government’s combined 85% share is held in a state fund and accounted for separately from its general funds.[1]

Note: This allocation applies to the grand majority, but not all, of Alaska’s opioid settlements.[2]

What can this share be spent on?

Who ultimately decides how to spend this share (and how)?

  • The state’s enacted 2024 Legislature Operating Budget included $4.39 million in opioid settlement appropriations to the Department of Health’s Division of Public Health, with $3.3 million allocated for grants.[11] The budget indicates this will be a recurring appropriation for fiscal years 2025-2040.

Are supplantation uses prohibited for this share?

Supplantation is partially prohibited (grant condition). Although Alaska does not have a generally applicable prohibition on supplantation uses of its opioid settlement funds, the Alaska Department of Health’s FY 2025 Statewide Opioid Settlement Grants Request for Proposals states that the Department will not fund existing services and programs and that it “cannot supplant current funds,” only “support new efforts.”[12] This means that grantees may only use their awarded opioid settlement funds in ways that supplement — rather than replace (or “supplant”) — existing resources.

Can I see how this share has been spent?

No (neither public nor intrastate reporting required). Opioid settlement expenditures are not officially published in a centralized location for this share.

What else should I know?

Not applicable.

Citations

Alaska follows the national settlement agreements’ default provisions. This means that with limited exceptions, this share must be spent on the uses described in the national settlement agreement’s (non-exhaustive) ,[3] which includes prevention, harm reduction, treatment, recovery, and other strategies.

Governor’s Advisory Council on Opioid Remediation recommends, Opioid Settlement Steering Committee guides, state legislature and Department of Health decide. The (DOH) requests inclusions in the governor’s proposed budget after consulting the (GACOR) .[4] If DOH declines to follow a recommendation from GACOR, it must inform the Governor’s office and GACOR in writing.[5] The ultimately appropriates these monies to DOH.[6]

In June 2023, DOH requested authorization for its Office of Substance Misuse and Addiction Prevention to spend $460,000 in settlement funds to implement GACOR’s recommendations.[7] In April 2024, the Division of Public Health announced its to distribute this $460,000 to community recipients.[8]

The Opioid Settlement Steering Committee (OSSC), created in response to GACOR’s 2022 recommendations,[9] helps DOH’s distribute funds to communities.[10]

Visit OpioidSettlementTracker.com’s for an updated collection of states’ and localities’ available expenditure reports.

See, e.g., . Alaska Department of Law press release. March 1, 2022. Accessed September 1, 2024 (“Fifteen percent of Alaska’s $58 million will be directed to the nine political subdivisions that participated in the agreement. The remainder will be used to help Alaska and its people recover from the effects of opioid abuse and addiction. The state’s Opioid Advisory Council will make recommendations about how the funds should be allocated”); . From Alexei Painter, Director, to Legislative Budget and Audit Committee. June 26, 2023. Accessed August 29, 2024 (Department of Health request for appropriations of settlement funds, with fund source noted as “Statutory Designated Program Receipts (1108)”); . Accessed August 29, 2024 (noting legal authority as AS 37.05.146); Alaska Stat. 37.05.146(b)(3) (providing that “designated program receipts,” defined as “money received by the state from a source other than the state or federal government that is restricted to a specific use by the terms of a gift, grant, bequest, or contract,” are to be “accounted for separately, and appropriations from these program receipts are not made from the unrestricted general fund”). ↑

See, e.g., NOAT II Notice of Abatement Distribution – Alaska, . National Opioid Abatement Trust II. January 13, 2023. Accessed August 29, 2024 (70% regional, 30% non-regional apportionments). See OpioidSettlementTracker.com’s . ↑

See, e.g., Distributor Settlement Agreement, Sec. (“Exhibit E provides a non-exhaustive list of expenditures that qualify as being paid for Opioid Remediation. Qualifying expenditures may include reasonable related administrative expenses”). See also , Sec. 1.06. State of Alaska Department of Health – Public Health. Accessed September 1, 2024 (“Attachment A (named Exhibit E of the National Opioid Settlement) outlines the approved abatement uses. Applicants may request funding for any of the listed services and initiatives”). ↑

(“By December 1 of each calendar year, the Advisory Council shall deliver a report to the Commissioner of the , including [i]nput and recommendations regarding how to manage and allocate opioid remediation funds … [r]ecommendations for a process … for receiving input from communities regarding remediation strategies and responses to their specific opioid remediation needs … [and] [r]ecommendations to implement efficient, evidence-based approaches to opioid remediation statewide”). See also website. Accessed August 29, 2024 (“​​​​​​​​​​​​​​​​Governor Dunleavy’s to restructure the Department of Health and Social Services (DHSS) into two departments became law March 19, 2022. The two departments” — and — “are legally operating entities as of July 1, 2022”). See, e.g., . Alaska Department of Health press release. April 18, 2024. Accessed August 29, 2024 (“In line with the 2022 GACOR recommendations and the final settlement agreement, the Opioid Settlement Steering Committee (OSSC) was formed to help guide the distribution of funds to communities. Based on their findings and recommendations, the Department of Health has requested an increase in the FY2025 Governor Amended budget for the amount of settlement funds authorized to the Department to support prevention, treatment, recovery and other remediation strategies, as laid out in the final settlement agreement”). See also Recommendations for the Use of Janssen/Johnson & Johnson (J&J) and Distributors National Opioid Settlement Funds, . Alaska Governor’s Advisory Council on Opioid Remediation. November 1, 2022. Accessed August 29, 2024 (“The council recommends… Assigning responsibility for the allocation and distribution of funds to the Alaska Department of Health”). ↑

(“Within three months after receiving the Advisory Council’s annual report, the Commissioner shall deliver a report to the Advisory Council on the status of the recommendations set forth in the report. The Commissioner shall notify the Office of the Governor and the Advisory Council in writing if the Department disagrees with an Advisory Council recommendation. The Commissioner may extend the time allowed to respond based upon administrative necessity by providing written notice to the Advisory Council”). ↑

See . From Alexei Painter, Director, to Legislative Budget and Audit Committee. June 26, 2023. Accessed August 29, 2024; 2024 Legislature - Operating Budget Transaction Change Detail - Enacted Structure for Department of Health, . Alaska Legislative Finance Division. July 15, 2024. Accessed August 29, 2024 (appropriating $4.39 million to the Department of Health to “Utilize the Opioid Settlement to Combat the Opioid Epidemic”). ↑

See, e.g., . From Alexei Painter, Director, to Legislative Budget and Audit Committee. June 26, 2023. Accessed August 29, 2024 (“DOH is requesting $460,000 of the fund be appropriated to Public Health’s Office of Substance Misuse and Addiction Prevention (OSMAP) for FY2024 to meet the intended use of the funds and engage with communities to implement prevention, harm reduction, treatment and recovery strategies that decrease deaths attributed to opioid overdose. If this appropriation is not approved, the Department of Health will not be able to meet GACOR recommendations as outlined in AO324. If approved for FY2024, funds will be used to implement the GACOR recommendations and add to existing federal funding to develop a comprehensive response to opioid addiction”). ↑

See . Alaska Department of Health press release. April 18, 2024. Accessed August 29, 2024 (“In FY2024, $460,000 was allocated to the Division of Public Health for redistribution to communities to address opioid remediation. In line with the 2022 GACOR recommendations and the final settlement agreement, the Opioid Settlement Steering Committee (OSSC) was formed to help guide the distribution of funds to communities”). ↑

See, e.g., Recommendations for the Use of Janssen/Johnson & Johnson (J&J) and Distributors National Opioid Settlement Funds, . Alaska Governor’s Advisory Council on Opioid Remediation. November 1, 2022. Accessed August 29, 2024 (“Creat[e] a robust, cross-sector steering committee tasked with review of draft funding announcements and proposals/applications from entities”). ↑

. Alaska Department of Health press release. April 18, 2024. Accessed August 29, 2024 (“In line with the 2022 GACOR recommendations and the final settlement agreement, the Opioid Settlement Steering Committee (OSSC) was formed to help guide the distribution of funds to communities”). See also Theresa Welton. Implementing the Opioid Settlements Funds in Alaska, . State of Alaska Department of Health. AML Local Government Conference. December 7, 2023. Accessed September 1, 2024 (“GACOR was the how of the Opioid Settlement funds, the Steering Committee is the who and what. The Steering committee is made up of 8 voting member with two co-chairs. … The steering committee has met 3 times since Sept 30th, 2023 and meets at least once a month”). ↑

2024 Legislature - Operating Budget Transaction Change Detail - Enacted Structure for Department of Health, . Alaska Legislative Finance Division. July 15, 2024. Accessed August 29, 2024 ↑

. State of Alaska Department of Health – Public Health. Accessed September 1, 2024 (download “,” see Question/Answer #1: "As this is for a new grant period, we would not be using the grant to pay for efforts already completed with other funds. Could you please explain what the authors of the RFP intended to avoid?” “We will not pay for existing services/programs but can certainly fund existing staff to support this [new grant] program. We will not pay for existing services, but if your agency us expanding on those existing services, say to allow more clients, a new region, we can support that. We can support new efforts, or the expansion of existing efforts, but we cannot supplant current funds”); , Sec. 1.06. State of Alaska Department of Health – Public Health. Accessed September 1, 2024 (“This funding cannot be used to backfill existing efforts”). ↑

Exhibit E
Department of Health
Governor’s Advisory Council on Opioid Remediation’s
annual recommendations
Alaska state legislature
Statewide Opioid Settlement Grants Program
Division of Public Health
Expenditure Report Tracker
Landmark Opioid Agreement Receives Final Approval
Memorandum re: “Preparation for the June 28, 2023 LB&A Meeting”
Fund Source Report for 1108 Statutory Designated Program Receipts
Attachment A
Global Settlement Tracker
I.SS
Request for Proposals Statewide Opioid Settlement Grants For FY2025
Alaska Admin. Or. No. 324
Department of Health and Social Services
Department of Health and Social Services
Executive Order 121 (EO 121)
Department of Health (DOH)
Department of Family and Community Services (DFCS)
Statewide Opioid Settlement Funding Updates & Opportunities
Pages 7-8
Alaska Admin. Or. No. 324
Memorandum re: “Preparation for the June 28, 2023 LB&A Meeting”
Page 55
Memorandum re: “Preparation for the June 28, 2023 LB&A Meeting”
Statewide Opioid Settlement Funding Updates & Opportunities
Pages 7
Statewide Opioid Settlement Funding Updates & Opportunities
Slide 21
Page 55
Request for Proposals Statewide Opioid Settlement Grants For FY 2025
Attachment B Written Inquiries.pdf
Request for Proposals Statewide Opioid Settlement Grants For FY2025

Decision Making

Here are the entities that ultimately decide how each of Alaska’s opioid settlement shares are spent:

  • 15% local share: decisionmakers for boroughs and cities

85% state share: and

Alaska state legislature
Alaska Department of Health

Additional Resources

Governor’s Advisory Council on Opioid Remediation (GACOR)

15% Local Share

Where do these monies live?

Alaska’s 15% local share is distributed to Anchorage, Fairbanks, Fairbanks North Star Borough, Juneau City and Borough, Kenai Peninsula Borough, Ketchikan Gateway Borough, Kodiak Island Borough, Matanuska-Susitna Borough, and Wasilla.[1]

Note: This allocation applies to the grand majority, but not all, of Alaska’s opioid settlements.[2]

What can this share be spent on?

Who ultimately decides how to spend this share (and how)?

Local governments decide autonomously. Decisionmakers for the counties and boroughs will ultimately decide for themselves how to spend their monies on Exhibit E uses.

Are supplantation uses prohibited for this share?

No, supplantation is not prohibited. Alaska does not explicitly prohibit supplantation uses of funds from the 15% local share. This means that local governments may spend funds from their 15% share in ways that replace (or “supplant”) — rather than supplement — existing resources.

Can I see how this share has been spent?

Up to each locality (neither public nor intrastate reporting required). Opioid settlement expenditures are not officially published in a centralized location for this share.

What else should I know?

Not applicable.

Citations

Alaska follows the national settlement agreements’ default provisions. This means that with limited exceptions, this share must be spent on the uses described the national settlement agreements’ (non-exhaustive) ,[3] which includes prevention, harm reduction, treatment, recovery, and other strategies.

For example, describes the city’s health department as the “steward” for its settlement funds and convening agency for the Anchorage Community Opioid Response Network, a “coalition of community organizations, youth, adults, and governmental and tribal agencies.”[4]

Visit OpioidSettlementTracker.com’s for an updated collection of states’ and localities’ available expenditure reports.

See . Alaska Department of Health press release. April 18, 2024. Accessed August 29, 2024 (“nine political subdivisions signed on to the global settlement agreement that would allow them to govern how their funds would be distributed and to receive funds directly from the settlement administrator. ‘Political subdivision’ is a term used in the settlement to describe affected communities with populations of 10,000 or more (Municipality of Anchorage, City of Fairbanks, Fairbanks North Star Borough, Juneau City and Borough, Kenai Peninsula Borough, Ketchikan Gateway Borough, Kodiak Island Borough, Matanuska-Susitna Borough and City of Wasilla”); . Alaska Department of Law press release. March 1, 2022. Accessed September 1, 2024 (“Fifteen percent of Alaska’s $58 million will be directed to the nine political subdivisions that participated in the agreement. The remainder will be used to help Alaska and its people recover from the effects of opioid abuse and addiction. The state’s Opioid Advisory Council will make recommendations about how the funds should be allocated”). See also Recommendations for the Use of Janssen/Johnson & Johnson (J&J) and Distributors National Opioid Settlement Funds, (“Funding for Alaska”). Alaska Governor’s Advisory Council on Opioid Remediation. November 1, 2022. Accessed August 29, 2024 ↑

See, e.g., NOAT II Notice of Abatement Distribution – Alaska, . National Opioid Abatement Trust II. January 13, 2023. Accessed August 29, 2024 (70% regional, 30% non-regional apportionments). See OpioidSettlementTracker.com’s . ↑

See, e.g., Distributor Settlement Agreement, Sec. (“Exhibit E provides a non-exhaustive list of expenditures that qualify as being paid for Opioid Remediation. Qualifying expenditures may include reasonable related administrative expenses”). ↑

– Anchorage Health Department. Municipality of Anchorage website. Accessed September 1, 2024. ↑

Exhibit E
Anchorage
Expenditure Report Tracker
Statewide Opioid Settlement Funding Updates & Opportunities
Landmark Opioid Agreement Receives Final Approval
Page 6
Attachment A
Global Settlement Tracker
I.SS
Anchorage Community Opioid Response Network