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California’s Opioid Settlements

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

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85% Local Share

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15% State Share

Ultimate Decisionmaker

Local officials for cities and counties

Decision-making Process

Localities decide autonomously but must report expenditures to the .

The California state legislature determines and appropriates funds, and the oversees their administration and uses.

Supplantation

Not prohibited

Not prohibited

Grant Funding

Up to each locality (availability and processes will vary)

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

Public Input

Generally, yes (public comment required at public meetings)

No opportunities available (not required)

Advisory Body

Up to each locality (not required)

No (not required)

Expenditures

Public reporting required. Local expenditures will be published on the California Department of Health Care Services’ website each year.

Public reporting required. Visit the California Department of Health Care Services’ Opioid Response and pages.

Updates

For updates on the local share, visit the Department of Health Care Services’ website, including its page, and subscribe to DHCS’s regular newsletter . Another good starting point is to check the website for your county board of supervisors, city council, or local health department.

For updates on the state share, visit the Department of Health Care Services’ website, including its page, and sign up for updates on DHCS’s opioid response efforts .

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Total Funds

$4 billion[1]


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

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Allocation

85% to local governments and 15% to the state

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Mechanism

State-Local Agreements (, , , , , , and ); Legislation (); Other Agreements (

California state legislaturearrow-up-right
California Department of Health Care Servicesarrow-up-right
California Department of Health Care Servicesarrow-up-right
Community Grant Trackerarrow-up-right
Opioid Settlementsarrow-up-right
State Funded Projects arrow-up-right
Current Projectsarrow-up-right
California's Opioid Settlementsarrow-up-right
City and County Projectsarrow-up-right
herearrow-up-right
California's Opioid Settlementsarrow-up-right
State Funded Projectsarrow-up-right
herearrow-up-right
The Official Opioid Settlement Tracker Tallyarrow-up-right
Distributorsarrow-up-right
J&Jarrow-up-right
Tevaarrow-up-right
Allerganarrow-up-right
Walgreensarrow-up-right
Walmartarrow-up-right
CVSarrow-up-right
Cal. Gov't Code Sec. 12534arrow-up-right
California Mallinckrodt Statewide Abatement Agreementarrow-up-right