# 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.*

<table data-view="cards" data-full-width="true"><thead><tr><th align="center"></th><th align="center"></th></tr></thead><tbody><tr><td align="center"><h4>Total Funds</h4></td><td align="center"><p><strong>$4 billion</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"><h4>Allocation</h4></td><td align="center"><p>85% to local governments and 15% to the state</p><p><br><img src="https://1202825984-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2F1O8jOjsQY9s5A4M9QDmO%2Fuploads%2Fk7jI85734oJXtHN19DMz%2F_OpioidSettlement-DecisionMaking_California.png?alt=media&#x26;token=5c1bc849-d3e6-4aaa-8942-c44a53ab3f48" alt=""></p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><strong>State-Local Agreements</strong> (<a href="https://oag.ca.gov/sites/default/files/media/final-proposed-ca-state-subdivision-agreement-distributors-settlement.pdf">Distributors</a>, <a href="https://oag.ca.gov/sites/default/files/media/final-proposed-ca-state-subdivision-agreement-janssen-settlement.pdf">J&#x26;J</a>, <a href="https://oag.ca.gov/system/files/media/final-teva-allocation-agreement.pdf">Teva</a>, <a href="https://oag.ca.gov/system/files/media/final-allergan-allocation-agreement.pdf">Allergan</a>, <a href="https://oag.ca.gov/system/files/media/final-walgreens-allocation-agreement.pdf">Walgreens</a>, <a href="https://oag.ca.gov/system/files/media/final-walmart-allocation-agreement.pdf">Walmart</a>, and <a href="https://oag.ca.gov/system/files/media/cvs-allocation-agreement.pdf">CVS</a>); <strong>Legislation</strong> (<a href="https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=GOV&#x26;sectionNum=12534.&#x26;article=2.">Cal. Gov't Code Sec. 12534</a>); <strong>Other Agreements</strong> (<a href="https://www.nationalopioidabatementtrust.com/Home/DownloadDoc?docpath=https://pstoragenationalopioid.blob.core.windows.net/prod/NOAT2/738/738_1213.pdf&#x26;docname=8444%20Notice%20of%20Filing%20on%20Behalf%20of%20California%20%28CA%29%20-%20SAA%20%28C1241631x9DB18%29">California Mallinckrodt Statewide Abatement Agreement</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>85% Local Share</h4></td><td><h4>15% State Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><strong>Local officials</strong> for cities and counties</td><td><a href="https://leginfo.legislature.ca.gov/"><strong>California state legislature</strong></a></td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><strong>Localities decide autonomously</strong> but must report expenditures to the <a href="https://www.dhcs.ca.gov/provgovpart/Pages/California-Opioid-Settlements.aspx">California Department of Health Care Services</a>.</td><td>The <strong>California state legislature determines and appropriates funds</strong>, and the <a href="https://www.dhcs.ca.gov/provgovpart/Pages/California-Opioid-Settlements.aspx">California Department of Health Care Services</a> oversees their administration and uses.</td></tr><tr><td><em><strong>Supplantation</strong></em></td><td><strong>Not prohibited</strong></td><td><strong>Not prohibited</strong></td></tr><tr><td><em><strong>Grant Funding</strong></em></td><td><strong>Up to each locality</strong> (availability and processes will vary)</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></tr><tr><td><em><strong>Public Input</strong></em></td><td><strong>Generally, yes</strong> (public comment required at public meetings)</td><td><strong>No opportunities available</strong> (not required)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><strong>Up to each locality</strong> (not required)</td><td><strong>No</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>Public reporting required</strong>. Local expenditures will be published on the California Department of Health Care Services’ <a href="https://www.dhcs.ca.gov/provgovpart/Pages/California-Opioid-Settlements.aspx">Opioid Settlements</a> website each year.</td><td><strong>Public reporting required</strong>. Visit the California Department of Health Care Services’ Opioid Response <a href="https://californiaopioidresponse.org/opioid-settlements/state-funded-projects/">State Funded Projects </a>and <a href="https://californiaopioidresponse.org/projects/current-projects/?_funding_source=opioid-settlement-funds">Current Projects</a> pages.</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the local share, visit the Department of Health Care Services’ <a href="https://www.dhcs.ca.gov/provgovpart/Pages/California-Opioid-Settlements.aspx">California's Opioid Settlements</a> website, including its <a href="https://californiaopioidresponse.org/opioid-settlements/city-and-county-projects/">City and County Projects</a> page, and subscribe to DHCS’s regular newsletter <a href="https://californiamat.us19.list-manage.com/subscribe?u=a42ac397c97cb3595359c50cf&#x26;id=edcf14a639">here</a>. Another good starting point is to check the website for your county board of supervisors, city council, or local health department.</td><td>For updates on the state share, visit the Department of Health Care Services’ <a href="https://www.dhcs.ca.gov/provgovpart/Pages/California-Opioid-Settlements.aspx">California's Opioid Settlements</a> website, including its <a href="https://californiaopioidresponse.org/opioid-settlements/state-funded-projects/">State Funded Projects</a> page, and sign up for updates on DHCS’s opioid response efforts <a href="https://californiamat.us19.list-manage.com/subscribe?u=a42ac397c97cb3595359c50cf&#x26;id=edcf14a639">here</a>. </td></tr></tbody></table>
