Hawai‛i’s Opioid Settlements

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

Total Funds

$82.62 million[1]

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[1] Total is rounded. See The Official Opioid Settlement Tracker Tally. Accessed September 1, 2024.

Allocation

85% to the state and 15% to local governments

Mechanism

State-Local Agreement (Memorandum of Agreement Between the State of Hawai'i and Local Governments on Proceeds Relating to the Settlement of Opioid Litigation, Addendum)

	85% State Share	15% Local Share
Ultimate Decisionmaker	Hawai’i Department of Health	Local officials for Hawai'i County, Kaua’i County, Maui County, and the City and County of Honolulu
Decision-making Process	The Hawai’i Department of Health directs spending after consultation with the Hawai‛i Opioid Settlement Advisory Committee.	Localities direct spending autonomously after receiving funds from the Hawai’i Department of Health.
Supplantation	Not prohibited	Not prohibited
Grant Funding	No	Up to each locality (availability and processes will vary)
Public Input	No opportunities available (not required)	Generally, yes (public comments required at public meetings)
Advisory Body	Yes (required). See the Hawai‛i Opioid Settlement Advisory Committee (HOSAC). The Committee is not required to include member(s) with lived and/or living experience.	Up to each locality (not required)
Expenditures	Neither public nor intrastate reporting required	Neither public nor intrastate reporting required
Updates	For updates on the state share, visit the Hawai'i Department of Health's Opioid Settlement Project website.	To find updates on the local share, a good starting point is to check the websites for your county council, city council, or local health department.