# 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.*

<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>$82.62 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"><h4>Allocation</h4></td><td align="center"><p>85% to the state and 15% to local governments</p><p><br><img src="/files/ig7SSEPiK7edMTiENy9f" alt=""></p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><p><strong>State-Local Agreement</strong> (<a href="https://nationalopioidsettlement.com/wp-content/uploads/2022/07/Hawaii_MOU.pdf">Memorandum of Agreement Between the State of Hawai'i and Local Governments on Proceeds Relating to the Settlement of Opioid Litigation</a>, <a href="https://nationalopioidsettlement.com/wp-content/uploads/2024/06/HW-MOU-1-and-2.pdf#page=26">Addendum</a>)</p><p></p></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% State Share</h4></td><td><h4>15% Local Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://health.hawaii.gov/substance-abuse/"><strong>Hawai’i Department of Health</strong></a></td><td><strong>Local officials</strong> for Hawai'i County, Kaua’i County, Maui County, and the City and County of Honolulu</td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><strong>The Hawai’i Department of Health directs spending</strong> after consultation with the Hawai‛i Opioid Settlement Advisory Committee.</td><td><strong>Localities direct spending autonomously</strong> after receiving funds from the <a href="https://health.hawaii.gov/substance-abuse/">Hawai’i Department of Health</a>.</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>No</strong></td><td><strong>Up to each localit</strong>y (availability and processes will vary)</td></tr><tr><td><em><strong>Public Input</strong></em></td><td><strong>No opportunities available</strong> (not required)</td><td><strong>Generally, yes</strong> (public comments required at public meetings)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><p><strong>Yes</strong> (required). <em>See</em> the Hawai‛i Opioid Settlement Advisory Committee (HOSAC).</p><p>The Committee is not required to include member(s) with lived and/or living experience.</p></td><td><strong>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>Neither public nor intrastate reporting required</strong></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 Hawai'i Department of Health's <a href="https://osp.hawaii.gov/">Opioid Settlement Project website</a>.</td><td>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. </td></tr></tbody></table>


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