# Idaho’s Opioid Settlements

*This Community Guide will describe how Idaho is spending its opioid settlements and whether Idaho 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>$214.13 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>40% to the state, 40% to cities and counties, and 20% to health districts</p><p><br><img src="https://549217493-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FwqkahOxIfZefPt9uVGks%2Fuploads%2FEGkasbWNpVEjqXWegctO%2F_OpioidSettlement-DecisionMaking_Idaho.png?alt=media&#x26;token=b7593289-49a4-4941-b7d3-9c16e719d65b" alt=""></p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><strong>State-Local Agreement</strong> (<a href="https://nationalopioidsettlement.com/wp-content/uploads/2021/12/Idaho-Opioid-Settlement-Intrastate-Allocation-Agreement.pdf">Idaho Opioid Settlement Intrastate Allocation Agreement Between the State of Idaho, Health Districts, and Eligible Local Governments</a>); <strong>Legislation</strong> (Idaho Code, Secs. <a href="https://legislature.idaho.gov/statutesrules/idstat/title39/t39ch4/sect39-411/">39-411</a>, <a href="https://legislature.idaho.gov/statutesrules/idstat/title39/t39ch4/sect39-422/">39-422</a>, <a href="https://legislature.idaho.gov/statutesrules/idstat/Title57/T57CH8/SECT57-825/">57-825</a>); <strong>Executive Order</strong> (<a href="https://gov.idaho.gov/wp-content/uploads/2020/07/eo-2020-04_first.pdf">Executive Order No. 2020-04</a>)</td></tr></tbody></table>

<table data-header-hidden data-full-width="true"><thead><tr><th></th><th></th><th></th><th></th></tr></thead><tbody><tr><td> </td><td><h4>40% State Share</h4></td><td><h4>40% Local Share</h4></td><td><h4>20% Health Districts Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://legislature.idaho.gov/"><strong>Idaho state legislature</strong></a> and <a href="https://gov.idaho.gov/"><strong>governor</strong></a></td><td><strong>Local officials</strong> for cities and counties</td><td><strong>Boards of Health for each</strong> <a href="https://idahopublichealthdistricts.org/"><strong>Public Health District</strong></a></td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td>The <strong>Idaho state legislature  appropriates funds based on requests from the governor</strong>. The governor’s requests incorporate recommendations from the <a href="https://behavioralhealthcouncil.idaho.gov/idaho-opioid-settlement-fund/">Idaho Behavioral Health Council</a> (IBHC).</td><td><p><strong>Localities decide autonomously</strong> but must report uses to the state.</p><p>Boards of County Commissioners or City Councils must approve spending via budgets or separate resolutions.</p></td><td><p><strong>Public Health Districts decide autonomously</strong> but must report uses to the state.</p><p>Boards of Health must approve spending via budgets or separate resolutions.</p></td></tr><tr><td><em><strong>Supplantation</strong></em></td><td><strong>Not prohibited</strong></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 locality</strong> (availability and processes will vary)</td><td><strong>Up to each health district</strong> (availability and processes will vary)</td></tr><tr><td><em><strong>Public Input</strong></em></td><td><strong>Yes</strong> (Idaho Behavioral Health Council required to engage in broad stakeholder input)</td><td><strong>Up to each locality</strong> (not required)</td><td><strong>Up to each</strong> <a href="https://healthandwelfare.idaho.gov/health-wellness/community-health/public-health-districts"><strong>health district</strong></a> (not required)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><p>Y<strong>es</strong> (required). <em>See</em> the <a href="https://behavioralhealthcouncil.idaho.gov/ibhc-council-members/">Idaho Behavioral Health Council (IBHC)</a>.</p><p>The IBHC 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><td><strong>No</strong> (not required, <em>but see</em> <a href="https://healthandwelfare.idaho.gov/health-wellness/community-health/public-health-districts">district health boards</a>)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><p><strong>Public reporting required</strong>. View the “Funded by the Legislature” resources on the Idaho Behavioral Health Council’s <a href="https://behavioralhealthcouncil.idaho.gov/idaho-opioid-settlement-fund/">website</a>. </p><p><em>See also</em> <a href="https://www.ag.idaho.gov/consumer-protection/opioid-settlement/opioid-settlement-financial-reports/">annual financial reports</a>.</p></td><td><strong>Public reporting required</strong>. <em>See</em> local governments’ <a href="https://www.ag.idaho.gov/consumer-protection/opioid-settlement/opioid-settlement-financial-reports/">annual financial reports</a>.</td><td><strong>Public reporting required</strong>. <em>See</em> health districts’ <a href="https://www.ag.idaho.gov/consumer-protection/opioid-settlement/opioid-settlement-financial-reports/">annual financial reports</a>.</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the state share, visit the IBHC’s <a href="https://behavioralhealthcouncil.idaho.gov/ibhc-council-members/">website</a> and bookmark the <a href="https://behavioralhealthcouncil.idaho.gov/ibhc-resources/">meetings</a> page, which includes meeting materials for the IBHC and its workgroups. <em>See also</em> the Idaho Attorney General’s <a href="https://www.ag.idaho.gov/consumer-protection/opioid-settlement/">Opioid Settlement</a> page.</td><td>To find updates on the local share, a good starting point is to check the websites for your county board of commissioners, city council, or local health department.</td><td>To find updates on the health districts share, a good starting point is to check the <a href="https://healthandwelfare.idaho.gov/health-wellness/community-health/public-health-districts">public health districts</a>’ opioid settlement websites. <em>See, e.g</em>., District 7: <a href="https://eiph.id.gov/healthy-living/drug-alcohol-prevention/drug-overdose-prevention/">Eastern Idaho Public Health</a>.</td></tr></tbody></table>
