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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.

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40% State Share

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40% Local Share

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20% Health Districts Share

Ultimate Decisionmaker

and

Local officials for cities and counties

Boards of Health for each

Decision-making Process

The Idaho state legislature appropriates funds based on requests from the governor. The governor’s requests incorporate recommendations from the (IBHC).

Localities decide autonomously but must report uses to the state.

Boards of County Commissioners or City Councils must approve spending via budgets or separate resolutions.

Public Health Districts decide autonomously but must report uses to the state.

Boards of Health must approve spending via budgets or separate resolutions.

Supplantation

Not prohibited

Not prohibited

Not prohibited

Grant Funding

No

Up to each locality (availability and processes will vary)

Up to each health district (availability and processes will vary)

Public Input

Yes (Idaho Behavioral Health Council required to engage in broad stakeholder input)

Up to each locality (not required)

Up to each (not required)

Advisory Body

Yes (required). See the .

The IBHC is not required to include member(s) with lived and/or living experience.

Up to each locality (not required)

No (not required, but see )

Expenditures

Public reporting required. View the “Funded by the Legislature” resources on the Idaho Behavioral Health Council’s .

See also .

Public reporting required. See local governments’ .

Public reporting required. See health districts’ .

Updates

For updates on the state share, visit the IBHC’s and bookmark the page, which includes meeting materials for the IBHC and its workgroups. See also the Idaho Attorney General’s page.

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.

To find updates on the health districts share, a good starting point is to check the ’ opioid settlement websites. See, e.g., District 7: .

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Total Funds

$214.13 million[1]


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

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Allocation

40% to the state, 40% to cities and counties, and 20% to health districts

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Mechanism

State-Local Agreement (); Legislation (Idaho Code, Secs. , , ); Executive Order ()

Idaho state legislaturearrow-up-right
governorarrow-up-right
Public Health Districtarrow-up-right
Idaho Behavioral Health Councilarrow-up-right
health districtarrow-up-right
Idaho Behavioral Health Council (IBHC)arrow-up-right
district health boardsarrow-up-right
websitearrow-up-right
annual financial reportsarrow-up-right
annual financial reportsarrow-up-right
annual financial reportsarrow-up-right
websitearrow-up-right
meetingsarrow-up-right
Opioid Settlementarrow-up-right
public health districtsarrow-up-right
Eastern Idaho Public Healtharrow-up-right
The Official Opioid Settlement Tracker Tallyarrow-up-right
Idaho Opioid Settlement Intrastate Allocation Agreement Between the State of Idaho, Health Districts, and Eligible Local Governmentsarrow-up-right
39-411arrow-up-right
39-422arrow-up-right
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Executive Order No. 2020-04arrow-up-right