# Illinois’ Opioid Settlements

*This Community Guide will describe how Illinois is spending its opioid settlements and whether Illinois 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>$1.32 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>55% to the Illinois Opioid Remediation Trust Fund, 25- 33% to local governments, and 12-20% to the state</p><p><br><img src="https://41804295-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FzjyJK2A7jycUCM3n19Q7%2Fuploads%2FRwgwWilbLutj44vCWQnG%2F_OpioidSettlement-DecisionMaking_Illinois.png?alt=media&#x26;token=5c6b8c8f-e98f-4b19-8d9d-f8ab3d13ac65" 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/2022/01/Illinois-Opioid-Allocation-Agreement-Fully-Executed.pdf">Illinois Opioid Allocation Agreement</a>, <a href="https://nationalopioidsettlement.com/wp-content/uploads/2022/08/Illinois_Additional_Agreement.pdf">Agreement Relating to the Distributor and J&#x26;J Opioid Settlements</a>); <strong>Legislation</strong> (<a href="https://ilga.gov/legislation/ilcs/fulltext.asp?DocName=003001050K6z-133">30 Ill. Comp. Stat. Ann. 105/6Z-133</a>); <strong>Executive Orders</strong> (<a href="https://www2.illinois.gov/IISNews/21086-Executive_Order_2020-02.pdf">Executive Order 2020-02</a> and <a href="https://www.illinois.gov/government/executive-orders/executive-order.executive-order-number-19.2022.html">Executive Order 2022-19</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>55% Remediation Fund Share</h4></td><td><h4>25-33% Local Government Share</h4></td><td><h4>12-20% State Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://www.dhs.state.il.us/page.aspx?item=136887"><strong>Governor’s Opioid Overdose Prevention and Recovery Steering Committee</strong></a></td><td><strong>Local officials</strong> for counties, cities, and other municipalities</td><td><p> </p><p><strong>The “state”</strong> (not further specified)</p></td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td>The <a href="https://www.dhs.state.il.us/page.aspx?item=146327">Illinois Opioid Remediation Advisory Board</a> provides recommendations to the <strong>Governor’s Opioid Overdose Prevention and Recovery Steering Committee</strong>, whose <strong>final spending decisions</strong> are then administered by the <a href="https://www.dhs.state.il.us/page.aspx?item=136887">Illinois Department of Human Services</a>.</td><td><strong>Localities decide autonomously</strong></td><td><strong>“State” decides</strong> (not further specified)</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>Yes</strong>. <em>See</em> the Illinois Regional Care Coordination Agency’s <a href="https://ilopioidsettlements.com/funding-opportunities/">Funding Opportunities</a> page (Illinois Opioids Settlements Initiative).</td><td><strong>Up to each localit</strong>y (availability and processes will vary)</td><td><strong>No</strong></td></tr><tr><td><em><strong>Public Input</strong></em></td><td><strong>Yes</strong> (public comment required at Advisory Board and Steering Committee meetings)</td><td><strong>Generally, yes</strong> (public comments 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><p><strong>Yes</strong> (required). <em>See</em> details on the <a href="https://www.dhs.state.il.us/page.aspx?item=146327">Illinois Opioid Remediation Advisory Board</a> and the <a href="https://www.dhs.state.il.us/page.aspx?item=136887">Governor’s Opioid Prevention and Recovery Steering Committee</a>.</p><p>The Steering Committee, unlike the Advisory Board, is required to include member(s) with lived and/or living experience.</p></td><td><strong>Up to each locality</strong> (not required)</td><td>N<strong>o</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>Neither public nor intrastate reporting required</strong>, <em>but see</em> approved recommendations on the Illinois Opioid Settlements Initiative’s <a href="https://ilopioidsettlements.com/settlements-information/">Settlements Information</a> page</td><td><strong>No public reporting required</strong> (only some intrastate)</td><td><strong>No public reporting required</strong> (only some intrastate)</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the Remediation Fund share, visit the <a href="https://ilopioidsettlements.com/">Illinois Opioid Settlement Initiative</a>, <a href="https://www.dhs.state.il.us/page.aspx?item=146327">Illinois Opioid Remediation Advisory Board</a>, and <a href="https://www.dhs.state.il.us/page.aspx?item=136887">Governor’s Opioid Prevention and Recovery Steering Committee</a> websites, and sign up for email updates from the Regional Care Coordination Agency <a href="https://ilopioidsettlements.com/contact-us/">here</a>.</td><td>To find updates on the local share, a good starting point is to check the websites for your county commission, city council, or local health department. <em>See also</em> <a href="https://ilopioidsettlements.com/">Illinois Opioid Settlement Initiative</a>’s <a href="https://ilopioidsettlements.com/settlements-information/">Settlements Information</a> page.</td><td>For updates on the state share, visit the <a href="https://ilopioidsettlements.com/">Illinois Opioid Settlement Initiative</a>’s <a href="https://ilopioidsettlements.com/settlements-information/">Settlements Information</a> page.</td></tr></tbody></table>
