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.

Total Funds

$1.32 billion[1]

---

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

Allocation

55% to the Illinois Opioid Remediation Trust Fund, 25- 33% to local governments, and 12-20% to the state

Mechanism

State-Local Agreement (Illinois Opioid Allocation Agreement, Agreement Relating to the Distributor and J&J Opioid Settlements); Legislation (30 Ill. Comp. Stat. Ann. 105/6Z-133); Executive Orders (Executive Order 2020-02 and Executive Order 2022-19)

	55% Remediation Fund Share	25-33% Local Government Share	12-20% State Share
Ultimate Decisionmaker	Governor’s Opioid Overdose Prevention and Recovery Steering Committee	Local officials for counties, cities, and other municipalities	The “state” (not further specified)
Decision-making Process	The Illinois Opioid Remediation Advisory Board provides recommendations to the Governor’s Opioid Overdose Prevention and Recovery Steering Committee, whose final spending decisions are then administered by the Illinois Department of Human Services.	Localities decide autonomously	“State” decides (not further specified)
Supplantation	Not prohibited	Not prohibited	Not prohibited
Grant Funding	Yes. See the Illinois Regional Care Coordination Agency’s Funding Opportunities page (Illinois Opioids Settlements Initiative).	Up to each locality (availability and processes will vary)	No
Public Input	Yes (public comment required at Advisory Board and Steering Committee meetings)	Generally, yes (public comments required at public meetings)	No opportunities available (not required)
Advisory Body	Yes (required). See details on the Illinois Opioid Remediation Advisory Board and the Governor’s Opioid Prevention and Recovery Steering Committee. The Steering Committee, unlike the Advisory Board, is required to include member(s) with lived and/or living experience.	Up to each locality (not required)	No (not required)
Expenditures	Neither public nor intrastate reporting required, but see approved recommendations on the Illinois Opioid Settlements Initiative’s Settlements Information page	No public reporting required (only some intrastate)	No public reporting required (only some intrastate)
Updates	For updates on the Remediation Fund share, visit the Illinois Opioid Settlement Initiative, Illinois Opioid Remediation Advisory Board, and Governor’s Opioid Prevention and Recovery Steering Committee websites, and sign up for email updates from the Regional Care Coordination Agency here.	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. See also Illinois Opioid Settlement Initiative’s Settlements Information page.	For updates on the state share, visit the Illinois Opioid Settlement Initiative’s Settlements Information page.