# Iowa’s Opioid Settlements

*This Community Guide will describe how Iowa is spending its opioid settlements and whether Iowa 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>$316.45 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>50% to the state and 50% to local governments</p><p><br><img src="/files/6cnDeqNZPptviNWtpaLw" 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/2022/02/Iowa-State-Subdivision-Memorandum-of-Understanding-w-Exhibits.pdf">Iowa Opioid Allocation Memorandum of Understanding</a>); <strong>Legislation</strong> (<a href="https://www.legis.iowa.gov/docs/code/12.51.pdf">Iowa Code Sec. 12.51</a>)</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>50% State Share</h4></td><td><h4>50% Local Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://www.legis.iowa.gov/"><strong>Iowa state legislature</strong></a></td><td><strong>Local officials</strong> of counties (and potentially cities)</td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td>The <strong>Iowa state legislature directly appropriates</strong> state settlement funds.</td><td><strong>Localities decide autonomously</strong> but must report their expenditures</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 locality</strong> (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>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><strong>No</strong> (not required)</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</strong> <strong>required</strong></td><td><strong>Public reporting required</strong>. Bookmark the Iowa Attorney General’s <a href="https://www.iowaattorneygeneral.gov/newsroom/opioid-settlement-information">Opioid Settlement Information</a> page (presumptive home for future reports).</td></tr><tr><td><em><strong>Updates</strong></em></td><td>A single resource containing state share updates could not be found. The Iowa <a href="https://www.iowaattorneygeneral.gov/newsroom/opioid-settlement-information">Attorney General’s</a> and <a href="https://www.auditor.iowa.gov/opioid-settlement-information">State Auditor’s</a> respective opioid settlement-related webpages contain basic, now-dated information about the state’s litigation.</td><td>To find updates on the local share, a good starting point is to check the websites for your county board of supervisors, city council, or local health department. <em>See also</em> the Iowa Association of Counties’ <a href="https://www.iowacounties.org/member-resources/opioid-settlement-resources/">Opioid Settlement Resources</a> page.</td></tr></tbody></table>


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