# Kentucky's Opioid Settlements

*This Community Guide will describe how Kentucky is spending its opioid settlements and whether Kentucky is working to ensure community access to opioid settlement funds. Last revised September 1, 2024.*

<table data-column-title-hidden 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>$869.8 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 Opioid Abatement Trust Fund (Commonwealth Share) and 50% to local governments</p><p><img src="https://1525630002-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FzD0NGP11uYZiJxv8Fzov%2Fuploads%2FbIhgoyN2w5k5xE5tcO9W%2F_OpioidSettlement-DecisionMaking_Kentucky.png?alt=media&#x26;token=6911d180-11af-4cdc-9bd7-a25fe139e023" alt="" data-size="original"></p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><strong>Legislation</strong> (KRS Secs. <a href="https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=52961">15.291</a>, <a href="https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=52301">15.293</a>, <a href="https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=52302">15.295</a>); <strong>Regulations</strong> (<a href="https://apps.legislature.ky.gov/law/kar/titles/040/009/010/">40 KAR 9:010</a> and <a href="https://apps.legislature.ky.gov/law/kar/titles/040/009/020/">40 KAR 9:020</a>)</td></tr></tbody></table>

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<table data-full-width="true"><thead><tr><th width="185"> </th><th>50% Commonwealth Share</th><th>50% Local Share</th></tr></thead><tbody><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://www.ag.ky.gov/Resources/Opioid-Commission/Pages/default.aspx"><strong>Kentucky Opioid Abatement Advisory Commission</strong></a> (KYOAAC)</td><td><strong>Local officials</strong> for counties, consolidated local governments, urban-county governments, and cities.</td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><strong>KYOAAC distributes funds via grants</strong> to entities (including nonprofits) and governmental agencies.</td><td><strong>Localities decide autonomously</strong> but must certify proper uses.</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>Yes.</strong> <em>See</em> <a href="https://www.ag.ky.gov/Resources/Opioid-Commission/Pages/default.aspx">KYOAAC Gr​ant Portal</a>.</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>Yes</strong> (not required). The Kentucky Opioid Abatement Advisory Commission permits public comment at its meetings.</td><td><strong>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><p><strong>Yes</strong> (required). <em>See</em> the <a href="https://www.ag.ky.gov/Resources/Opioid-Commission/Pages/default.aspx">Kentucky Opioid Abatement Advisory Commission</a>.</p><p>The Commission is <em>not necessarily</em> required to include member(s) with lived and/or living experience.</p></td><td><strong>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>Public reporting required.</strong> The <a href="https://www.ag.ky.gov/Priorities/Tackling-the-Drug-Epidemic/Pages/Opioid-Abatement-Grants-Map.aspx">Real Dollars for Real Recovery</a> website lists past KYOAAC funding awards.</td><td><strong>Neither public nor intrastate reporting required</strong> (but localities must certify uses to KYOAAC)</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the Commonwealth share, visit the KYOAAC’s <a href="https://www.ag.ky.gov/Resources/Opioid-Commission/Pages/default.aspx">website</a>.</td><td>To find updates on the local share, a good starting point is to check the website for your county fiscal court, city council, or local health department (e.g., <a href="https://louisvilleky.gov/government/health-wellness/louisville-opioid-settlement">Louisville</a>). <em>See also</em> the Kentucky Association of Counties’ <a href="https://www.kaco.org/county-information/opioid-settlement/">Opioid Settlement Resources</a> website.</td></tr></tbody></table>
