> For the complete documentation index, see [llms.txt](https://www.opioidsettlementguides.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://www.opioidsettlementguides.com/missouri/missouris-opioid-settlements.md). # Missouri’s Opioid Settlements *This Community Guide will describe how Missouri is spending its opioid settlements and whether Missouri is working to ensure community access to opioid settlement funds. Last revised September 1, 2024.*

Total Funds

$894.26 million[1]

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

Allocation

60% to the state and 40% to local governments


Mechanism

State-Local Agreement (Memorandum of Understanding Between the State of Missouri and its Political Subdivisions on Proceeds Relating to the Settlement of Opioid Litigation and March 2023 Addendum); Legislation (Mo. Rev. Stat. Sec. 196.1050)

60% Opioid Addiction Treatment and Recovery Fund Share

40% Local Share

Ultimate DecisionmakerMissouri General AssemblyLocal officials of cities, counties, and political subdivisions
Decision-making ProcessMissouri General Assembly appropriates funds to state agencies and departments named in state law.Localities decide autonomously but must report their expenditures to the Missouri General Assembly.
SupplantationNot prohibitedNot prohibited
Grant FundingNoUp to each locality (availability and processes will vary)
Public InputDepends on future programming (not required)Up to each locality (not required)
Advisory BodyNo (not required)Up to each locality (not required)
ExpendituresPublic reporting required. See the Department of Mental Health’s Opioid Settlement Reporting Website. See also annual reports.Public reporting required. See the Department of Mental Health’s Opioid Settlement Reporting Website. See also annual reports.
UpdatesFor updates on the Opioid Addiction Treatment and Recovery Fund share, visit the Department of Mental Health’s Opioid Settlement Reporting Website.For updates on the local share, visit the Department of Mental Health’s Opioid Settlement Reporting Website. To find updates on the local share beyond its reported expenditures, a good starting point is to check the websites for your county executive, city council, or local health department.
--- # Agent Instructions This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. Learn more at gitbook.com. ## Querying This Documentation If you need additional information that is not directly available in this page, you can query the documentation by asking a question. Perform an HTTP GET request on the following URL with the `ask` and `goal` query parameters: ``` GET https://www.opioidsettlementguides.com/missouri/missouris-opioid-settlements.md?ask=&goal= ``` `ask` is the immediate question: it should be specific, self-contained, and written in natural language. `goal` is what the user is ultimately trying to achieve, the reason they need the answer. Sharing it helps GitBook give you a better, more relevant answer. A goal is most helpful when it describes the outcome the user wants rather than restating the question. For example, with `ask=how do I create an API token`, a goal like `automate deployments from our CI pipeline` lets GitBook tailor the answer to that use case. The response will contain a direct answer to the question and relevant excerpts and sources from the documentation. Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.