# 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.*

<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>$894.26 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>60% to the state and 40% to local governments</p><p><br><img src="/files/WYm9Kgq41GUa1jsjMBYx" 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/2022/03/Missouri-AG-signed-Memorandum-of-Understanding-with-Client-Signature-Page.pdf">Memorandum of Understanding Between the State of Missouri and its Political Subdivisions on Proceeds Relating to the Settlement of Opioid Litigation</a> and <a href="https://nationalopioidsettlement.com/wp-content/uploads/2023/08/2023.03.21-Missouri-Signed-MOU-Addendum-Between-State-and-Subdivisions-Teva-etc.pdf">March 2023 Addendum</a>); <strong>Legislation</strong> (Mo. Rev. Stat. <a href="https://revisor.mo.gov/main/OneSection.aspx?section=196.1050">Sec. 196.1050</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>60% Opioid Addiction Treatment and Recovery Fund Share</h4></td><td><h4>40% Local Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://house.mo.gov/"><strong>Missouri General Assembly</strong></a></td><td><strong>Local officials</strong> of cities, counties, and political subdivisions</td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><strong>Missouri General Assembly appropriates funds</strong> to state agencies and departments named in state law.</td><td><strong>Localities decide autonomously</strong> but must report their expenditures to the Missouri General Assembly.</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>Depends on future programming</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>Public reporting required</strong>. <em>See</em> the Department of Mental Health’s <a href="https://moopioidsettlements.dmh.mo.gov/">Opioid Settlement Reporting Website</a>. <em>See also</em> <a href="https://moopioidsettlements.dmh.mo.gov/Settlement">annual reports</a>.</td><td><strong>Public reporting required</strong>. <em>See</em> the Department of Mental Health’s <a href="https://moopioidsettlements.dmh.mo.gov/">Opioid Settlement Reporting Website</a>. <em>See also</em> <a href="https://moopioidsettlements.dmh.mo.gov/Settlement">annual reports</a>.</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the Opioid Addiction Treatment and Recovery Fund share, visit the Department of Mental Health’s <a href="https://moopioidsettlements.dmh.mo.gov/">Opioid Settlement Reporting Website</a>.</td><td>For updates on the local share, visit the Department of Mental Health’s <a href="https://moopioidsettlements.dmh.mo.gov/">Opioid Settlement Reporting Website</a>. 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.</td></tr></tbody></table>


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