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.
Ultimate Decisionmaker
Local officials of cities, counties, and political subdivisions
Decision-making Process
Missouri 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.
Supplantation
Not prohibited
Not prohibited
Grant Funding
No
Up to each locality (availability and processes will vary)
Public Input
Depends on future programming (not required)
Up to each locality (not required)
Advisory Body
No (not required)
Up to each locality (not required)
Expenditures
Public reporting required. See the Department of Mental Health’s . See also .
Public reporting required. See the Department of Mental Health’s . See also .
Updates
For updates on the Opioid Addiction Treatment and Recovery Fund share, visit the Department of Mental Health’s .
For updates on the local share, visit the Department of Mental Health’s . 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.
$894.26 million[1]
[1] Total is rounded. See The Official Opioid Settlement Tracker Tally. Accessed September 1, 2024.
60% to the state and 40% to local governments
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)