Nevada’s Opioid Settlements

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

Total Funds

$1.03 billion[1]

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

Allocation

56.14% to local governments and 43.86% to the state

Mechanism

State-Local Agreement (One Nevada Agreement on Allocation of Opioid Recoveries); Legislation (Nev. Rev. Stat. Ann. Secs. 433.712 through 433.744)

	56.14% Local Share	43.86% Fund for a Resilient Nevada (FRN) Share
Ultimate Decisionmaker	Local officials for counties and cities	Nevada Department of Health and Human Services
Decision-making Process	Localities decide autonomously	In consultation with its Office of Minority Health and Equity, the Nevada Department of Health and Human Services develops a spending plan for uses of this share based on a needs assessment and recommendations submitted by the Advisory Committee for a Resilient Nevada.
Supplantation	Not prohibited	Prohibited
Grant Funding	Up to each locality (availability and processes will vary)	Yes. See FRN Notice of Funding Opportunities.
Public Input	Generally, yes (public comments required at public meetings)	Yes (Advisory Committee is required to accept public comments at its meetings and solicit public input on its recommendations at an annual public meeting; see also statewide needs assessments)
Advisory Body	Up to each locality (not required)	Yes (required). See the Advisory Committee for a Resilient Nevada (ACRN). The ACRN is required to include member(s) with lived and/or living experience.
Expenditures	No public reporting required (only intrastate)	No public reporting required (only intrastate), but see the Fund for a Resilient Nevada’s Annual Reports (e.g., 2024 and 2023).
Updates	To find updates on the local share, a good starting point is to check the websites for your board of county commissioners, city council, or local health department.	For updates on the Fund for a Resilient Nevada share, visit the Fund’s website, which includes updates regarding the Advisory Committee for a Resilient Nevada (including upcoming and past meetings), funding opportunities, and reports. You can also sign up for the Fund for a Resilient Nevada (FRN) listserv here.