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New York’s Opioid Settlements

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

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46.11% Local Share

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36.39% Opioid Settlement Fund Share

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17.5% State Share

Ultimate Decisionmaker

Local officials for counties and New York City

, , and

The “State,” although the Attorney General may opt to direct some of these funds to localities

Decision-making Process

Counties and NYC decide autonomously but must certify to the that their shares were spent on approved uses.

The New York state legislature appropriates funding from the Opioid Settlement Fund to the Office of Addiction Services and Supports (OASAS). The makes non-binding spending recommendations to the legislature, OASAS and other state agencies, and Local Government Units.

OASAS decides how to spend its discretionary portion of this share (55%, or 20% of NY’s total funds) on approved uses.

propose uses of monies for the remaining regional portion of this share (45%, or 16.39% of NY’s total funds) across priority areas identified in the Opioid Settlement Fund Advisory Board’s . OASAS releases funds, and counties, cities, or municipalities that receive this funding must certify that their shares were spent on approved uses.

“State” decides (not further specified)

Supplantation

Not prohibited

Prohibited

Not prohibited

Grant Funding

Up to each locality (availability and processes will vary)

Yes. See OASAS’s page.

No

Public Input

Up to each locality (not required)

Yes (not required, but the includes a public comment period in its meetings)

No opportunities available (not required)

Advisory Body

Up to each locality (not required)

Yes (required). See the .

The Advisory Board is not necessarily required to include member(s) with lived and/or living experience. The Advisory Board is required to “include individuals with personal or professional experience with substance use and addiction issues and co-occurring mental illnesses as well as providing services to those that have been disproportionately impacted by the enforcement and criminalization of addiction” (emphasis added).

No (not required)

Expenditures

No public reporting required (only some intrastate). But see, e.g., NYC’s voluntary publication of expenditures (e.g., ).

Public reporting required. See OASAS’ .

Neither public nor intrastate reporting required

Updates

To find updates on the local share, a good starting point is to check the websites for your county executive or local health department. See also individual localities’ opioid settlement-specific websites, e.g., , , , .

For updates on the Opioid Settlement Fund share, visit OASAS’ and websites.

A single resource containing updates exclusive to this state share could not be found. See the NY Attorney General’s general opioid settlements .

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Total Funds

$2.8 billion[1]


[1] Total is rounded. See . Accessed September 1, 2024.

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Allocation

46.11% to local governments, 36.39% to the Opioid Settlement Fund, and 17.5% to the state

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Mechanism

State-Local Agreement (); Legislation (N.Y. Mental Hyg. Law , N.Y. State Fin. Law )

New York state legislaturearrow-up-right
Office of Addiction Services and Supportsarrow-up-right
Local Government Unitsarrow-up-right
Office of Addiction Services and Supportsarrow-up-right
Opioid Settlement Fund Advisory Boardarrow-up-right
Local Government Unitsarrow-up-right
report(s)arrow-up-right
Opioid Settlement Funding Initiativesarrow-up-right
New York Opioid Settlement Fund Advisory Boardarrow-up-right
New York Opioid Settlement Fund Advisory Boardarrow-up-right
FY 2024 reportarrow-up-right
Opioid Settlement Fund Trackerarrow-up-right
Albany Countyarrow-up-right
Cayuga Countyarrow-up-right
Delaware Countyarrow-up-right
Livingston Countyarrow-up-right
Opioid Settlement Fundarrow-up-right
Opioid Settlement Fund Advisory Boardarrow-up-right
websitearrow-up-right
The Official Opioid Settlement Tracker Tallyarrow-up-right
New York Opioid Settlement Sharing Agreementarrow-up-right
Sec. 25.18arrow-up-right
Sec. 99-nnarrow-up-right