Ohio’s Opioid Settlements

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

Total Funds

$1.84 billion[1]

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

Allocation

55% to the OneOhio Recovery Foundation, 30% to local governments, and 15% to the state

Mechanism

State-Local Agreement (One Ohio Memorandum of Understanding)

	55% OneOhio Recovery Foundation Share	30% Local Share	15% State Share
Ultimate Decisionmaker	OneOhio Recovery Foundation Board of Directors	Local officials for counties, cities, townships, and villages	Ohio Attorney General
Decision-making Process	The OneOhio Recovery Foundation’s Board of Directors decides expenditures across regional grants, statewide programming, and investments, with support from the Board-created Expert Panel. For regional grants, Regional Grant Review Committees, the Expert Panel, and OneOhio Grant Oversight Committee provide review and input before the OneOhio Recovery Foundation Board of Directors makes the final decision.	Localities decide autonomously (but must pass local resolutions for reimbursement uses)	Ohio Attorney General decides how to spend this share on approved uses
Supplantation	Partially prohibited (grant funds only)	Not prohibited	Not prohibited
Grant Funding	Yes. See the Foundation’s Grant Headquarters for regional grants.	Up to each locality (availability and processes will vary)	No
Public Input	No opportunities available (recurring opportunities not required).	Up to each locality (not required)	No opportunities available (not required)
Advisory Body	Yes (required). See the OneOhio Recovery Foundation’s Board of Directors, Expert Panel, and 19 regional boards. The Foundation’s Board of Directors, Expert Panel, and most regional boards are not required to include member(s) with lived and/or living experience.	Up to each locality (not required)	No (not required)
Expenditures	Neither public nor intrastate reporting required, but see OneOhio Recovery Foundation’s Grant Awards page	Neither public nor intrastate reporting required	Neither public nor intrastate reporting required
Updates	For updates on the OneOhio Recovery Foundation’s share, visit the Foundation’s website, which includes Foundation news, upcoming Board and Expert Panel meetings, and an events calendar. You can also sign-up for the Foundation’s email updates here.	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. See, e.g., Summit County.	A single resource containing updates specific to the state share could not be found. See the OH Attorney General’s general opioid settlements page.