South Dakota’s Opioid Settlements

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

Total Funds

$54.48 million[1]

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

Allocation

70% to the state and 30% to local governments

Mechanism

State-Local Agreement (South Dakota Opioid Settlement Memorandum of Agreement); Legislation (S.D. Codified Laws Sec. 34-20B-116); Bylaws (Bylaws of the South Dakota Opioid Abuse Advisory Committee)

	70% State Share	30% Local Share
Ultimate Decisionmaker	South Dakota Department of Social Services	Local officials for cities and counties
Decision-making Process	South Dakota Department of Social Services decides how to spend legislatively appropriated funds after consulting the recommendations of the South Dakota Opioid Advisory Committee.	Localities decide autonomously but must certify proper uses to the South Dakota Opioid Advisory Committee (counties must also consult their cities and towns).
Supplantation	Not prohibited	Not prohibited
Grant Funding	Yes. See the Opioid Settlement Fund Community Grant Program.	Up to each locality (availability and processes will vary)
Public Input	Yes (required)	Generally, yes (public comments required at public meetings)
Advisory Body	Yes (required). See the South Dakota Opioid Advisory Committee. The Committee is not required to include member(s) with lived and/or living experience.	Up to each locality (not required)
Expenditures	Public reporting required. See the Departments of Health and Social Services’ annual reports (e.g., 2024 and 2023).	No public reporting required (only intrastate), but see Departments of Health and Social Services’ annual reports (beginning 2024).
Updates	For updates on the state share, visit the South Dakota Opioid Advisory Committee’s website. See also Department of Health’s Prescription Opioid Abuse Prevention Initiative.	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. The South Dakota Department of Social Services maintains a list of local contacts, and you can also review the state’s annual reports (the 2023 report includes local governments’ distribution amounts).