Here are the entities that ultimately decide how each of Utah’s opioid settlement shares are spent:

• 50% state share: Utah state legislature

• 50% local share: county officials

Has the state established an advisory body for settlement funds?

Yes. The Utah Opioid Task Force’s 17-member Opioid Settlement Advisory Committee (OSAC) is tasked with providing guidance on effective uses of opioid settlement funds to state and local leaders.[1] The OSAC is part of the Utah Opioid Task Force, which was formed within the Utah Attorney General’s office in 2017.[2]

Is the state advisory body required to include member(s) with lived and/or living experience?

Not applicable. There are no formal legal mechanisms governing the composition or operation of the OSAC, meaning there are no specific requirements to include members with specific types of expertise or experience.

What is the overall membership of the state advisory body?

The OSAC currently has 17 members and is comprised of experts from a range of fields related to the overdose crisis, e.g., public health, harm reduction, justice system, pharmacy, lived experience.[3] Current OSAC members can be found on the Utah Opioid Task Force’s website.

Are local governments required to establish a settlement advisory body? If so, are local advisory bodies required to include member(s) with lived and/or living experience?

No (up to each locality). Local governments in Utah are not required to establish opioid settlement advisory bodies. However, localities may choose to establish advisory councils that include members with lived and/or living experience to help ensure that settlement spending reflects community priorities.

What else should I know?

Not applicable.

1. See . Utah Opioid Task Force website. Accessed September 1, 2024. See also . Utah Opioid Task Force Opioid Settlement Advisory Committee. January 2024. Accessed September 1, 2024 (“The [Committee] is composed of subject matter experts from a broad range of fields and has the singular task of providing guidance on utilizing settlement funds expected from various opioid litigations”). ↑

2. Utah Opioid Task Force website. Accessed September 1, 2024. ↑

3. See Utah Opioid Task Force Opioid Settlement Advisory Committee. January 2024. Accessed September 1, 2024. ("Areas of expertise represented include: Treatment and Recovery, Addiction Medicine, Treatment Systems, Public Health, Harm Reduction, Law Enforcement/Public Safety, Legal and Justice Systems, Pharmacy, Medication Assisted Treatment (MAT), Health Systems, Education, Public Policy, Opioid Overdose Prevention, Family Members, and Lived Experience with Substance Use”). ↑

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

Can I provide input on spending?

• 50% state share: Yes (not required). Though the state is not required to seek public input on uses of this share, the Utah Opioid Task Force’s Opioid Settlement Advisory Committee is conducting an ongoing survey “to understand the community’s perspective on how to best address the [overdose] crisis.”[1]

• 50% local share: Up to each locality (not required). Local governments are not required to seek public input on uses of their shares. However, each may choose to seek such input. Watch for opportunities to weigh in on city and county spending decisions, such as city council meetings and town halls. Contact information for Utah’s cities and towns is available here.[2]

Can I apply for grants?

It depends. As of September 1, 2024, the state has not established any grant opportunities for the 50% state share. Local governments may create grant programs to distribute funds from the 50% local share. The existence, parameters, and processes for local settlement grant programs will vary by locality, so stay alert for new opportunities. Visit (OpioidSettlementTracker.com and Legal Action Center) for the most up-to-date information on settlement grant opportunities for community organizations.

• For updates on the state share, visit the Utah Opioid Task Force’s website, which links to the . You can also review the Utah Office of Substance Use and Mental Health’s website, which contains information on legislative sessions and approved funding and links to its .

• For updates on the local share, visit the Utah Association of Counties’ .[3] For other updates on the local share, check the websites for your county commission or local health department.

Not applicable.

1. Survey accessed September 1, 2024. ↑

2. “The state of Utah and its counties agreed to a 50/50 split of Utah’s settlement funds between the state and participating counties. Each county is responsible for planning and tracking their funds, please seek more information on their plans through the county commissioners for any county. Utah Department of Health & Human Services website. Accessed September 1, 2024. ↑

3. “UAC does not have any official authority over the opioid settlement or how counties use their money. UAC does not receive any portion of the opioid settlement. Money is not passed through UAC to the counties but instead comes directly from the National Settlement Fund Administrator BrownGreer.” . Utah Association of Counties. December 2023. Accessed September 1, 2024. ↑

Utah Attorney General

• Utah Opioid Task Force: Opioid Settlement Advisory Committee

• Utah Opioid Crisis Response Blueprint (January 2024)

• Opioid Settlement Advisory Committee Executive Summary

Utah Department of Health & Human Services

• Office of Substance Use and Mental Health:

  • Funding Approved in

• , incl.

  • (December 2023)

Where do these monies live?

This share is distributed directly to participating counties according to Exhibit B of Utah’s MOU.[1] Counties can work with their constituent municipalities to allocate their county shares amongst themselves “in any manner they choose,”[2] with each able to combine funds with surrounding local governments to jointly provide services.[3]

What can this share be spent on?

With limited exceptions,[4] this share must be spent on the approved uses described in Exhibit A of Utah’s MOU,[5] which is identical to the national settlement agreement’s (non-exhaustive) Exhibit E and includes prevention, harm reduction, treatment, recovery, and other strategies. Reimbursement uses of opioid settlement funds are prohibited statewide.[6]

The Utah Opioid Task Force’s Opioid Settlement Advisory Committee has created a Utah Opioid Crisis Response Blueprint that identifies priorities, includes subject matter expert-recommended strategies, and is intended to “assist ... state and local communities in utilizing funds” without requiring their specific uses.[7]

Who ultimately decides how to spend this share (and how)?

Counties decide autonomously (but must report planned uses). Decisionmakers for the counties will ultimately decide for themselves how to spend their monies on approved uses,[8] and county legislative bodies (i.e., council or commission) have final say over how these shares are spent.[9] However, settling local governments must annually file proposed plans describing anticipated uses of funds with the Utah Association of Counties.[10] Counties must also report their expenditures, among other items, to the Department of Health and Human Services’ Office of Substance Use and Mental Health.[11]

Yes, supplantation is prohibited. Utah state law explicitly prohibits supplantation uses of state and local opioid settlement funds.[12] This means that Utah’s opioid settlement funds only be spent in ways that supplement – rather than replace (or “supplant”) – existing state or local government resources.

Yes (public reporting required). View DHHS’ annual reports on its page.[13] DHHS must publish detailed expenditure reporting on its website for both the state and local shares.[14] Legislative changes in 2024 increased the level of required detail in these reports.[15]

Visit OpioidSettlementTracker.com’s for an updated collection of states’ and localities’ available expenditure reports.

Not applicable.

1. 3 (50% of the Settlement Funds shall be allocated to the Settling Party Counties”), (defining Settling Party Counties to mean counties that have accepted a settlement and are signatories to the MOU), and (“The Settling Party Local Governments’ Share shall be distributed by the National Settlement Fund Administrator directly to each settling County pursuant to the percentages set forth in Exhibit B”). See also . Utah Association of Counties (UAC). Updated July 2023. Accessed August 27, 2024. ↑

2. . ↑

3. “Counties can combine their funds with surrounding counties or municipalities to provide combined services in the region.” See

The Opioid Litigation Proceeds Restricted Account holds 50% of Utah’s opioid settlement funds and is distributed to state agencies.[1]

With limited exceptions,[2] this share must be spent on the approved uses described in of Utah’s MOU,[3] which is identical to the national settlement agreement’s (non-exhaustive) and includes prevention, harm reduction, treatment, recovery, and other strategies. Reimbursement uses of opioid settlement funds are prohibited statewide.[4]

The Utah Opioid Task Force’s has created a that identifies priorities, includes subject matter expert-recommended strategies, and is intended to “assist ... state and local communities in utilizing funds” without requiring specific uses.[5]

Opioid Task Force and Opioid Settlement Advisory Committee recommend, state legislature decides. The ultimately decides specific appropriations of the Opioid Litigation Proceeds Restricted Account.[6]

As described by the state in an , the writes appropriations of funds into the budget with “guidance through the