Alabama’s Opioid Settlements

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

Total Funds

$751.19 million[1]

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

Allocation

50% to the state and 50% to local governments

Mechanism

State-Local Agreements (McKesson Settlement Sign-On, Johnson & Johnson Settlement Sign-On, Opioid Bankruptcy Case Allocation Agreement); Settlement Agreements (McKesson Alabama Settlement Agreement and Janssen Alabama State-Wide Opioid Settlement Agreement); Legislation (2023 AL HJR 204); Executive Order (Executive Order No. 708)

	50% State Share	50% Local Share
Ultimate Decisionmaker	Alabama state legislature	Local officials for municipalities, counties, and governmental public health entities (i.e., public hospitals, county health departments, boards of health)
Decision-making Process	The Alabama state legislature directly appropriates settlement funds with input and recommendations from the Oversight Commission on Alabama Opioid Settlement Funds and Opioid Overdose and Addiction Council.	Localities decide autonomously
Supplantation	Discouraged but not prohibited	Discouraged but not prohibited
Grant Funding	Yes. For live opportunities, see Opioid Settlement Tracker’s Community Grant Tracker.	Up to each locality (availability and processes will vary)
Public Input	Depends on future programming (recurring opportunities not required)	Up to each locality (not required)
Advisory Body	Yes (required). See the Oversight Commission on Alabama Opioid Settlement Funds and the Alabama Opioid Overdose and Addiction Council. The Alabama Opioid Overdose and Addiction Council is required to include member(s) with lived and/or living experience while the Oversight Commission on Alabama Opioid Settlement Funds is not.	Up to each locality (not required)
Expenditures	Neither intrastate nor public reporting required See limited descriptions of uses in the Opioid Overdose and Addiction Council’s annual reports (e.g., December 2023 report).	Neither public nor intrastate reporting required
Updates	For updates on the state share, visit the Alabama Opioid Overdose and Addiction Council’s website.	To find updates on the local share, a good starting point is to check the websites for your county commission, city council, or local health department.