This Community Guide will describe how California is spending its opioid settlements and whether California is working to ensure community access to opioid settlement funds. Last revised September 1, 2024.
Ultimate Decisionmaker
Local officials for cities and counties
Decision-making Process
Localities decide autonomously but must report expenditures to the .
The California state legislature determines and appropriates funds, and the oversees their administration and uses.
Supplantation
Not prohibited
Not prohibited
Grant Funding
Up to each locality (availability and processes will vary)
Yes. For live opportunities, see Opioid Settlement Tracker’s .
Public Input
Generally, yes (public comment required at public meetings)
No opportunities available (not required)
Advisory Body
Up to each locality (not required)
No (not required)
Expenditures
Public reporting required. Local expenditures will be published on the California Department of Health Care Services’ website each year.
Public reporting required. Visit the California Department of Health Care Services’ Opioid Response and pages.
Updates
For updates on the local share, visit the Department of Health Care Services’ website, including its page, and subscribe to DHCS’s regular newsletter . Another good starting point is to check the website for your county board of supervisors, city council, or local health department.
For updates on the state share, visit the Department of Health Care Services’ website, including its page, and sign up for updates on DHCS’s opioid response efforts .
$4 billion[1]
[1] Total is rounded. See The Official Opioid Settlement Tracker Tally. Accessed September 1, 2024.
85% to local governments and 15% to the state
State-Local Agreements (Distributors, J&J, Teva, Allergan, Walgreens, Walmart, and CVS); Legislation (Cal. Gov't Code Sec. 12534); Other Agreements (California Mallinckrodt Statewide Abatement Agreement