Georgia’s Opioid Settlements

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

Total Funds

$880.74 million[1]

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

Allocation

75% to the state and 25% to local governments

Mechanism

State-Local Agreements (Memorandum of Understanding Concerning National Distributor and Johnson & Johnson Opioid Settlements and Memorandum of Understanding Regarding Settlements with Teva, Allergan, Walmart, CVS, and Walgreens); Executive Order (May 18, 2023 Executive Order)

	75% State Share	25% Local Share
Ultimate Decisionmaker	Trustee of the Georgia Opioid Abatement Trust and local officials for the city of Atlanta and Cobb, DeKalb, Fulton, and Gwinnett Counties	Local officials of cities and counties
Decision-making Process	The Trustee of the Georgia Opioid Abatement Trust directly approves the majority of funding from this share with input from the Georgia Opioid Settlement Advisory Commission (GOSAC) and Regional Advisory Councils. Cobb, DeKalb, Fulton, and Gwinnett Counties and the city of Atlanta independently decide how to spend the remaining portion of regional funds.	Localities decide autonomously with guidance from their Regional Advisory Councils.
Supplantation	Not prohibited	Not prohibited
Grant Funding	Yes. See the Georgia Opioid Abatement Trust’s Resources for Applicants page.	Up to each locality (availability and processes will vary)
Public Input	Not… yet? (not required but anticipated)	Up to each locality (not required)
Advisory Body	Yes (required). See the Georgia Opioid Settlement Advisory Commission (GOSAC). GOSAC is not required to include member(s) with lived and/or living experience.	Up to each locality (not required). But see details on Regional Advisory Councils required by Georgia’s MOU.
Expenditures	Public reporting required. Expenditure data will eventually be available on the Georgia Opioid Crisis Abatement Trust’s website.	Neither public nor intrastate reporting required
Updates	For updates on the state share, visit the Georgia Opioid Crisis Abatement Trust website, which includes information about the Trust’s Governor-Appointed Trustee, the Georgia Opioid Settlement Advisory Commission, Regional Advisory Councils, and Qualifying Block Grantees.	To find updates on the local share, a good starting point is to check the website for your county commission, city council, or local health department.