Idaho’s Opioid Settlements

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

Total Funds

$214.13 million[1]

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

Allocation

40% to the state, 40% to cities and counties, and 20% to health districts

Mechanism

State-Local Agreement (Idaho Opioid Settlement Intrastate Allocation Agreement Between the State of Idaho, Health Districts, and Eligible Local Governments); Legislation (Idaho Code, Secs. 39-411, 39-422, 57-825); Executive Order (Executive Order No. 2020-04)

	40% State Share	40% Local Share	20% Health Districts Share
Ultimate Decisionmaker	Idaho state legislature and governor	Local officials for cities and counties	Boards of Health for each Public Health District
Decision-making Process	The Idaho state legislature appropriates funds based on requests from the governor. The governor’s requests incorporate recommendations from the Idaho Behavioral Health Council (IBHC).	Localities decide autonomously but must report uses to the state. Boards of County Commissioners or City Councils must approve spending via budgets or separate resolutions.	Public Health Districts decide autonomously but must report uses to the state. Boards of Health must approve spending via budgets or separate resolutions.
Supplantation	Not prohibited	Not prohibited	Not prohibited
Grant Funding	No	Up to each locality (availability and processes will vary)	Up to each health district (availability and processes will vary)
Public Input	Yes (Idaho Behavioral Health Council required to engage in broad stakeholder input)	Up to each locality (not required)	Up to each health district (not required)
Advisory Body	Yes (required). See the Idaho Behavioral Health Council (IBHC). The IBHC is not required to include member(s) with lived and/or living experience.	Up to each locality (not required)	No (not required, but see district health boards)
Expenditures	Public reporting required. View the “Funded by the Legislature” resources on the Idaho Behavioral Health Council’s website. See also annual financial reports.	Public reporting required. See local governments’ annual financial reports.	Public reporting required. See health districts’ annual financial reports.
Updates	For updates on the state share, visit the IBHC’s website and bookmark the meetings page, which includes meeting materials for the IBHC and its workgroups. See also the Idaho Attorney General’s Opioid Settlement page.	To find updates on the local share, a good starting point is to check the websites for your county board of commissioners, city council, or local health department.	To find updates on the health districts share, a good starting point is to check the public health districts’ opioid settlement websites. See, e.g., District 7: Eastern Idaho Public Health.