This Community Guide will describe how Iowa is spending its opioid settlements and whether Iowa is working to ensure community access to opioid settlement funds. Last revised September 1, 2024.
Ultimate Decisionmaker
Local officials of counties (and potentially cities)
Decision-making Process
The Iowa state legislature directly appropriates state settlement funds.
Localities decide autonomously but must report their expenditures
Supplantation
Not prohibited
Not prohibited
Grant Funding
No
Up to each locality (availability and processes will vary)
Public Input
No opportunities available (not required)
Up to each locality (not required)
Advisory Body
No (not required)
Up to each locality (not required)
Expenditures
Neither public nor intrastate reporting required
Public reporting required. Bookmark the Iowa Attorney General’s page (presumptive home for future reports).
Updates
A single resource containing state share updates could not be found. The Iowa and respective opioid settlement-related webpages contain basic, now-dated information about the state’s litigation.
To find updates on the local share, a good starting point is to check the websites for your county board of supervisors, city council, or local health department. See also the Iowa Association of Counties’ page.
$316.45 million[1]
[1] Total is rounded. See The Official Opioid Settlement Tracker Tally. Accessed September 1, 2024.
50% to the state and 50% to local governments
State-Local Agreement (Iowa Opioid Allocation Memorandum of Understanding); Legislation (Iowa Code Sec. 12.51)