Iowa’s Opioid Settlements

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.

Total Funds

$316.45 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 Agreement (Iowa Opioid Allocation Memorandum of Understanding); Legislation (Iowa Code Sec. 12.51)

	50% State Share	50% Local Share
Ultimate Decisionmaker	Iowa state legislature	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 Opioid Settlement Information page (presumptive home for future reports).
Updates	A single resource containing state share updates could not be found. The Iowa Attorney General’s and State Auditor’s 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’ Opioid Settlement Resources page.