Missouri’s Opioid Settlements

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

Total Funds

$894.26 million[1]

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

Allocation

60% to the state and 40% to local governments

Mechanism

State-Local Agreement (Memorandum of Understanding Between the State of Missouri and its Political Subdivisions on Proceeds Relating to the Settlement of Opioid Litigation and March 2023 Addendum); Legislation (Mo. Rev. Stat. Sec. 196.1050)

	60% Opioid Addiction Treatment and Recovery Fund Share	40% Local Share
Ultimate Decisionmaker	Missouri General Assembly	Local officials of cities, counties, and political subdivisions
Decision-making Process	Missouri General Assembly appropriates funds to state agencies and departments named in state law.	Localities decide autonomously but must report their expenditures to the Missouri General Assembly.
Supplantation	Not prohibited	Not prohibited
Grant Funding	No	Up to each locality (availability and processes will vary)
Public Input	Depends on future programming (not required)	Up to each locality (not required)
Advisory Body	No (not required)	Up to each locality (not required)
Expenditures	Public reporting required. See the Department of Mental Health’s Opioid Settlement Reporting Website. See also annual reports.	Public reporting required. See the Department of Mental Health’s Opioid Settlement Reporting Website. See also annual reports.
Updates	For updates on the Opioid Addiction Treatment and Recovery Fund share, visit the Department of Mental Health’s Opioid Settlement Reporting Website.	For updates on the local share, visit the Department of Mental Health’s Opioid Settlement Reporting Website. To find updates on the local share beyond its reported expenditures, a good starting point is to check the websites for your county executive, city council, or local health department.