Decision Making

Here are the entities that ultimately decide how each of Nebraska’s opioid settlement shares are spent:

• 85% Opioid Recovery Trust Fund share: Department of Health and Human Services Division of Behavioral Health (DBH) and regions decide majority (Opioid Settlement Remediation Advisory Committee advises DBH)

  • Opioid Treatment and Infrastructure Cash Fund (contains most): Nebraska Department of Health and Human Services’ Division of Behavioral Health (within parameters established by the Nebraska state legislature and state law)

  • Opioid Prevention and Treatment Cash Fund: Regional Behavioral Health Authorities (RBHAs) (within general parameters established by state law)

  • Training Division Cash Fund: State Fire Marshall (within general parameters established by state law)

  • Health and Human Services Cash Fund: staff from the Department of Health and Human Services (to implement the Overdose Fatality Review Teams Act)

• 15% local share: local officials for counties and municipalities