North Carolina’s Opioid Settlements

85% Local Share

15% State Share

Ultimate Decisionmaker

Local officials for counties and municipalities

Decision-making Process

Localities decide autonomously but are subject to required reporting, annual audit, and consequences for misspend. Localities must authorize settlement spending by budget and separate resolution.

A locality may also be required to engage in a collaborative, strategic planning process, depending on which strategies the locality chooses to fund.

North Carolina General Assembly directs spending through appropriations

Supplantation

Not prohibited

Not prohibited

Grant Funding

Up to each locality (availability and processes will vary)

Yes. For live opportunities, see Opioid Settlement Tracker’s .

Public Input

Up to each locality (generally not required). Only the of local governments that have opted into Option B’s are required to seek public input on uses of their shares.

No opportunities available (not required)

Advisory Body

Up to each locality (not required).

The state’s may provide support to local governments but does not operate in a traditional advisory capacity. The Coordination Group is not required to include member(s) with lived and/or living experience.

No (not required)

Expenditures

Public reporting required. Local governments must annually submit financial and impact reports to the statewide . See, e.g., , .

Neither public nor intrastate reporting required, but see .

Updates

For updates on the local share, visit — which contains several , e.g., , — and be sure to bookmark the ’s page to stay informed of its public virtual meetings. See also individual localities’ opioid settlement-related websites, e.g., .

For updates on the state share, visit ’s several , e.g., , .