Pennsylvania’s Opioid Settlements

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

Total Funds

$2.01 billion[1]

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

Allocation

85% to local governments and 15% to the Commonwealth[2]

Mechanism

Court Order (Pennsylvania Opioid Misuse and Addiction Abatement Trust Order); Legislation (72 Pa. Stat. Sec. 1792-A.1)

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	70% County Abatement Account Share	15% Litigating Subdivision Account Share	15% Commonwealth Share
Ultimate Decisionmaker	County officials	Local officials for counties, cities, townships, and boroughs, along with District Attorneys for Berks, Bucks, Chester, Clearfield, Dauphin, Delaware, Erie, Northampton, and Westmoreland counties	Pennsylvania General Assembly
Decision-making Process	Counties decide autonomously but must certify approved uses to the Pennsylvania Opioid Misuse and Addiction Abatement Trust.	Localities and specified district attorneys decide autonomously but must certify approved uses to the Pennsylvania Opioid Misuse and Addiction Abatement Trust.	The Pennsylvania General Assembly directly appropriates funds from this share.
Supplantation	Not prohibited	Not prohibited	Not prohibited
Grant Funding	Up to each county (availability and processes will vary)	Up to each locality (availability and processes will vary)	Yes. For live opportunities, see Opioid Settlement Tracker’s Community Grant Tracker.
Public Input	Generally, yes (public comments required at public meetings)	Generally, yes (public comments required at public meetings)	No opportunities available (not required)
Advisory Body	Up to each county (not individually required). But see Pennsylvania Opioid Misuse and Addiction Abatement Trust’s Board of Trustees. The Trust is not required to include member(s) with lived and/or living experience.	Up to each locality (not individually required). But see Pennsylvania Opioid Misuse and Addiction Abatement Trust’s Board of Trustees. The Trust is not required to include member(s) with lived and/or living experience.	No (not required)
Expenditures	Public reporting required. Bookmark the Trust’s Payment, Spending & Reporting page and view its interim reporting.	Public reporting required (for counties and Philadelphia). Bookmark the Trust’s Payment, Spending & Reporting page and view its interim reporting.	Neither public nor intrastate reporting required
Updates	For updates on the County Abatement Account share, visit the Pennsylvania Opioid Misuse and Addiction Abatement Trust’s website. See also counties’ websites listed here, e.g., Delaware County and Philadelphia.	For updates on the Litigating Subdivision Account share, visit the Pennsylvania Opioid Misuse and Addiction Abatement Trust’s website. See also individual localities’ websites listed here, e.g., Delaware County and Philadelphia.	A single resource containing updates specific to the Commonwealth share could not be found.

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[2] 85% to local governments includes the 70% County Abatement Account Share and 15% Litigating Subdivision Account Share.