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Policy Brief

Opioid Settlement Spending Guide

This guide helps local and state government leaders spend opioid settlement money on programs that actually work. It shows how to use the $55 billion from legal settlements to save lives by funding proven addiction treatment and prevention programs. The guide includes research on which programs work best, examples from other communities, and steps to get started. It explains how spending money on evidence-based solutions could prevent 120,000 people from misusing drugs and save over 90,000 lives from overdose deaths.

April 6, 2026
Opioid Settlement Spending Guide
6Key Takeaways
The best park in the city is two bus transfers away from the people who need it most.
Houston Parks Board volunteer

Key Takeaways

6
1

Over $55 billion in opioid settlement funds will be distributed over 20 years

2

Evidence-based spending could prevent 120,000 people from misusing drugs

3

Could save over 90,000 lives from overdose deaths

4

Many communities are not spending settlement money on proven solutions

5

Guide provides examples of how other communities are investing wisely

6

Results for America offers support to help policymakers get started

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