The data shows that councils are as unique as states are from one another. When people know who sits on these councils, they can see who is and is not represented and how that impacts the way money is spent. KFF Health News, along with Johns Hopkins University and Shatterproof, a national nonprofit focused on the addiction crisis, gathered and analyzed data on council members in all states to create the first database of its kind. Those will affect whether opioid settlement funds go, for example, to improve addiction treatment programs and recovery houses or for more narcotics detectives and prisons. In 24 other states, plus Washington, D.C., the councils establish budget priorities and make recommendations. In 14 states, these councils have the ultimate say on use of the money, which comes from companies that made, distributed, or sold opioid painkillers, including Purdue Pharma, Johnson & Johnson, and Walmart.
APĪs more than $50 billion makes its way to state and local governments to compensate for the opioid epidemic, people with high hopes for the money are already fighting over a little-known bureaucratic arm of the process: state councils that wield immense power over how the cash is spent.
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Around the country, state councils like this will decide how to spend $50 billion in opioid settlement funds. Local representatives gather in Beckley, W.Va., to select a regional representative for the nonprofit council that will be responsible for distributing funds from the state's opioid settlement.
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