Local Control of Opioid Settlement Funds Raises Concerns Over Questionable Expenditures
Local decision-makers nationwide are controlling nearly half of the opioid settlement funds, which are expected to total approximately $60 billion over two decades. While proponents argue that local officials are best equipped to understand community needs, a yearlong investigation by KFF Health News, Johns Hopkins Bloomberg School of Public Health, and Shatterproof has revealed numerous questionable expenditures. These include $150,000 for street lighting in Camden, New Jersey, $130,000 for Flock cameras in Carmel, Indiana, and $36,200 for a pickleball court in Gilmer County, West Virginia. The investigation, which examined about 17,500 expenditures in 2025, highlights a lack of leadership, oversight, and transparency in tracking these funds. Many local leaders, often without backgrounds in addiction policy, are reportedly awarding money to the first applicants, leading to spending with tenuous ties to addiction remediation.