City and County Projects

City and County Spending of Opioid Settlement Funds

Cities and counties will receive 85% of funds from California’s opioid settlements and 60% of funds from the Mallinckrodt Bankruptcy. These funds are intended to be used for opioid remediation purposes and must be expended on activities focused on prevention, intervention, harm reduction, treatment, and recovery services in California communities. Funds from the opioid settlements are subject to the requirements listed in the relevant National Opioid Settlement Agreements and State-Subdivision Agreements. Funds from the Mallinckrodt Bankruptcy are subject to the requirements listed in the relevant National Opioid Bankruptcy Plan and Statewide Abatement Agreement.

Additionally, the National Opioid Settlement Agreements allow states and their participating cities and counties to establish additional requirements around the allocation, distribution, and/or use of funds received by the settlements. The State of California and its participating cities and counties reached an agreement that includes specific opioid remediation activities to prioritize within the state, which are referred to as High Impact Abatement Activities (HIAAs). California’s HIAAs include:

Table 1. California High Impact Abatement Activities (HIAAs)
No. Activity
1 Provision of matching funds or operating costs for substance use disorder facilities with an approved project within the Behavioral Health Continuum Infrastructure Program (BHCIP)
2 Creating new or expanded substance use disorder (SUD) treatment infrastructure
3 Addressing the needs of communities of color and vulnerable populations (including sheltered and unsheltered homeless populations) that are disproportionately impacted by SUD
4 Diversion of people with SUD from the justice system into treatment, including by providing training and resources to first and early responders (sworn and non-sworn) and implementing best practices for outreach, diversion and deflection, employability, restorative justice, and harm reduction
5 Interventions to prevent drug addiction in vulnerable youth
6 The purchase of naloxone for distribution and efforts to expand access to naloxone for opioid overdose reversals.