Kentucky Association of Counties

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Kentucky Association of Counties

Opioid Settlement Funds in Kentucky


Overview


In 2022, Kentucky finalized a national settlement with opioid distributors and manufacturers, securing more than $900 million to address the opioid crisis. These funds will be distributed over several years, with 50 percent going directly to counties and cities and 50 percent managed by the Kentucky Opioid Abatement Advisory Commission.

KACo, in collaboration with the Attorney General’s office, helped ensure counties receive their fair share to support addiction treatment and recovery.

All spending must align with approved uses outlined in Exhibit E of the national settlement and KRS 15.291, focusing on opioid remediation, which is defined as:

Care, treatment, and other programs and expenditures (including reimbursement for past such programs or expenditures except where this Agreement restricts the use of funds solely to future Opioid Remediation) designed to:

(1) address the misuse and abuse of opioid products,
(2) treat or mitigate opioid use or related disorders, or
(3) mitigate other alleged effects of, including on those injured as a result of, the opioid epidemic.


Download an informational flyer about KACo's opioid settlement assistance here.


New Resource: Advisory committees can assist fiscal courts with opioid settlement spending recommendations

Advisory committees serve as a vital link between county governments and the diverse stakeholders affected by the opioid crisis. By facilitating collaboration and communication, they can help ensure that decisions regarding the use of funds are informed, strategic and transparent.

Click here to access KACo’s guide to creating an advisory committee in your county.

KACo Contact


Lauren Carr
Opioid Settlement Advisor
Lauren.carr@kaco.org

A Graves County native, Lauren Carr was driven to advocacy after losing her brother, Justin, to a fentanyl overdose in 2011. Since then, she has led a local community coalition, served as a member of NACo’s Opioid Solutions Leadership Network, and now works statewide providing technical assistance to counties on evidence-based strategies for using opioid settlement funds.

Technical assistance is available for counties, including:

  • Guidance on opioid settlement use
  • Review of allowable expenses
  • Support for long-term and strategic planning
  • Access to templates and standardized forms
  • Assistance with mandatory reporting requirements
  • Review of best practices and peer examples
  • Training and education opportunities
  • Referrals to qualified practitioners and subject-matter experts

You can submit a question about opioid settlement funds HERE.

Opioid Settlement Resource Library


Upcoming Trainings and Events


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Opioid Settlement News


 

June 18, 2025
Kentucky surpasses $1 billion in opioid settlements with new $73 million agreement
AG Coleman announces latest settlement with Purdue Pharma
June 06, 2025
KACo webinar recap: Spotlight on recovery community centers
Panelists share insights into challenges and successes of opioid recovery
May 30, 2025
Upcoming webinar to spotlight Kentucky's recovery community centers
Attendees will learn how these centers serve as hubs for connection, services and sustained support, contributing to the resilience and well being of communities across Kentucky.
May 02, 2025
Kentucky’s 2024 overdose fatality report released
Findings show a third consecutive annual decrease in overdose deaths.
April 24, 2025
Counties will begin receiving Kroger opioid settlement funds soon
Assuming all payment information has been correctly submitted or updated with BrownGreer, counties should expect funds for payment years 1 and 2 to begin arriving on April 30.
April 24, 2025
Counties lead the way: webinar to spotlight innovative opioid treatment approaches
Leaders who are redefining what treatment access looks like at the county level will be featured in this one-hour session, including leaders from Hardin and Boyd counties, as well as the University of Kentucky’s College of Public Health.