Services
KACo Opioid Settlement Resource Library

This resource library contains links to settlement resources, including the settlement agreement and distribution schedules, information about the Kentucky Opioid Abatement Advisory Commission, resources from NACo and John Hopkins University. This page will be updated as more information and resources become available.
You can submit questions about the opioid settlement here.
Frequently Asked Questions
This page is updated frequently with the latest questions and answers for county officials as they navigate their opioid settlement funds.
Check out the FAQ here.
This page is updated frequently with the latest questions and answers for county officials as they navigate their opioid settlement funds.
Check out the FAQ here.

Settlement Resources
- Acceptable uses of funds
- Lauren Carr's presentation (June 12, 2024) - Maximizing Impact: Best Practices and Toolkit for Opioid Settlement Funds
- J&J Master Settlement Agreement
- Distributor Master Settlement Agreement
- National Opioid Settlement
- Exhibit E
- KY Payment Allocation Distributors Year 1 – PDF
- KY Payment Allocation Distributors Year 2 - PDF
- KY Payment Allocation Distributors Year 3 - PDF
- ky-payment-allocations-janssen-payments-1-and-2-plus-accelerated-3-through-5 – PDF
- ky-payment-allocations-janssen-payment-year-2-payment-3 – PDF
- Non-Opioid Remediation Use Reporting

NACo-Approved Strategies Quick Guides
- Medication-Assisted Treatment (“MAT”) for Opioid Use Disorder
- Syringe Services Programs
- Effective Treatment for Opioid Use Disorder for Incarcerated Populations
- Treatment and Recovery for Pregnant and Parenting People
- Naloxone to Reverse Opioid Overdose
- Post-Overdose Response Teams
- Treatment for Neonatal Abstinence Syndrome
- Increasing Access to Evidence-Based Treatment
- The Principles Quick Guide to Removing Policy Barriers

Settlement Toolkit & Resources
- NACo Opioid Solutions Center
- Opioid Overdose Reduction Continuum of Care Approach
- LAPPA – Performance Measures for MAT in Correctional Settings
- LAPPA – Peer Support Services in Justice and Public Safety Settings
- Bloom Kentucky – Opioid Settlement Planning Toolkit
- Vital Strategies – Guide for Community Advocates on the Opioid Settlement Kentucky
- NACo Youth-Focused Prevention
- NACo Warm Hand-Off Programs
- NACo Linkage to Care Across County Systems

Sample Documents
Opioid Settlement News
April 04, 2025
Collaboration and accountability guide use of opioid settlement funds in Kentucky
Opioid Abatement Advisory Commission offers insights on successful projects
March 27, 2025
Grants totaling $19.8 million to support addiction recovery and prevention efforts
Opioid abatement commission announces latest grant recipients
March 20, 2025
KACo highlights the vital role of peer support specialists in opioid recovery
On March 13, KACo hosted a webinar focused on the essential role of Peer Support Specialists (PSS), individuals with lived experience who serve as a critical link between crisis intervention and long-term recovery.
March 14, 2025
Maximizing opioid settlement fund impact
KACo Leadership Institute training scheduled for March 25
March 05, 2025
The power of peer support in substance use recovery
KACo Leadership Institute: Opioid solutions monthly webinar series
February 18, 2025
KACo webinar: counties lead the charge in overdose prevention through innovative programs
Watch a recording of the webinar and download the presentation.
February 07, 2025
Training opportunity on opioid solutions: focus on quick response teams
Join us Thursday, Feb. 13 at 11 a.m. ET for an engaging one-hour webinar focused on the transformative role of Quick Response Teams (QRTs) in addressing the opioid crisis.
February 06, 2025
KYOAAC annual report available
The Kentucky Opioid Abatement Advisory Commission (KYOAAC) originated following the General Assembly's passage of HB 427 during the 2022 Legislative Session.