Overview:
In 2021 and 2022, states and localities reached historic settlements with manufacturers and distributors of opioids, as well as pharmacy chains and a consulting firm, for their roles in the opioid epidemic. The settlement funds were designed to promote the long-term goals of (1) reducing fatal overdoses and (2) reducing the harms from opioid use disorder. As a result of these settlements, Allegheny County will receive annual payments in varying amounts through at least 2038.
In 2022, Allegheny County received $8.4M and in 2023 the county received $6.05M in settlement funds. In December 2024, however, Allegheny County received $26.4M in 2024 from Opioid Settlements — a payment that is substantially larger than payments received in 2022 and 2023 and those expected in future years. In preparation for receiving the 2024 payment(s), Allegheny County solicited feedback from community members, providers, and other stakeholders through a series of listening sessions. These sessions aimed to engage and inform the public about the impact of opioids on the community and to collaboratively brainstorm solutions for opioid misuse.
What You’ll Gain from the Resources:
The linked resources provide background on the national opioid settlements and detail how Allegheny County has allocated settlement payments to enhance the substance use services system.
The listening sessions report (2025) describes Allegheny County’s community engagement efforts and summarizes participants’ top priorities for settlement fund investments. Some major takeaways from the sessions include the need to reduce stigma, expand harm reduction services, improve access to treatment, and address housing and economic barriers that make recovery from opioid addiction hard. To learn more about community-driven priorities and planned investments, consider reading the full report.
The dashboard offers additional insights into funding distribution and shows how investments support initiatives.
Trouble viewing the dashboard below? You can view it directly here.