Kentucky Association of Counties

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Kentucky Association of Counties


County Champion


Opioid Settlement Resources


On Feb. 25, 2022, Attorney General Daniel Cameron announced the finalization of a $26 billion national settlement with Cardinal Health, McKesson, and AmerisourceBergen – three major pharmaceutical distributors in the U.S. (Distributors) – and Johnson & Johnson (J&J), which manufactured and marketed opioids. The agreement stems from the companies’ roles in creating and fueling the opioid epidemic. 

Of that $26 billion, Kentucky is slated to receive $478.1 million to be paid out in installments through 2038. In collaboration with the Attorney General’s office, KACo worked to ensure that counties receive their fair share of the settlement dollars to support addiction treatment and recovery services. 

Counties and cities will receive half of the state’s allocation, approximately $239 million, less funds set aside for payment of fees to the attorneys that represented local governments in the litigation.


You can submit a question about opioid settlement funds HERE.

KACo Contact


Lauren Carr
Opioid Settlement Advisor

Opioid Settlement Resource Library

The resource library contains links to the national settlement agreement and distribution schedules, information about the Kentucky Opioid Abatement Advisory Commission, and resources from NACo and Johns Hopkins University. 

Access the library here

Opioid Settlement News


July 15, 2024
Harlan County receives NACo Achievement Award
The Harlan County Drug Summit was recognized during the 2024 NACo Annual Conference.
July 12, 2024
Maximizing impact: best practices and toolkit for opioid settlement funds
KACo Leadership Institute seminar highlights counties in action
July 12, 2024
Four counties earn Recovery Ready certification
Program recognizes communities who offer addiction services to Kentuckians experiencing substance use disorder
June 21, 2024
Utilizing Kentucky's overdose data to inform opioid abatement strategies
Key takeaways for county funding allocation and decision-making
May 17, 2024
A roadmap to healing: The crucial role of needs assessments in opioid abatement planning
Identifying your community’s specific challenges can help determine how best to utilize funding
May 10, 2024
Dept. of Justice reiterates guidance on use of medication in jails for opioid use disorder
The Americans with Disabilities Act protects people in recovery
May 03, 2024
Opioid settlement update: $85 million released to the state, counties and cities
Funds must be used for opioid abatement efforts