The Illinois Attorney General, along with attorneys general for numerous other states, filed lawsuits against prescription opioid distributors, manufacturers, and dispensers to seek recovery for their unfair and deceptive practices in the marketing, sale, and distribution of these drugs. These lawsuits led to numerous national multistate settlement agreements with various participants in the prescription opioid market. As a result of these efforts, Illinois expects to receive more than $1.4 billion in settlement monies by 2038, to be used in all parts of the state to abate the opioid crisis.
To date, national opioid settlements* have been finalized with:
* The State of Illinois also joined a multistate settlement with McKinsey & Company Inc. Local governments may have separately received monies under a class action settlement with McKinsey that did not involve the State. These settlements are not included here, as they are excluded from the Illinois Opioid Allocation Agreement.
** The Meijer settlement was entered into by certain Illinois counties only, with the monies being distributed in accordance with the Illinois Opioid Allocation Agreement.
“Other” includes payments reallocated from non-multistate opioid settlements.
Information current as of October 24, 2025
The Illinois Department of Human Services/Division of Behavioral Health and Recovery (IDHS/DBHR) and the Illinois Opioid Remediation Advisory Board (IORAB), in an effort to be transparent and accountable for the opioid settlement funds received, will annually publish a report of settlement funds received and distributed. The Illinois Remediation Funds State Fiscal Year 2024 Annual Report is available now.
At its April 23, 2026 meeting, the Illinois Opioid Remediation Advisory Board (IORAB) reviewed and recommended the following recommendations: Peer and Frontline Worker Support. This recommendation was reviewed and approved by the Governor’s Opioid Prevention and Recovery Steering Committee (Steering Committee) at its May 11, 2026 meeting.
The Peer and Frontline Worker Support recommendation allocates $9,000,000 over 3 years to peer-to-peer support networks, peer-led support groups, wellness and restoration supports, spiritual resources, and access to clinician-led therapeutic interventions—including various modalities of therapy when clinically appropriate—to address cumulative trauma, burnout, moral injury, and workforce attrition. “The intent is to establish a comprehensive, trauma-informed support system for peer support workers (i.e. certified and non-certified) and other frontline outreach workers, informed by those very peer support and other frontline outreach workers, responding to the opioid crisis.” Services are designed to be voluntary, low-barrier, culturally responsive, and complementary to traditional mental health care. The main objective is to stabilize, sustain, and retain the frontline opioid response workforce by reducing secondary traumatic stress, burnout, and turnover through accessible peer-led support, evidence-informed therapeutic interventions, and education thereby improving continuity, quality, and effectiveness of overdose prevention, harm reduction, and recovery-oriented services across Illinois.
The next meeting of the IORAB will be July 23, 2026. More information is available on the IORAB web page. The next meeting of the Steering Committee will be August 13, 2026. More information is available on the Steering Committee web page.
Established by Executive Order 2022-19, the Illinois Office of Opioid Settlement Administration (OOSA) is the entity responsible for planning, administering, and managing 55% of the funds received from opioid settlements. The OOSA is housed within the Illinois Department of Human Services Division of Behavioral Health and Recovery.
The OOSA is dedicated to addressing the opioid crisis and employs resources to fund recommended and approved core abatement strategies for opioid settlement funds to combat the overdose epidemic as established in the Illinois Opioid Allocation Agreement (Allocation Agreement). These opioid core abatement strategies align with recommendations in the 2022 State of Illinois Overdose Action Plan (SOAP), a comprehensive, equity-centric outline for combatting the opioid epidemic.
The OOSA is led by the Statewide Opioid Settlement Administrator, who works collaboratively with the Illinois Opioid Remediation Advisory Board (IORAB) to develop non-binding funding recommendations to present to the Illinois Opioid Prevention and Recovery Steering Committee. The recommendations help ensure the state’s settlement portion in the trust (55%) is used for approved abatement strategies and equitably distributed across the state, taking into account the areas most impacted by the opioid epidemic. IORAB recommendations that are approved by the Steering Committee must be certified by the Attorney General’s office and processed in accordance with state requirements for funding opportunities.
For information on the IORAB, visit its webpage at Illinois Opioid Remediation Advisory Board.
“Local Government Units (LGs)” refers to the more than 200 Illinois counties and municipalities that are eligible to receive a direct distribution of settlement monies under the Allocation Agreement. LGs are required to use their opioid settlement distributions in accordance with the Allocation Agreement, and report their expenditures quarterly.
Note: The RCCA Help Desk has moved to Freshservice. All communications, including Local Government Units quarterly reporting, must be submitted through the Freshservice ticketing platform.
To request an access to a Freshservice account, please fill in the fields in the linked Quarterly Reporting tile above above.
