National Opioid Settlement

Opioid Pills

In July 2021, a bipartisan coalition of state attorneys general announced the National Opioid Settlement – a historic $26 billion agreement that will help bring desperately needed help to communities harmed by the opioid epidemic. The state of North Carolina and all 100 counties, including Wake County, joined the agreement. Wake County is expected to receive $35 million over an 18-year period.

A Memorandum of Agreement between the state and local government directs how opioid settlement funds will be distributed in our state. These funds can only be used to address the opioid epidemic. Wake County has chosen a distribution option that includes the following strategies for funding: 

  • Evidence Based Addiction Treatment
  • Recovery Support Services
  • Recovery Housing Support
  • Employment Related Services
  • Early Intervention
  • Naloxone Distribution
  • Post Overdose Response Teams
  • Syringe Service Program
  • Criminal Justice Diversion Programs
  • Addiction Treatment for Incarcerated Persons
  • Re-entry Programs

The Wake County Board of Commissioners will make decisions regarding funding, and feedback from the community will be essential to this process. 

Learn more about the Opioid Settlement Fund here and here

If you or someone you know is struggling with opioid addiction, please seek help by visiting or calling Alliance Health at 800-510-9132.

Community Meeting

On Tuesday, Aug. 2, Wake County hosted a community meeting at the Wake County Commons Building and online to receive community input on the use of these funds. Video of the meeting is below.

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Next Steps

After the community stakeholder meeting, Wake County staff will conduct an online survey to prioritize proposed strategies. They will use this information, with previous work by the county commissioners, Wake County Overdose Task Force, 2023/24 Behavioral Health Plan, Alliance Health and community stakeholders to develop recommendations for the Health and Human Services committee of the Wake County Board of Commissioners to consider at their August meeting.

The Wake County Board of Commissioners will consider these recommendations in September, establish a special revenue fund for settlement funds and adopt a resolution authorizing strategies and funding amounts.