オピオイド訴訟和解資金

Opioid settlement funds are making real change in Snohomish County. They’ve been used to launch a mobile opioid treatment program in an underserved rural area, provide timely local data and information about the drug crisis, provide funding opportunities for opioid-related work by community-based organizations, and expand availability of the life-saving overdose reversal medication naloxone by leaving kits behind with people who have overdosed or those around them.

This webpage provides additional information about settlement dollars in Snohomish County.

Overview of Settlements

Opioid settlement funds come from several lawsuits filed against companies involved in opioid manufacturing, distribution, and marketing, and include Johnson & Johnson, AmerisourceBergen, Cardinal Health, McKesson, and Purdue Pharma. Nationally, these settlements are expected to yield over $50 billion to state and local governments over approximately 18 years. At least 70% of funds awarded to states and localities must be used for remediation encompassing care, treatment, and other programs to address the opioid crisis.

Washington State started receiving funds from opioid settlements in late 2022 and distributes a portion to counties and local governments through the Washington State Attorney General's settlement framework. Funds are administered and distributed by the Health Care Authority based on the state's Accountable Community of Health regions. Each region has an Opioid Abatement Council (OAC) to oversee the fund allocation, distribution, and expenditures and annually receives 10% of the region’s funds for administrative costs. Snohomish County is part of the North Sound Region OAC along with Island, San Juan, Skagit and Whatcom counties.

Washington State, counties, and cities joined together under the One Washington Memorandum of Understanding (MOU) and an Allocation Agreement that governs the distribution of funds and splits the money between local governments (50%) and the state (50%). Allocation amounts are calculated using a model that considers how many opioids were shipped to a county as well as the number of deaths and the number of people with opioid use disorder in the county. Exhibit B of the MOU lists each local government’s share for use in addressing the opioid crisis.

Snohomish County receives 11.82% of the opioid settlement funds.
The allocation within Snohomish County is further distributed between 12 cities and the county. The county receives 58%.

Snohomish County has a collaborative, cross-agency drug crisis response effort. As of 2026, the Snohomish County Health Department is the lead department in this collaborative for overseeing the use of county opioid settlement funds. Investment decisions align with Snohomish County Opioid Response Goals and were informed by the three convening workgroups in early 2026.

Payments to Date

Snohomish County is expected to receive approximately $30,510,922 in opioid settlement dollars from 2022 – 2038, pending any potential bankruptcy filing that may extinguish requirement to pay opioid settlement judgements.

The following tables and pie chart show the distribution of funds over time, last updated in April 2026.

Distributor Name	Years of Payout	Total Anticipated Payment	Amount Received to Date
Other Distributors*	17	$13,902,347.32	$3,674,980.53
Allergan	6	$1,467,568.17	$633,591.45
CVS	9	$3,247,613.66	$791,282.44
Teva	12	$2,465,329.33	$574,965.51
Walgreens	14	$3,532,211.08	$634,267.88
Walmart	1	$1,839,227.47	$1,839,227.47
J&J/Janssen	1	$3,802,938.18	$3,802,938.18
Kroger	2	$253,686.86	$253,686.86

*Other Distributors aren’t specifically named in the National Settlement Agreements.

Pie chart titled “Percent of Total Payments by Distributor”. This chart shows how total payments are divided among opioid settlement distributors in Snohomish County. Distributors not specifically named in the National Settlement Agreements account for the largest share of payments, 45%, while Kroger accounts for the smallest share at 1%. The remaining distributors account for between 5 and 12% of the total payments.

*Other Distributors aren’t specifically named in the National Settlement Agreements.

Opioid Settlement Payments by Year

*Other Distributors aren’t specifically named in the National Settlement Agreements.

How settlement funds can be used

Approved uses for these funds are listed in Exhibit A of the One Washington MOU and include the following:

Treatment of opioid use disorder
Supporting people in treatment and recovery
Connecting people who need help to the help they need (connections to care)
Addressing the needs of criminal-justice involved persons
Addressing the needs of pregnant or parenting women and their families, including babies with neonatal abstinence syndrome
Preventing over-prescribing and ensuring appropriate prescribing and dispensing of opioids
Preventing misuse of opioids
Preventing overdose deaths and other harms
First responders
Leadership, planning and coordination
Training
Research

Reporting Requirements

An annual expenditure report must be submitted to the OAC. Reporting requirements are listed in the One Washington MOU and include agreements to develop methodology for obtaining proposals for use of funds, ensure there are community-based input opportunities, review and approve/deny proposals, receive and distribute funds, report to the OAC, and make opioid fund decisions, distributions, and expenditures available to the public.

Funded Projects

Snohomish County’s formal multi-agency response to the opioid crisis dates back to 2017 and resulted in a set of goals and immediate strategies, many of which are ongoing and funded partly by settlement dollars. The Snohomish County spend plan was approved by County Council in 2023 for two phases with an estimated cost of $1,771,125. Projects funded from 2023 to 2026 are displayed in Table 3 below, and an interactive dashboard with data about settlement funded projects is available.

Project / Position	2023 Actual	2024 Actual	2025 Actual	2026 Estimated	2026 Actual (YTD)
Opioid Program Manager	$134,342	$140,727	$50,889	$157,696	$3,331
Provides coordination for the MAC Group, oversees RFP and contract processes related to settlement funds, and supports long-term strategy development. This position was vacated in 2025 and not refilled. Coordination responsibilities were subsequently transferred to the Snohomish County Health Department, which hired a Healthy Communities Specialist in 2026 to oversee MAC Group coordination and settlement fund contract processes going forward.
Opioid Program Manager I/F Training	—	$173	$153	$153	$13
Epidemiologist	—	—	$243,210	$155,207	$26,577
This position improves the quality, timeliness, and breadth of opioid-related data across the county. Responsibilities include expanding data sources and ensuring data is collected and analyzed at a level appropriate for the scope of this work. The Epidemiologist also develops and maintains data visualizations and dashboards designed for multiple audiences to support transparency, informed decision-making, and accountability across the opioid response system.
First Responder Leave Behind Program	—	—	$86,488	$171,125	$15,102
The First Responder Leave Behind Program reduces overdose deaths by increasing access to naloxone (Narcan) across Snohomish County. Through this program, Fire/EMS and other first responder agencies are equipped to leave naloxone behind with individuals who have experienced an overdose or are at high risk, ensuring that life-saving medication is available in the critical moments before emergency services can respond. The program also supports community outreach efforts, connecting individuals and families to naloxone and providing education on how to recognize and respond to an overdose.
Mobile Medications for Opioid Use Disorder (MOUD)	—	$24,999	$532,733	$900,000	—
The Mobile Medications for Opioid Use Disorder (MOUD) program brings evidence-based opioid use disorder treatment directly to individuals who face barriers to accessing traditional care. By removing the need for individuals to navigate complex systems or travel long distances to receive treatment, the program lowers one of the most significant barriers to care. The Mobile MOUD program also serves as a bridge to longer-term recovery services, connecting participants to ongoing support, community resources, and wraparound care to help sustain their recovery over time.
Community Support Agreements	—	$503,309	$82,700	$150,000	—
Supports community-based organizations and cities augmenting their opioid-related work.
Rapid Toxicology Testing	—	—	$100,000	$50,000	—
Supports the Medical Examiner's Office rapid toxicology program for faster death data and drug pattern analysis in the community.
Community Impacts (SAFE Team)	—	—	$0	$50,000	—
Supports the SAFE team model to address community impacts across the county.
Professional Services / Reporting	$4,250	$16,750	$12,500	$25,000	—
Includes contracts with Crisis Connections and the Washington Recovery Helpline to expand data sources and reporting capacity.
Operating Transfer (Facilities)	—	$500,000	—	—	—
Primary Prevention Educator (ON HOLD)	—	—	—	$134,076	—
Healthy Communities Specialist (Filled in 2026)	—	—	—	—	—
In 2026, the Snohomish County Health Department assumed coordination responsibilities and hired a Healthy Communities Specialist to oversee MAC Group coordination, manage RFP and contract processes related to settlement funds, and support long-term strategy development.
Total	$138,592	$1,185,958	$1,108,673	$1,793,257	$45,023
Total (YTD)	$4,271,503

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