The Texas Comptroller of Public Accounts (CPA) and the Opioid Abatement Fund Council (OAFC) work with Texas Treasury Safekeeping Trust Company (TTSTC) to distribute opioid settlement proceeds from the Trust Fund to counties, municipalities, and hospital districts. These proceeds may be used only for the remediation of opioid-related harms.
Texas Government Code § 403.506(c)(1) requires the allocation of 15 percent of the total amount of money received from statewide opioid settlement agreements to counties and municipalities. TTSTC made its first disbursement of $47.1 million in March 2023, followed by $9.2 million in April 2024, and $44.8 million in April 2025. Please see our 2023 official press release and our 2025 official press release.
Visit our Political Subdivision Disbursement Dashboard to view the specific disbursement amounts made to each city and county.
For further questions regarding the distribution of funds to political subdivisions, please contact the TTSTC.
For questions or information related to ongoing opioid litigation, please contact the Office of the Attorney General.
Exhibit E - List of Opioid Remediation Uses (PDF) is a settlement document that contains a non-exhaustive list of Opioid Remediation Strategies that can guide states and political subdivisions in the spending of settlement funds.
Political subdivisions may use their discretion to spend their allocated share of the funds, as long as the funds are used to address opioid-related harms in their communities and abide by state and federal laws. See Texas Government Code § 403.506(c)(1).
For certain settlements, OAFC is required to file an annual report listing the amount of proceeds received and used during the preceding calendar year and identifying how the proceeds were used.
Late each year, beginning in 2025, OAFC will send political subdivisions receiving funds a notification and instructions for completing a brief survey that OAFC will use to create this report.
Additionally, you may wish to contact your subdivision’s legal representative for further information on opioid settlement reporting requirements.
Each county and city named in the relevant state appropriations rider (General Appropriations Act for the 88th Legislative Regular Session, Article IX, Informational Rider § 17.15) receive the portion described in the state appropriations document. Based on how much funding is available for distribution, each county and city will receive their share of the amount available. Funds are available for distribution based on the various payment schedules in the settlement agreements and court orders.
The terms of the settlement agreements allow for varying payments to be received intermittently over periods as long as 18 years.
TTSTC will make distributions at least annually with the option to distribute more often based upon the receipt of settlement proceeds and regular analysis.
Texas Government Code § 403.508(a)(2) requires the allocation of a portion of funds received from statewide settlement agreements to hospital districts. Rule 34 TAC 16.222 establishes administrative, transparency, oversight, and accountability provisions that govern the distribution of settlement funds by the Texas Opioid Abatement Fund Council (OAFC) to hospital districts and the receipt and use of those funds by hospital districts.
Please click here (PDF) to access a section-by-section summary of Rule 16.222 regarding hospital district distribution.
To access our Frequently Asked Questions regarding the hospital district distribution, please click here.
If your question is not addressed here, email us.
For more information on submitting an open records request, please visit our Open Records webpage.