The Missouri Department of Mental Health (DMH) is the lead agency for reporting opioid settlement expenditures. The Second Annual Report was released on March 3, 2025.
Section 196.1050 RSMo., established the Opioid Addiction Treatment and Recovery Fund, into which all monetary proceeds are deposited for the State of Missouri’s share of settlement distributions. According to the Memorandum of Understanding between the State of Missouri, the state’s political subdivisions and the national opioid settlement administrators, each recipient of settlement funds must provide the General Assembly with reporting details of the following for the preceding year:
- The amount of settlement funds received;
- Details on how settlement funds were spent; and
- Whether each expenditure fits within an approved use.
The Second Annual Report as well as other opioid settlement information can be found on the DMH website pages specifically established for public reporting: MOopioidsettlements. (https://moopioidsettlements.dmh.mo.gov/).
DMH continues to work with the Attorney General’s Office, the Missouri Association of Counties, and the Missouri Municipal League to communicate settlement reporting requirements.