Interesting to see where the money is ending up.
WISCONSIN DEPARTMENT
of HEALTH SERVICES
Opioids: Settlement Funds
Full Report
www.dhs.wisconsin.gov
Wisconsin is due to receive more than $874 million in total funding from 2022 through 2038 as a result of litigation against the pharmaceutical industry.
2021 Wis. Act 57 requires the 87 local governments that participated in this litigation receive 70 percent of the funds, with the state receiving 30 percent of the funds.
We are managing the distribution of the state-managed funds. This page highlights the projects supported by the state-managed funds. We also publish reports every three months with more information. See the quarterly reports.
As of June 30, 2026, we have received about $93 million in opioid settlement funds for state-managed projects.
State fiscal year 2028 projects
We expect to receive $11.6 million in state fiscal year 2028.
Do you have ideas on how we should use these funds? Take our survey! The feedback survey is available until September 30.
State fiscal year 2026 and 2027 projects
We combined the funds we expect to receive in state fiscal year 2026 and state fiscal year 2027 into one package of projects. We expect to receive about $14.5 million in state fiscal year 2026 and about $16.5 million in state fiscal year 2027.
Room and board costs for Medicaid members in residential substance use disorder treatment: $6,500,000
-This funding is for Tribal nations and counties to cover room and board costs for Medicaid members with an opioid use disorder or at risk for an opioid overdose who are in residential substance use disorder treatment programs. Federal law prohibits Medicaid from reimbursing residential substance use disorder treatment providers for a client’s room and board expenses. Lack of funds to cover room and board costs is the primary reason Medicaid members do not enroll in this level of treatment.
Tribal nations and counties have been informed of the process to apply for the $3.5 million in funding available for 2027. Applications for this funding are due October 9, 2026.
Status
$3 million in funding has been awarded to agencies serving seven Tribal nations and 66 counties for 2026.
Adams County, $13,656
Ashland County, $29,124
Barron County, $15,170
Bayfield County, $5,994
Brown County, $154,610
Buffalo County, $300
Burnett County, $10,500
Calumet County, $1,783
Chippewa County, $25,433
Clark County, $8,933
Columbia County, $30,496
Crawford County, $3,918
Dane County, $282,757
Dodge County, $55,187
Door County, $2,048
Douglas County, $31,147
Dunn County, $4,092
Eau Claire County, $49,414
Fond du Lac County, $60,374
Forest County, $23,710
Grant County, $9,187
Green County, $5,778
Green Lake County, $9,939
Iowa County, $1,338
Iron County, $1,043
Jackson County, $15,840
Jefferson County, $36,393
Juneau County, $19,011
Kenosha County, $115,986
Kewaunee County, $2,311
La Crosse County, $67,288
Lac Courte Oreilles Band of Lake Superior Ojibwe, $18,999
Lac du Flambeau Band of Lake Superior Chippewa, $18,773
Langlade County, $8,453
Lincoln County, $5,394
Manitowoc County, $53,597
Marathon County, $47,995
Marinette County, $25,396
Marquette County, $7,076
Menominee County, $20,083
Menominee Nation of Wisconsin, $19,290
Milwaukee County, $736,812
Monroe County, $10,949
Monroe County, $30,929
Oconto County, $12,439
Oneida County, $14,090
Oneida Nation, $12,145
Outagamie County, $75,541
Ozaukee County, $13,571
Pierce County, $5,286
Polk County, $9,712
Portage County, $16,659
Price County, $2,835
Racine County, $142,744
Richland County, $7,107
Rock County, $17,145
St. Croix Chippewa Indians of Wisconsin, $17,125
St. Croix County, $7,566
Sauk County, $42,705
Sawyer County, $14,505
Shawano County, $19,744
Sheboygan County, $64,446
Sokaogon Chippewa Community, $17,025
Stockbridge-Munsee Community Band of Mohican Indians, $733
Taylor County, $224
Vernon County, $6,963
Walworth County, $49,643
Washburn County, $4,727
Washington County, $46,298
Waukesha County, $124,427
Waupaca County, $20,663
Waushara County, $12,532
Winnebago County, $92,073
Wood County, $43,770
Law enforcement agency needs: $2,000,000
-This funding is for law enforcement agencies to support education and training for staff on the medications for opioid use disorder, including how the medications are used as part of a treatment program; and treatment for jail residents with an opioid use disorder.
Status
Applications for $1 million of this funding available for this strategy for 2027 were due July 10, 2026. The applications are being reviewed.
$1 million of funding for 2026 was awarded to:
The Calumet County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Chippewa County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Columbia County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Dane County Sheriff's Office for treatment for jail residents with an opioid use disorder. ($102,000)
The Eau Claire County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Iowa County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Jackson County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Kenosha County Sheriff's Department for treatment for jail residents with an opioid use disorder. ($102,000)
The La Crosse County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Marathon County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Marquette County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Menominee County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Menominee Indian Tribal Police Department for education and training for staff on the medications for opioid use disorder. ($6,833)
The Racine County Sheriff's Office for treatment for jail residents with an opioid use disorder. ($102,000)
The Rock County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Sawyer County Sheriff's Department for education and training for staff on the medications for opioid use disorder. ($6,833)
The Wood County Sheriff's Department for treatment for jail residents with an opioid use disorder. ($102,000)
Tribal nation needs: $9,000,000
-This funding is for prevention, treatment, and recovery services for members of the 11 federally recognized Tribal nations that share boundaries with Wisconsin with the specific services funded determined by local needs.
Status
Contracts for this funding with each Tribal nation have been processed.
Overdose prevention: $3,500,000
This funding is for programs and services designed to reduce the number of opioid-related emergencies and fatal opioid overdoses through education and the distribution of naloxone and drug checking technologies. It will also support law enforcement and first responder access to lifesaving supplies during an emergency or for distribution in their communities.
Status
A portion of this funding is supporting a 2026-2027 drug checking technologies program for agencies participating in the DHS Naloxone Direct program, EMS agencies operating leave behind programs, and law enforcement agencies. These agencies had the opportunity to order overdose prevention supplies, including fentanyl test strips, fentanyl test strip kits, xylazine test strips, and xylazine test strip kits.
Pregnant and parenting women who need treatment: $2,000,000
This funding will support programs designed to reduce overdose deaths for pregnant and parenting women with an opioid use disorder who experience significant barriers to accessing evidence-based care.
Status
This funding has been awarded to Apricity, Meta House, the Waukesha County Department of Health and Human Services, and Wisconsin Community Services.
Impacts on infants, toddlers, and families: $2,000,000
This funding is for county Birth to 3 programs for the services they provide to enrolled infants, toddlers, and their families. Funds will support non-covered, evidence-based recovery services for families and caregivers impacted by an opioid use disorder.
Status
No update to provide at this time
K-12, after-school, and community-based primary prevention activities: $3,000,000
This funding will support primary prevention activities in K-12 schools, a statewide after-school program focused on primary prevention activities, and primary prevention activities managed by community organizations.
Primary prevention activities aim to stop the nonmedical use of opioids before it begins by focusing on the root causes of opioid misuse, strengthening buffers against stress and trauma, and reducing risks of opioid misuse.
Status
$1 million of funding for 2026 has been awarded to the Boys and Girls Club Fox Valley, which represents a network of Boys and Girls Clubs that serve more than 70 communities. This funding will support after-school programming for youth focused on providing them information and skills to make healthy decisions through the SMART Moves Program, a program developed by the Boys and Girls Club of America.
Medications for opioid use disorder training for providers: $1,000,000
This funding will support medications for opioid use disorder training for primary care providers in community health centers and federally qualified health centers.
Status
No update to provide at this time
Recovery coalitions-family supports: $1,000,000
This funding will support community recovery coalitions.
Status
No update to provide at this time
Family Centered Treatment-Recovery: $500,000
This funding will support parents and caregivers with an opioid use disorder, their children, and their other family members to participate in a model of care known as Family Centered Treatment-Recovery.
Status
No update to provide at this time
Pharmacy training and support: $500,000
This funding will support pharmacies in their work to adopt evidence-based practices related to the delivery of overdose prevention medications.
Status
No update to provide at this time
State fiscal year 2025, 2024 projects continued here> https://www.dhs.wisconsin.gov/opioi...une 30, 2026,,State fiscal year 2028 projects
WISCONSIN DEPARTMENT
of HEALTH SERVICES
Opioids: Settlement Funds
Full Report
Opioids: Settlement Funds
Wisconsin is due to receive more than $874 million in total funding from 2022 through 2038 as a result of litigation against the pharmaceutical industry.2021 Wis. Act 57 requires the 87 local governments that participated in this litigation receive 70 percent of the funds, with the state...
Wisconsin is due to receive more than $874 million in total funding from 2022 through 2038 as a result of litigation against the pharmaceutical industry.
2021 Wis. Act 57 requires the 87 local governments that participated in this litigation receive 70 percent of the funds, with the state receiving 30 percent of the funds.
We are managing the distribution of the state-managed funds. This page highlights the projects supported by the state-managed funds. We also publish reports every three months with more information. See the quarterly reports.
As of June 30, 2026, we have received about $93 million in opioid settlement funds for state-managed projects.
State fiscal year 2028 projects
We expect to receive $11.6 million in state fiscal year 2028.
Do you have ideas on how we should use these funds? Take our survey! The feedback survey is available until September 30.
State fiscal year 2026 and 2027 projects
We combined the funds we expect to receive in state fiscal year 2026 and state fiscal year 2027 into one package of projects. We expect to receive about $14.5 million in state fiscal year 2026 and about $16.5 million in state fiscal year 2027.
Room and board costs for Medicaid members in residential substance use disorder treatment: $6,500,000
-This funding is for Tribal nations and counties to cover room and board costs for Medicaid members with an opioid use disorder or at risk for an opioid overdose who are in residential substance use disorder treatment programs. Federal law prohibits Medicaid from reimbursing residential substance use disorder treatment providers for a client’s room and board expenses. Lack of funds to cover room and board costs is the primary reason Medicaid members do not enroll in this level of treatment.
Tribal nations and counties have been informed of the process to apply for the $3.5 million in funding available for 2027. Applications for this funding are due October 9, 2026.
Status
$3 million in funding has been awarded to agencies serving seven Tribal nations and 66 counties for 2026.
Adams County, $13,656
Ashland County, $29,124
Barron County, $15,170
Bayfield County, $5,994
Brown County, $154,610
Buffalo County, $300
Burnett County, $10,500
Calumet County, $1,783
Chippewa County, $25,433
Clark County, $8,933
Columbia County, $30,496
Crawford County, $3,918
Dane County, $282,757
Dodge County, $55,187
Door County, $2,048
Douglas County, $31,147
Dunn County, $4,092
Eau Claire County, $49,414
Fond du Lac County, $60,374
Forest County, $23,710
Grant County, $9,187
Green County, $5,778
Green Lake County, $9,939
Iowa County, $1,338
Iron County, $1,043
Jackson County, $15,840
Jefferson County, $36,393
Juneau County, $19,011
Kenosha County, $115,986
Kewaunee County, $2,311
La Crosse County, $67,288
Lac Courte Oreilles Band of Lake Superior Ojibwe, $18,999
Lac du Flambeau Band of Lake Superior Chippewa, $18,773
Langlade County, $8,453
Lincoln County, $5,394
Manitowoc County, $53,597
Marathon County, $47,995
Marinette County, $25,396
Marquette County, $7,076
Menominee County, $20,083
Menominee Nation of Wisconsin, $19,290
Milwaukee County, $736,812
Monroe County, $10,949
Monroe County, $30,929
Oconto County, $12,439
Oneida County, $14,090
Oneida Nation, $12,145
Outagamie County, $75,541
Ozaukee County, $13,571
Pierce County, $5,286
Polk County, $9,712
Portage County, $16,659
Price County, $2,835
Racine County, $142,744
Richland County, $7,107
Rock County, $17,145
St. Croix Chippewa Indians of Wisconsin, $17,125
St. Croix County, $7,566
Sauk County, $42,705
Sawyer County, $14,505
Shawano County, $19,744
Sheboygan County, $64,446
Sokaogon Chippewa Community, $17,025
Stockbridge-Munsee Community Band of Mohican Indians, $733
Taylor County, $224
Vernon County, $6,963
Walworth County, $49,643
Washburn County, $4,727
Washington County, $46,298
Waukesha County, $124,427
Waupaca County, $20,663
Waushara County, $12,532
Winnebago County, $92,073
Wood County, $43,770
Law enforcement agency needs: $2,000,000
-This funding is for law enforcement agencies to support education and training for staff on the medications for opioid use disorder, including how the medications are used as part of a treatment program; and treatment for jail residents with an opioid use disorder.
Status
Applications for $1 million of this funding available for this strategy for 2027 were due July 10, 2026. The applications are being reviewed.
$1 million of funding for 2026 was awarded to:
The Calumet County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Chippewa County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Columbia County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Dane County Sheriff's Office for treatment for jail residents with an opioid use disorder. ($102,000)
The Eau Claire County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Iowa County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Jackson County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Kenosha County Sheriff's Department for treatment for jail residents with an opioid use disorder. ($102,000)
The La Crosse County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Marathon County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Marquette County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Menominee County Sheriff's Office for education and training for staff on the medications for opioid use disorder. ($6,833)
The Menominee Indian Tribal Police Department for education and training for staff on the medications for opioid use disorder. ($6,833)
The Racine County Sheriff's Office for treatment for jail residents with an opioid use disorder. ($102,000)
The Rock County Sheriff's Office for education and training for staff on the medications for opioid use disorder and treatment for jail residents with an opioid use disorder. ($108,833)
The Sawyer County Sheriff's Department for education and training for staff on the medications for opioid use disorder. ($6,833)
The Wood County Sheriff's Department for treatment for jail residents with an opioid use disorder. ($102,000)
Tribal nation needs: $9,000,000
-This funding is for prevention, treatment, and recovery services for members of the 11 federally recognized Tribal nations that share boundaries with Wisconsin with the specific services funded determined by local needs.
Status
Contracts for this funding with each Tribal nation have been processed.
Overdose prevention: $3,500,000
This funding is for programs and services designed to reduce the number of opioid-related emergencies and fatal opioid overdoses through education and the distribution of naloxone and drug checking technologies. It will also support law enforcement and first responder access to lifesaving supplies during an emergency or for distribution in their communities.
Status
A portion of this funding is supporting a 2026-2027 drug checking technologies program for agencies participating in the DHS Naloxone Direct program, EMS agencies operating leave behind programs, and law enforcement agencies. These agencies had the opportunity to order overdose prevention supplies, including fentanyl test strips, fentanyl test strip kits, xylazine test strips, and xylazine test strip kits.
Pregnant and parenting women who need treatment: $2,000,000
This funding will support programs designed to reduce overdose deaths for pregnant and parenting women with an opioid use disorder who experience significant barriers to accessing evidence-based care.
Status
This funding has been awarded to Apricity, Meta House, the Waukesha County Department of Health and Human Services, and Wisconsin Community Services.
Impacts on infants, toddlers, and families: $2,000,000
This funding is for county Birth to 3 programs for the services they provide to enrolled infants, toddlers, and their families. Funds will support non-covered, evidence-based recovery services for families and caregivers impacted by an opioid use disorder.
Status
No update to provide at this time
K-12, after-school, and community-based primary prevention activities: $3,000,000
This funding will support primary prevention activities in K-12 schools, a statewide after-school program focused on primary prevention activities, and primary prevention activities managed by community organizations.
Primary prevention activities aim to stop the nonmedical use of opioids before it begins by focusing on the root causes of opioid misuse, strengthening buffers against stress and trauma, and reducing risks of opioid misuse.
Status
$1 million of funding for 2026 has been awarded to the Boys and Girls Club Fox Valley, which represents a network of Boys and Girls Clubs that serve more than 70 communities. This funding will support after-school programming for youth focused on providing them information and skills to make healthy decisions through the SMART Moves Program, a program developed by the Boys and Girls Club of America.
Medications for opioid use disorder training for providers: $1,000,000
This funding will support medications for opioid use disorder training for primary care providers in community health centers and federally qualified health centers.
Status
No update to provide at this time
Recovery coalitions-family supports: $1,000,000
This funding will support community recovery coalitions.
Status
No update to provide at this time
Family Centered Treatment-Recovery: $500,000
This funding will support parents and caregivers with an opioid use disorder, their children, and their other family members to participate in a model of care known as Family Centered Treatment-Recovery.
Status
No update to provide at this time
Pharmacy training and support: $500,000
This funding will support pharmacies in their work to adopt evidence-based practices related to the delivery of overdose prevention medications.
Status
No update to provide at this time
State fiscal year 2025, 2024 projects continued here> https://www.dhs.wisconsin.gov/opioi...une 30, 2026,,State fiscal year 2028 projects
