Opioid Settlement Funding Allocations

Settlement Policies:

Cities and counties receiving opioid settlement funds—along with the State—are required to:

Spend the funds only on approved uses as outlined in the Washington and National
Distributor Settlements,
Maintain detailed records of all expenditures,
Submit regular reports to the Settlement Administrator, and
Comply fully with all settlement terms and conditions.

Local governments may choose to administer their allocated funds directly or may elect to pool resources regionally with other jurisdictions to implement collaborative initiatives.

The Washington State Health Care Authority (HCA) serves as the lead agency for processes related to the use and distribution of settlement funds, due to its role in stewarding the State Opioid and Overdose Response Plan (SOORP) in partnership with other state agencies.

As a condition of receiving direct payments, each Participating Local Government agrees to carry out the following responsibilities:

Develop a methodology for soliciting proposals for the use of opioid settlement funds.
Ensure meaningful community engagement by offering opportunities for public input on funding priorities.
Receive and evaluate proposals to ensure alignment with approved settlement uses.
Approve or deny proposals based on compliance with the agreed-upon purposes.
Receive funds from the settlement trustee and distribute them to approved recipients.

Report all funding decisions and expenditures to the Opioid Abatement Council (OAC) and make this information publicly accessible to promote transparency and accountability.

These funds are received into the General Fund and are governed by individual Settlement Agreements, each with its own payout schedule. Some agreements provided a one-time lump sum, while others distribute payments over several years—up to 17 years in the longest case.

City of Monroe Opioid Settlement Funding Allocations:


In 2024, the City Council approved the Community Human Services Advisory Board’s recommendation to allocate Opioid Settlement Funding to the EvergreenHealth Recovery Center Scholarship Bed Program. This program supports uninsured Monroe residents with access to detox and inpatient services. A total of $7,385.00 was utilized before the contract expired on December 31, 2024, and the remaining funds were returned to the City of Monroe.

In 2026, the City Council has approved the Community Human Services Advisory Board recommendation to allocate $76,035.00 of Opioid Settlement Funding to support the following program:
The EvergreenHealth Scholarship Bed ProgramThe Peer Support Outreach Specialist ProgramThe Case Management Specialist Program - Embedded in the Community CourtThe Mobile Mental Health Co-Responder ProgramThe Law Enforcement Embedded Social Worker Program 
The Monroe Community Coalition for Health Youth Prevention Programs

Individual program reporting metrics and outcomes appear on the Human Services page under work reports.

Benefits to the City of Monroe:

Improved health and safety outcomes for residents.
Reduced burden on police, EMS, hospitals, and courts.
Increased housing stability and recovery success.
Demonstrates responsible stewardship of restricted funds.