As money is funneled to states, opioid councils wield significant power in determining how it gets spent. They face concerns about conflicts of interest and lack of representation by affected groups.

KFF Health News obtained documents showing the exact dollar amounts — down to the cent — that local governments have been paid in 2022 and 2023 in lawsuit settlements from the opioid crisis.

Billions of dollars are headed to state and local governments to address the opioid crisis. If the federal government fails to oversee how the money is spent, advocates worry it will be wasted.

All told, drugmakers and distributors will pay over $50 billion to communities harmed by opioids. An investigation finds that only a dozen states are letting the public see how they use the money.