State and local officials have touted the settlements as providing desperately needed relief to communities hit hard by the crisis. But when the money will be paid out, and who will get it, remains far from clear, Reuters has found. Among the states where money is already reaching organizations on the ground are Massachusetts, Kentucky and Arizona. Most states share a significant portion of their total settlement funds with their city and county governments, which make their own independent decisions about how to spend. But in May, the board overseeing the state’s opioid settlement denied a joint application by Challenges and a county health department to fund harm reduction efforts, without explaining its decision.

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Persons: Johnson, ”, Brandon Marshall, Julie Burns, Chris Bryan, Glenn Hegar, Lisa Ruzicka, “, Ruzicka, “ I’ve, drugmakers Johnson, Lauren Kestner, Tricia Christensen, –, we’re, ” Marc Burrows, Brendan Pierson, Disha, Alexia Garamfalvi, Claudia Parsons Organizations: Johnson, U.S . Centers for Disease Control, Reuters, District of Columbia, Reuters Graphics Reuters Graphics Reuters, Brown University School of Public Health, Rhode, Texas, Hope Foundation, Walgreens, Alliance, state’s Department of Health, Human Services, Prevention Services, Community Education Group, Alabama Attorney, University of Mississippi Medical, Inc, Thomson, & $ Locations: Massachusetts, Texas, United States, Maryland, Illinois, . Arkansas, Kentucky, Arizona, Rhode, RIZE Massachusetts, RIZE, Kansas, North Carolina, Charlotte, Appalachia, Mississippi, Alabama, New York