Ohio nears $808 million opioid settlement

The state of Ohio took a major step forward this week in reaching a massive settlement deal with distributors sued over their role in the opioid epidemic (Source: “Ohio set to reach $808 million opioid settlement after more counties, cities sign on,” Columbus Dispatch, Aug. 19).

The "OneOhio" opioid settlement now has been agreed to by more than 99% of litigating local governments – 142 of the 143 entities said yes as of Wednesday – above the absolute minimum of 96% for any deal to be considered. The only holdout, Scioto County, can still sign onto the deal until this Friday at 5 p.m.

The 96% mark, while necessary, does not guarantee that the distributors will be paying out $808 million. The companies still need to sign off on it.

If the distributors – Dublin-based Cardinal Health; McKesson, based in Texas; and AmerisourceBergen, of Pennsylvania – do give approval, roughly 30% of the money would go to local communities, which then would be used for treatment and prevention programs for opioid addiction. Another 15% would go to Ohio for legal costs, and the rest would go to a foundation controlled by local government representatives.

Attend HPIO's 2025 Health Policy Summit on Oct. 9, 2025

With limited resources and growing need, investing in policies that deliver the greatest impact is essential. This event will highlight strategies that improve health and wellbeing while reducing healthcare spending. Speakers will provide evidence-informed research responsive to today’s political climate, focusing on what works and why it matters now more than ever.

Register now