A Memorandum of Agreement between the state and local governments directs how opioid settlement funds are distributed and used in the state. The MOA offers local governments two options: (1) fund one or more strategies of evidence-based, high-impact strategies to directly address the epidemic; and (2) engaging in a collaborative strategic planning process involving a diverse array of stakeholders and then fund a strategy from option one. Any local government that spends opioid settlement funds is required to file financial reports and impact information on an annual basis.