{"id":15269,"date":"2026-08-27T09:00:00","date_gmt":"2026-08-27T09:00:00","guid":{"rendered":"https:\/\/medical-article.com\/?p=15269"},"modified":"2026-08-27T09:00:00","modified_gmt":"2026-08-27T09:00:00","slug":"a-state-gave-sheriffs-20-of-its-opioid-settlement-cash-we-followed-the-money","status":"publish","type":"post","link":"https:\/\/medical-article.com\/?p=15269","title":{"rendered":"A State Gave Sheriffs 20% of Its Opioid Settlement Cash. We Followed the Money."},"content":{"rendered":"<div>\n<p>KFF Health News worked with three Louisiana news outlets \u2014 <a href=\"https:\/\/thecurrentla.com\/\">The Current<\/a>, <a href=\"https:\/\/www.wwno.org\/gulf-states-newsroom\">Gulf States Newsroom<\/a>, and <a href=\"https:\/\/veritenews.org\/\">Verite News<\/a> \u2014 to ask all 64 sheriffs in the state how they\u2019ve spent their opioid settlement funds. The responses were shared and presented in a data table for all four newsrooms to use. Reporters then conducted individual reporting for separate articles.<\/p>\n<p>Every state is <a href=\"https:\/\/www.opioidsettlementtracker.com\/everything\">receiving opioid settlement payouts<\/a> from companies accused of flooding the nation with prescription painkillers and fueling overdose deaths. But only one state is directing 20% of those payouts to sheriffs \u2014 the largest carve-out for law enforcement nationwide.<\/p>\n<p>In Louisiana, sheriffs are elected, do not serve at the pleasure of another local official, and have independent budgets. They\u2019re also not required to proactively report to the public or another authority how they spend billions in opioid settlement cash.<\/p>\n<p>Short of filing public records requests or waiting for official audits, that has made it difficult for the average person to track the windfall. Many consider the dollars to be \u201c<a href=\"https:\/\/kffhealthnews.org\/public-health\/opioid-settlements-crowdsourced-database-monitor-spending-state-attorneys-general-oversight\/#:~:text=%E2%80%9CThis%20is%20blood%20money%2C%E2%80%9D%20said%20Toni%20Torsch%2C%20a%20Maryland%20resident%20whose%20son%20Dan%20died%20of%20an%20overdose%20at%20age%2024.%20It%20can%E2%80%99t%20make%20up%20for%20the%20lives%20lost%2C%20but%20%E2%80%9Cwe%20do%20want%20to%20make%20sure%20that%20it%E2%80%99s%20going%20to%20count.%E2%80%9D\">blood money<\/a>\u201d and believe the spirit of the settlements is to spend it all on abating the addiction crisis.<\/p>\n<p>KFF Health News worked with three Louisiana news outlets \u2014 <a href=\"https:\/\/thecurrentla.com\/\">The Current<\/a>, <a href=\"https:\/\/www.wwno.org\/gulf-states-newsroom\">Gulf States Newsroom<\/a>, and <a href=\"https:\/\/veritenews.org\/\">Verite News<\/a> \u2014 to track those dollars. The newsrooms contacted all 64 Louisiana sheriffs over five months, often filing public records requests, to produce the first detailed accounting of millions spent.<\/p>\n<p>The findings include:<\/p>\n<p><strong>Thirty-eight sheriffs reported spending more than $8.1 million total.<\/strong> Much of it went to crime-fighting equipment, such as surveillance cameras and drug detection products, though smaller amounts funded mobile apps, addiction treatment in jails, and educational programs for youth.<\/p>\n<p><strong>$5.4 million, about 66% of reported spending, was deemed inappropriate by a three-person review panel.<\/strong> The panel, assembled by KFF Health News and its partners, included a Louisiana resident in recovery who lost his son to a fentanyl overdose, an addiction medicine doctor, and a public health policy analyst who has been tracking settlement dollars since 2022. They judged the expenditures using their professional and personal expertise. Expenditures the panel disapproved of included salaries and overtime pay for homicide detectives and officers conducting jail shakedowns to find contraband.<\/p>\n<p><strong>$4.7 million, nearly 60% of reported spending, went to items or services that other states say should not be purchased with opioid cash.<\/strong> Six states have <a href=\"https:\/\/unallowablespending.opioidpolicy.org\/\">lists of \u201cunallowable\u201d expenditures<\/a>, such as technology to extract data from cellphones and automated external defibrillators, which are <a href=\"https:\/\/cryptpad.fr\/file\/#\/2\/file\/7THdd3tD-geDxKx46NLNGF2s\/\">rarely needed in opioid overdoses<\/a>. Although Louisiana does not have its own \u201cunallowable\u201d list, the state\u2019s <a href=\"https:\/\/laoatf.org\/\">Opioid Abatement Task Force<\/a> \u2014 a five-member body that advises sheriffs and parishes but does not control the money \u2014 said it has shared the guidance from other states.<\/p>\n<p><strong>Nine sheriffs stood out for promising uses: All of their expenditures, totaling nearly $1.8 million, were deemed appropriate by the review panel and allowable in other states.<\/strong> These included providing addiction treatment in jail, training officers to respond to overdoses, and increasing public awareness of addiction resources.<\/p>\n<p><strong>Twenty sheriffs did not provide their expenditures, leaving roughly $10.7 million that <\/strong><a href=\"https:\/\/laoatf.org\/wp-content\/uploads\/2026\/05\/Copy_of_Settlement_Allocations_21-Year_Projection_Summary_to_Locals_20251006.pdf\"><strong>those offices have been allotted<\/strong><\/a><strong> hidden from public view.<\/strong> The Jefferson Parish Sheriff\u2019s Office, which covers an area just outside New Orleans and was allotted the highest amount \u2014 nearly $4 million through 2025 \u2014 did not respond to more than a dozen calls and emails.<\/p>\n<p>Nationwide, <a href=\"https:\/\/kffhealthnews.org\/public-health\/using-opioid-settlement-cash-for-police-gear-like-squad-cars-and-scanners-sparks-debate\/\">debates over law enforcement\u2019s role<\/a> with opioid settlement money have been underway since the funds began flowing significantly <a href=\"https:\/\/kffhealthnews.org\/courts\/state-plans-opioid-settlement-funds\/\">in 2022<\/a> and <a href=\"https:\/\/kffhealthnews.org\/public-health\/opioid-settlements-law-enforcement-spending-states-towns-guns-narcan\/\">have continued<\/a> as the pool of money has grown. Purdue Pharma, <a href=\"https:\/\/www.nytimes.com\/2020\/10\/21\/health\/purdue-opioids-criminal-charges.html\">maker of OxyContin<\/a>, finalized its <a href=\"https:\/\/apnews.com\/article\/purdue-pharma-opioid-crisis-settlement-sackler-3eb7b6f1c6d343a0289ea57e992bf9a7\">$7.4 billion bankruptcy<\/a> this year, and various settlements are set to pay out for an additional decade-plus.<\/p>\n<p>Since the earliest days, these dollars have been viewed across government agencies and the private sector as a <a href=\"https:\/\/kffhealthnews.org\/public-health\/opioid-settlement-money-corporations-cash-cow\/\">pot of gold<\/a> for which many are vying.<\/p>\n<p>Law enforcement agencies are part of this scrum. They say seizing drugs and arresting dealers save lives, but that costs money and the addiction crisis has burdened their budgets. However, many recovery advocates <a href=\"https:\/\/kffhealthnews.org\/news\/health-brief-opioid-settlement-spending-debate-law-enforcement\/\">staunchly oppose<\/a> any opioid cash flowing to what they see as the <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4800748\/\">failed war on drugs<\/a>.<\/p>\n<p>Since there are few guardrails on how the money is spent, decisions often come down to how local politicians and residents see addiction and what type of approach they believe will be effective in combating it.<\/p>\n<p>Louisiana provides a natural experiment to see which priorities prevail when money is handed directly to sheriffs.<\/p>\n<p>First Public Look at How Louisiana Sheriffs Have Spent Over $8M in Opioid Settlement Cash<\/p>\n<p>In Louisiana, sheriffs receive 20% of the state&#8217;s opioid settlement cash \u2014 the largest carve-out for law enforcement nationwide. But since sheriffs are not required to proactively report how they spend the money, it&#8217;s hard to track. Reporters from KFF Health News, The Current, Gulf States Newsroom, and Verite News contacted all 64 sheriffs to uncover spending details.<br \/>\n&lt;br&gt;&lt;br&gt;<br \/>\nClick column headings to sort the table.<\/p>\n<p>Note: In some cases, the amount of money spent exceeds the amount allocated because sheriffs may have reported spending that included their 2026 allocations or because sheriffs combined their opioid settlement dollars with the share received by parish governments or other funding sources. Descriptions of spending are based on emails or phone calls with the sheriffs&#8217; offices and have been lightly edited.<br \/>\n&lt;br&gt;<br \/>\nSource: The money allocated to sheriffs was obtained by summing values for years 1-5, representing 2021-2025, from the Louisiana Opioid Abatement Task Force\u2019s &lt;a href=&#8221;<a href=\"https:\/\/laoatf.org\/wp-content\/uploads\/2026\/05\/Copy_of_Settlement_Allocations_21-Year_Projection_Summary_to_Locals_20251006.pdf&amp;quot\">https:\/\/laoatf.org\/wp-content\/uploads\/2026\/05\/Copy_of_Settlement_Allocations_21-Year_Projection_Summary_to_Locals_20251006.pdf&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;public spreadsheet&lt;\/a&gt;. Data on money spent was collected by KFF Health News, The Current, Gulf States Newsroom, and Verite News. \u2022 &lt;a href=&#8221;<a href=\"https:\/\/kffhealthnews.org\/download-the-data-louisiana-sheriffs-opioid-settlement-expenditures\/&amp;quot\">https:\/\/kffhealthnews.org\/download-the-data-louisiana-sheriffs-opioid-settlement-expenditures\/&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;Download the data.&lt;\/a&gt;<br \/>\n&lt;br&gt;<br \/>\nCredit: KFF Health News&#8217; Lydia Zuraw and Aneri Pattani, The Current\u2019s Alena Maschke, Gulf States Newsroom\u2019s Drew Hawkins, and Verite News\u2019 Katie Jane Fernelius<\/p>\n<p>The state\u2019s agreement with parishes and sheriffs receiving settlement cash contains broad categories for <a href=\"https:\/\/laoatf.org\/wp-content\/uploads\/2026\/03\/Clearn-Exhibit-A.pdf\">allowable spending<\/a>, including \u201claw enforcement expenditures relating to the opioid epidemic.\u201d<\/p>\n<p>But even if the sheriffs\u2019 spending is legal, that doesn\u2019t mean it\u2019s appropriate or effective, addiction and public health experts say.<\/p>\n<p>\u201cWhat\u2019s happening here is they have a lot of money and they want to distribute it to all the wrong places,\u201d said Danny Bolner Jr., a Jefferson Parish resident who has been in recovery from addiction for more than two decades and lost his 28-year-old son to a fentanyl overdose in 2016. On the panel that reviewed expenditures, Bolner represented the view of families who have lost loved ones to the crisis.<\/p>\n<p>The purchase of drones and vehicles struck a nerve for him. He\u2019d prefer for opioid cash to support programs that educate youth about healthy ways to process emotions, provide job training to people in recovery, and distribute overdose reversal medications.<\/p>\n<p>\u201cThis money is what we have to save lives,\u201d he said. If sheriffs use it in other ways, the finite pot \u201cis going to be gone and then they won\u2019t have nothing to help.\u201d<\/p>\n<p>Danny Bolner Jr. is a Jefferson Parish, Louisiana, resident who has been in recovery from addiction for more than two decades. Bolner lost his 28-year-old son to a fentanyl overdose in 2016.  (Christiana Botic\/Verite News and CatchLight Local\/Report for America)<\/p>\n<p><strong>A Safe, a Scanner, and Surveillance Cameras<\/strong><\/p>\n<p>For <a href=\"http:\/\/linkedin.com\/in\/triciac13\">Tricia Christensen<\/a>, a public health policy analyst and national opioid settlement expert who was a member of the review panel, determining if expenditures fit the spirit of the settlements often centered on whether they facilitated arrests or prevented overdoses.<\/p>\n<p>\u201cThe impetus of this opioid settlement money is to spend on innovative ways to not let this happen again,\u201d she said, referring to the overdose crisis that has claimed <a href=\"https:\/\/www.shadac.org\/opioid-epidemic-united-states\">more than 1 million lives<\/a> since 2000. She said sheriffs should be asking, \u201cHow could we use this to reinvest in the community, not just build up our office?\u201d<\/p>\n<p>Many of the sheriffs\u2019 equipment purchases didn\u2019t meet her bar.<\/p>\n<p>For example, the East Baton Rouge Sheriff\u2019s Office bought a safe to store evidence from opioid investigations and a scanner for their traffic division to identify narcotics in hidden compartments. The Terrebonne Parish Sheriff\u2019s Office spent $465,000 on <a href=\"https:\/\/www.businessinsider.com\/flock-cameras-license-plate-readers-explained-2026-8\">Flock cameras<\/a>, which are automated license plate readers that capture data about passing vehicles and share them with law enforcement agencies nationwide. The Bossier Parish Sheriff\u2019s Office purchased 130 body cameras and 50 dash cameras.<\/p>\n<p>Sheriffs already receive taxpayer dollars and federal grants to buy law enforcement tools, Christensen said. Opioid cash, which is finite and has a specific purpose, should not be used for that, she and the other reviewers said. In fact, some states don\u2019t allow it.<\/p>\n<p>13 Louisiana Sheriffs Spent 100% of Opioid Settlement Money Inappropriately, per an Expert Panel<\/p>\n<p>The expenditures were reviewed by Tricia Christensen, a public health policy analyst who has been tracking opioid settlement spending since 2022; Stephen Loyd, an addiction medicine doctor and a person in recovery who served as chair of Tennessee\u2019s Opioid Abatement Council; and Danny Bolner Jr., a person in recovery who lost his son to a fentanyl overdose and is raising his son\u2019s daughter in Jefferson Parish, Louisiana. A majority vote determined which expenditures were appropriate.<br \/>\n&lt;br&gt;&lt;br&gt;<br \/>\nThe map depicts the percentage of money each sheriff spent on expenditures disapproved by the reviewers.<\/p>\n<p>Note: The reviewers voted on the propriety of each expenditure based on their own views of the purpose of opioid settlement money. The rates of opioid-involved deaths are age-adjusted. Rates based on counts &lt;5 were suppressed by the Louisiana Department of Health to protect privacy. &#8220;Opioid-involved deaths&#8221; include deaths in which opioids were present in the body and\/or contributed to death, even if they were not the sole cause of death. <\/p>\n<p>&lt;br&gt; <\/p>\n<p>Sources: Settlement spending and reviewer opinions collected by KFF Health News, The Current, Gulf States Newsroom, and Verite News; opioid-involved death rates from the Louisiana Department of Health <\/p>\n<p>&lt;br&gt; <\/p>\n<p>Credit: KFF Health News&#8217; Lydia Zuraw and Aneri Pattani, The Current\u2019s Alena Maschke, Gulf States Newsroom\u2019s Drew Hawkins, and Verite News\u2019 Katie Jane Fernelius<\/p>\n<p>But taxpayer money may not cover everything sheriffs need, said <a href=\"https:\/\/lsa.org\/\">Kevin Cobb<\/a>, executive director of the Louisiana Sheriffs\u2019 Association. \u201cOur budgets are overloaded,\u201d he said.<\/p>\n<p>Complex investigations to dismantle drug trafficking syndicates can require advanced equipment, <a href=\"https:\/\/www.ebrso.org\/administration\/\">Casey Rayborn Hicks<\/a>, a spokesperson for the East Baton Rouge Sheriff\u2019s Office, wrote in a statement.<\/p>\n<p>\u201cWhile treatment and recovery services are indispensable components of addressing opioid addiction, they address the consequences of addiction after these drugs have already reached our community,\u201d she wrote. \u201cLaw enforcement has a different, but equally essential, responsibility: preventing those deadly drugs from reaching potential victims in the first place.\u201d<\/p>\n<p>First Lt. Blake Tabor, a spokesperson for the Terrebonne sheriff\u2019s office, similarly wrote, \u201cOur role as a law enforcement agency is primarily focused on disrupting the criminal activity that fuels addiction in our community.\u201d That effort complements other entities\u2019 work in prevention, treatment, and recovery, he added.<\/p>\n<p>The Bossier Parish Sheriff\u2019s Office declined to comment.<\/p>\n<p><strong>Where Public Health Meets Public Safety<\/strong><\/p>\n<p>Not all sheriffs spent the money on enforcement.<\/p>\n<p>Acadia Parish Sheriff <a href=\"https:\/\/www.apso.org\/administration.html\">K.P. Gibson<\/a> directed all his settlement cash to provide treatment in jail. He said he hopes to break cycles of addiction and crime.<\/p>\n<p>\u201cI want people back into society, being productive,\u201d he said.<\/p>\n<p>Research shows <a href=\"https:\/\/www.iris.ssw.umaryland.edu\/rc-moud-corrections\">providing medications<\/a> for opioid use disorder behind bars <a href=\"https:\/\/www.nih.gov\/news-events\/nih-research-matters\/treatment-opioid-use-disorder-jail-reduces-risk-return\">reduces<\/a><a href=\"https:\/\/mn.gov\/doc\/assets\/Medications%20for%20Opioid%20Use%20Disorder%20in%20Minnesota%20Prisons%20and%20its%20Effects%20on%20Recidivism%20and%20All-Cause%20Mortality_tcm1089-663007.pdf\"><\/a><a href=\"https:\/\/www.nih.gov\/news-events\/nih-research-matters\/treatment-opioid-use-disorder-jail-reduces-risk-return\"><\/a> <a href=\"https:\/\/www.jcoinctc.org\/jcoin-study-finds-that-providing-mat-in-jails-improves-treatment-engagement-reduces-overdose-and-recidivism\/\">recidivism<\/a> and <a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2024.01423\">overdose<\/a> <a href=\"https:\/\/www.nih.gov\/news-events\/news-releases\/treating-opioid-addiction-jails-improves-treatment-engagement-reduces-overdose-deaths-reincarceration\">deaths<\/a>.<\/p>\n<p>In St. Martin Parish, settlement funds helped launch a <a href=\"https:\/\/smpstar.org\/\">special team<\/a> of officers that connects people with substance use disorders or related mental illness to treatment, said Chester Cedars, chief legal counsel for its sheriff\u2019s office. Officers also try to coordinate support services for family members and assist with questions around paying for care.<\/p>\n<p>\u201cWe\u2019re not clinicians,\u201d Cedars said, but we \u201cserve as a broker\u201d between people who need services and those who provide them.<\/p>\n<p><a href=\"https:\/\/tnsam.org\/team\/dr-stephen-loyd\/\">Stephen Loyd<\/a>, an addiction medicine doctor and the West Virginia drug czar, who was the third member of the review panel, said he loved the comprehensive nature of the program. Addiction \u201cis a family issue,\u201d he said. \u201cEvery time that phone rings, it\u2019s a potential family crisis.\u201d<\/p>\n<p>Bolner and his granddaughter sit on a bench dedicated to his son and her father, Daniel, at Lafreniere Park in Metairie, Louisiana. Daniel died of a fentanyl overdose in 2016 on his 28th birthday. (Christiana Botic\/Verite News and CatchLight Local\/Report for America)<\/p>\n<p>It\u2019s not a coincidence that these parishes earned top marks from the reviewers. Cedars is the former chair of the <a href=\"https:\/\/laoatf.org\/\">Louisiana Opioid Abatement Task Force<\/a>, and Gibson is the current chair. That\u2019s the body meant to guide others on priority uses of settlement cash.<\/p>\n<p>Cedars was clear that the St. Martin sheriff\u2019s office was not using \u201cone penny for any enforcement activity,\u201d because that\u2019s not what the settlement \u201cintended to accomplish.\u201d<\/p>\n<p>Gibson was more hesitant, saying the legal guidelines are broad and \u201cI\u2019m not here to criticize anybody.\u201d<\/p>\n<p>He has advised about a dozen sheriffs who have reached out with questions, but he knows they\u2019re not required to heed his guidance.<\/p>\n<p>A <a href=\"https:\/\/app.lla.state.la.us\/PublicReports.nsf\/0\/D3E5D98B45E19A4C86258C8300677CDF\/%24FILE\/0000784EA.pdf\">2025 report<\/a> from the Louisiana Legislative Auditor found that the task force has no teeth to enforce its recommendations.<\/p>\n<p>If people want stronger guardrails on the opioid cash, state lawmakers need to enact new rules, Gibson said.<\/p>\n<p><strong>Stepping Up Oversight<\/strong><\/p>\n<p>The Louisiana state legislature <a href=\"https:\/\/www.legis.la.gov\/legis\/BillInfo.aspx?s=26rs&amp;b=SCR22&amp;sbi=y\">passed a resolution<\/a> in May calling for the legislative auditor to review how all parishes and sheriffs are handling their opioid settlement money and report to lawmakers prior to the 2027 legislative session.<\/p>\n<p>State Sen. <a href=\"https:\/\/senate.la.gov\/smembers?ID=23\">Brach Myers<\/a>, a Republican who co-authored the resolution, said the goal is to shed light on where dollars are flowing, if jurisdictions are spending them at all, and which funded programs are effective.<\/p>\n<p>With that information, Myers said, he and others could \u201cabsolutely\u201d introduce bills \u201cto tighten up how funding is spent.\u201d<\/p>\n<p>Louisiana Sheriffs Spent $4.7M in Opioid Settlement Cash on Items, Activities Deemed Unallowable in Other States<\/p>\n<p>Six states \u2014 &lt;a href=&#8221;<a href=\"https:\/\/www.dhcs.ca.gov\/wp-content\/uploads\/2025\/10\/Law-Enforcement-Expenses-with-OSF-Fact-Sheet.pdf#page=4&amp;quot\">https:\/\/www.dhcs.ca.gov\/wp-content\/uploads\/2025\/10\/Law-Enforcement-Expenses-with-OSF-Fact-Sheet.pdf#page=4&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;California&lt;\/a&gt;, &lt;a href=&#8221;<a href=\"https:\/\/www.in.gov\/recovery\/files\/State-Recommendations-for-Use-of-Settlement-Funds.pdf#page=4&amp;quot\">https:\/\/www.in.gov\/recovery\/files\/State-Recommendations-for-Use-of-Settlement-Funds.pdf#page=4&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;Indiana&lt;\/a&gt;, &lt;a href=&#8221;<a href=\"https:\/\/www.abilenecityhall.com\/DocumentCenter\/View\/4893\/Kansas-MFAF-Guide-to-Strategic-Opioid-Settlement-Allocation-PDF#page=36&amp;quot\">https:\/\/www.abilenecityhall.com\/DocumentCenter\/View\/4893\/Kansas-MFAF-Guide-to-Strategic-Opioid-Settlement-Allocation-PDF#page=36&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;Kansas&lt;\/a&gt;, &lt;a href=&#8221;<a href=\"https:\/\/www.michigan.gov\/ag\/initiatives\/opioids\/opioid-settlement-general-guidance-folder\/settlement-spending-guidance-and-non-remediation-list&amp;quot\">https:\/\/www.michigan.gov\/ag\/initiatives\/opioids\/opioid-settlement-general-guidance-folder\/settlement-spending-guidance-and-non-remediation-list&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;Michigan&lt;\/a&gt;, &lt;a href=&#8221;<a href=\"https:\/\/scorf.sc.gov\/files\/guidelines_and_unallowable_expenses_for_scorf_funding_2.pdf&amp;quot\">https:\/\/scorf.sc.gov\/files\/guidelines_and_unallowable_expenses_for_scorf_funding_2.pdf&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;South Carolina&lt;\/a&gt;, and &lt;a href=&#8221;<a href=\"https:\/\/www.oaa.virginia.gov\/media\/governorvirginiagov\/oaa\/applications\/Position-on-Gold-Standard-LE-and-EMS-Usage.pdf&amp;quot\">https:\/\/www.oaa.virginia.gov\/media\/governorvirginiagov\/oaa\/applications\/Position-on-Gold-Standard-LE-and-EMS-Usage.pdf&amp;quot<\/a>; target=&#8221;_blank&#8221; style=&#8221;color:#0071ce&#8221;&gt;Virginia&lt;\/a&gt; \u2014 have created lists of items and services that they say opioid settlement funds should not be spent on, including surveillance cameras and vehicles. Although Louisiana does not have its own &#8220;unallowable&#8221; list, the state&#8217;s Opioid Abatement Task Force said it has shared other states&#8217; guidance with some sheriffs. Yet nearly 60% of the sheriffs&#8217; spending involves items found on such lists.<\/p>\n<p>Note: Unallowable lists may not be legally binding in each state but are considered strong guidance.<br \/>\n&lt;br&gt;<br \/>\nSource: Data collection by KFF Health News, The Current, Gulf States Newsroom, and Verite News<br \/>\n&lt;br&gt;<br \/>\nCredit: KFF Health News&#8217; Lydia Zuraw and Aneri Pattani<\/p>\n<p>Meanwhile, the Louisiana Opioid Abatement Task Force is trying to strengthen its oversight.<\/p>\n<p>Curtis Nelson is executive counsel for the Louisiana Opioid Abatement Administration Corporation, a nonprofit that supports the task force. He said the body is seeking quotes from accountants to conduct ongoing forensic audits of parishes and sheriffs. The goal is to audit 10 to 15 entities annually, starting with those receiving the most money. If the audits turn up misuse, the task force could withhold future payments from those parishes or sheriffs, Nelson said.<\/p>\n<p>The task force is also exploring creating its own unallowable list, like those in other states, Nelson said.<\/p>\n<p>Louisiana Gov. Jeff Landry and Attorney General Liz Murrill did not respond to questions about whether they\u2019d support an unallowable list or take other actions to address opioid settlement spending.<\/p>\n<p>But many advocates are hopeful that an unallowable list could curb spending they found concerning.<\/p>\n<p>\u201cYou\u2019re keeping them on the track when you tell them what they can\u2019t use it for,\u201d said Bolner, the Jefferson Parish resident who lost his son to overdose and is raising his son\u2019s daughter.<\/p>\n<p>While he awaits greater oversight for sheriffs, Bolner plans to continue the work he\u2019s been doing for years: distributing overdose reversal medications at schools, hospitals, and bars; participating in grief support groups with other families; and showing up at community events to raise awareness about addiction. He said he\u2019ll keep speaking with sheriffs and parishes about what he considers the best use of settlement money.<\/p>\n<p>\u201cIf I save one life, it\u2019s accomplished,\u201d he said.<\/p>\n<p>Methodology<\/p>\n<div>\n<p>Reporters from KFF Health News, The Current, Gulf States Newsroom, and Verite News worked together to contact all 64 sheriffs\u2019 offices in Louisiana and ask how they\u2019d spent opioid settlement funds. The outreach involved dozens of emails and phone calls from March to July.<\/p>\n<p>If a sheriff\u2019s office did not respond or did not provide specific dollar amounts spent on programs or services, it was labeled \u201cDid not provide expenditures.\u201d All other responses were summarized in a data table.<\/p>\n<p>The amount of settlement money each sheriff\u2019s office received through 2025 was obtained from the Louisiana Opioid Abatement Task Force\u2019s <a href=\"https:\/\/laoatf.org\/wp-content\/uploads\/2026\/05\/Copy_of_Settlement_Allocations_21-Year_Projection_Summary_to_Locals_20251006.pdf\">public spreadsheet<\/a>. Allocations for years 1 through 5 were summed, representing 2021 through 2025.<\/p>\n<p>In the few cases in which a sheriff\u2019s office reported spending more money than the task force said it had been allocated, it was often because the sheriff\u2019s office had combined its share of opioid settlement dollars with the share received by the parish government or another funding source. Some sheriffs may have also reported money spent from their 2026 allocation.<\/p>\n<p>Once all the data was collected, the reporters used two methods to analyze the results.<\/p>\n<p>For the first, the reporters created an unduplicated list of expenditures and de-identified them by removing the sheriffs\u2019 offices names. That list was shared with three reviewers: <a href=\"http:\/\/linkedin.com\/in\/triciac13\">Tricia Christensen<\/a>, a public health policy expert who has been tracking opioid settlement spending since 2022; <a href=\"https:\/\/www.cedarrecovery.com\/dr-stephen-loyd\/\">Stephen Loyd<\/a>, an addiction medicine doctor and a person in recovery who previously served as chair of Tennessee\u2019s Opioid Abatement Council and is currently West Virginia\u2019s drug czar; and Danny Bolner Jr., a person in recovery from addiction who lost his son to a fentanyl overdose and is raising his son\u2019s daughter in Jefferson Parish, Louisiana.<\/p>\n<p>Each reviewer voted on each expenditure description as an appropriate or inappropriate use of opioid settlement money. The majority vote determined the final designation.<\/p>\n<p>Reporters calculated how much of the money spent by each sheriff\u2019s office went to expenditures the review panel deemed inappropriate. This value was divided by the total spent to determine the percentage of expenditures deemed inappropriate by the panel. The second approach to analyzing the sheriffs\u2019 spending was as follows: Six states (<a href=\"https:\/\/www.dhcs.ca.gov\/wp-content\/uploads\/2025\/10\/Law-Enforcement-Expenses-with-OSF-Fact-Sheet.pdf#page=4\">California<\/a>, <a href=\"https:\/\/www.in.gov\/recovery\/files\/State-Recommendations-for-Use-of-Settlement-Funds.pdf#page=4\">Indiana<\/a>, <a href=\"https:\/\/www.abilenecityhall.com\/DocumentCenter\/View\/4893\/Kansas-MFAF-Guide-to-Strategic-Opioid-Settlement-Allocation-PDF#page=36\">Kansas<\/a>, <a href=\"https:\/\/www.michigan.gov\/ag\/initiatives\/opioids\/opioid-settlement-general-guidance-folder\/settlement-spending-guidance-and-non-remediation-list\">Michigan<\/a>, <a href=\"https:\/\/scorf.sc.gov\/files\/guidelines_and_unallowable_expenses_for_scorf_funding_2.pdf\">South Carolina<\/a>, and <a href=\"https:\/\/www.oaa.virginia.gov\/media\/governorvirginiagov\/oaa\/applications\/Position-on-Gold-Standard-LE-and-EMS-Usage.pdf\">Virginia<\/a>) have created lists of items and services that they say opioid settlement funds should not be spent on, often known as \u201cunallowable lists.\u201d KFF Health News calculated how much money spent by each Louisiana sheriff\u2019s office went to expenditures on one of these lists. This value was divided by the total spent to determine the percentage of expenditures that would have been unallowable or not recommended in one or more of these states.<\/p>\n<\/div>\n<p><em>The Current\u2019s Alena Maschke, Gulf States Newsroom\u2019s Drew Hawkins, and Verite News\u2019 Katie Jane Fernelius contributed to the database featured in this article.<\/em><\/p>\n<\/div>\n<p><em><a href=\"https:\/\/kffhealthnews.org\/about-us\">KFF Health News<\/a> is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF\u2014an independent source of health policy research, polling, and journalism. Learn more about <a href=\"https:\/\/www.kff.org\/about-us\">KFF<\/a>.<\/em><\/p>\n<p>This <a target=\"_blank\" href=\"https:\/\/kffhealthnews.org\/public-health\/louisiana-sheriffs-opioid-settlement-spending-addiction-law-enforcement\/\" rel=\"noopener\">article<\/a> first appeared on <a target=\"_blank\" href=\"https:\/\/kffhealthnews.org\/\" rel=\"noopener\">KFF Health News<\/a> and is republished here under a <a target=\"_blank\" href=\"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/\" rel=\"noopener\">Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>KFF Health News worked with three Louisiana news outlets \u2014 The Current, Gulf States Newsroom, and Verite News \u2014 to ask all 64 sheriffs in the state how they\u2019ve spent their opioid settlement funds. The responses were shared and presented in a data table for all four newsrooms to use. Reporters then conducted individual reporting&#8230;<\/p>\n","protected":false},"author":0,"featured_media":15270,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-15269","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"_links":{"self":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/15269"}],"collection":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=15269"}],"version-history":[{"count":0,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/posts\/15269\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=\/wp\/v2\/media\/15270"}],"wp:attachment":[{"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medical-article.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}