As opioid settlement funds start to flow and state leaders make crucial decisions on how to spend the more than $50 billion windfall to tackle this entrenched public health crisis, the Biden administration has gone mostly quiet.
, have planned for similar possibilities in their public documents about the opioid settlements. But as of mid-March, neither state had received federal requests for their share.Health policy experts suggest the Biden administration could use the possibility of claiming those funds as leverage: In return for allowing states to keep the cash, it could require all of it be spent on addressing the opioid crisis or be used only for treatments backed by research.
“The federal government is spending a lot of money on opioids,” said Pierce, the former HHS spokesperson. “If they want, they could try and tie that money to requirements that settlement money be spent on opioids.”, with federal transportation funding as the carrot. Given the energy crisis at the time, the administration wanted states to reduce oil consumption by imposing a maximum speed limit of 55 mph. But it couldn’t mandate states to do so.
The federal government also can suggest the settlements be used to augment, not duplicate, existing federal funding, said Gilbert, of the Bipartisan Policy Center.
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