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Mississippi Legislature· SB 2726Approved by Governor (Chapter 510)

Mississippi Opioid Settlement Fund Advisory Council; to amend provisions related to., the official text

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MISSISSIPPI LEGISLATURE

2026 Regular Session

To: Judiciary, Division A

By: Senator(s) Boyd

Senate Bill 2726

(As Sent to Governor)

AN ACT TO AMEND SECTION 41-153-1, MISSISSIPPI CODE OF 1972,
TO DEFINE THE TERMS "SETTLEMENT FUNDS" AND "FUND"; TO
PROVIDE THAT THE LEGISLATURE MAY DETERMINE WHICH OF THE APPLICANTS FROM THE
LIST OF RECOMMENDED GRANT RECIPIENTS RECEIVED FROM THE MISSISSIPPI OPIOID
SETTLEMENT FUND ADVISORY COUNCIL SHALL RECEIVE SETTLEMENT FUNDS AND THE AMOUNT
EACH APPLICANT SHALL RECEIVE, IF ANY, BY SEPARATE LINE ITEMS IN AN
APPROPRIATION BILL; TO REQUIRE THE ADVISORY COUNCIL, WHEN DEVELOPING PRIORITIES
TO GUIDE THE SELECTION OF GRANT RECIPIENTS, TO ALIGN WITH CERTAIN STRATEGY
PILLARS FOR ADDRESSING OPIOID USE DISORDER AND OVERDOSE; TO DIRECT THE ADVISORY
COUNCIL, BY AND THROUGH THE OFFICE OF THE ATTORNEY GENERAL, TO SOLICIT AND
ENTER INTO A CONTRACT WITH A QUALIFIED THIRD PARTY TO CREATE AND ADMINISTER AN
ONLINE PLATFORM FOR THE SUBMISSION OF GRANT PROPOSALS, PROVIDE TECHNICAL
ASSISTANCE TO GRANT APPLICANTS IN SUBMITTING SUCH PROPOSALS, PROVIDE AN INITIAL
INDEPENDENT ASSESSMENT AND EVALUATION, SCORING AND CATEGORIZATION OF PROPOSALS
USING STANDARDIZED CRITERIA, GRANT ADMINISTRATION AND PROVIDE OUTCOME
MONITORING, INCLUDING THE REVIEW OF QUARTERLY REPORTS AND OTHER NECESSARY DATA,
AND THE REPORTING OF SUCH DATA TO THE ADVISORY COUNCIL AND TO THE PUBLIC ON THE
ATTORNEY GENERAL'S WEBSITE; TO PROHIBIT A MEMBER OF THE ADVISORY COUNCIL FROM,
DIRECTLY OR INDIRECTLY, INFLUENCING, SEEKING TO INFLUENCE, VOTING ON, OR
PARTICIPATING IN THE RECOMMENDATION OF GRANT RECIPIENTS OR THE RECOMMENDATION
TO ALLOCATE FUNDS FOR THE BENEFIT OF ANY ORGANIZATION WITH WHICH THE MEMBER HAS
AN AFFILIATION; TO REQUIRE A MEMBER OF THE ADVISORY COUNCIL TO RECUSE ON SUCH
MATTERS; TO CONFORM THE QUORUM REQUIREMENT OF THE ADVISORY COUNCIL; TO REVISE
THE REPORTING REQUIREMENTS RELATED TO SETTLEMENT FUNDS; TO REENACT SECTION 27-103-305,
MISSISSIPPI CODE OF 1972, WHICH AUTHORIZES THE OPIOID SETTLEMENT FUND; TO
DIRECT THE TRANSFER OF CERTAIN FUNDS INTO THE OPIOID SETTLEMENT FUND; AND FOR
RELATED PURPOSES.

BE IT ENACTED BY THE
LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1.  Section
41-153-1, Mississippi Code of 1972, is amended as follows:

41-153-1.  (1)  As used in
this section, Section 27-103-305 and Section 27-103-305.1, the following terms
shall have the meanings as defined in this subsection unless the context
clearly requires otherwise:

(a)  "Council"
means the Mississippi Opioid Settlement Fund Advisory Council created in
subsection (2) of this section.

(b)  "Opioid
settlements" means the current and future settlements of opioid litigation
with distributors Cardinal Health, McKesson and AmerisourceBergen,
manufacturers Purdue Pharma, Inc., Janssen Pharmaceuticals/Johnson &
Johnson, Allergan and Teva, and pharmacy chains CVS, Walgreens, Walmart, and
Kroger, and other defendants of related opioid litigation.

(c)  "Abatement
settlement funds" means those monies from the opioid settlements that are
required to be spent on opioid abatement programs, goods and services.

(d)  "Nonabatement
settlement funds" means those monies from the opioid settlements that are
not required to be spent on opioid abatement programs, goods and services.

(e)  "Settlement
funds" means both abatement settlement funds and nonabatement settlement
funds.

(f)  When used as a
singular noun, the term "fund" means the Opioid Settlement Fund
created in Section 27-103-305.

(2)  There is created the
Mississippi Opioid Settlement Fund Advisory Council to ensure that monies
received and deposited into the * * * Opioid Settlement fund are allocated and spent
in accordance with the terms of the opioid settlements, except as otherwise
authorized in Section 27-103-305(4), and to ensure public involvement,
accountability and transparency in allocating and accounting for the monies in
the fund.

(3)  The purpose of the
council is to review applications for grants funded by the proceeds of opioid
settlements and to make recommendations to the Legislature for the
appropriation of such proceeds to fund the grants.

(4)  The Legislature may
accept or reject each of the council's grant recipient recommendations * * *, but shall not otherwise amend or modify and
may determine which of the * * * recommended list of grant recipients or the amounts
recommended for the recipients applicants shall receive
settlement funds and the amount each applicant shall receive, if any, by
separate line items in an appropriation bill.  The council shall not
exclude any qualified applicant from the list provided to the Legislature under
subsection (11) of this section.

(5)  The council shall
consist of the following voting members:

(a)  The Attorney
General or a designee, who shall serve as chair of the council;

(b)  The State Health
Officer or a designee, who shall serve as co-vice chair of the council;

(c)  The Executive
Director of the State Department of Mental Health or a designee, who shall
serve as co-vice chair of the council;

(d)  Two (2) members
appointed by the Governor;

(e)  Two (2) members
appointed by the Lieutenant Governor who are not members of the Legislature;

(f)  Two (2) members
appointed by the Speaker of the House of Representatives who are not members of
the Legislature;

(g)  A member appointed
by the Chief Justice of the Mississippi Supreme Court;

(h)  A member to be
appointed by the State Superintendent of Public Education;

(i)  A member of the
Mississippi Municipal League to be appointed by the President of the League;

(j)  A member of the
Mississippi Association of Supervisors to be appointed by the President of the
Association;

(k)  A member of the
Mississippi Association of Chiefs of Police to be appointed by the President of
the Association; and

(l)  A member of the
Mississippi Sheriffs' Association to be appointed by the President of the
Association.

(6)  The following shall be
nonvoting, advisory members of the council:

(a)  A member of the
Mississippi Prosecutors Association to be appointed by the President of the
Association;

(b)  A member of the
Office of State Public Defender appointed by the State Public Defender;

(c)  Three (3) judges
with experience related to opioid substance abuse and intervention to be
appointed by the Chief Justice of the Mississippi Supreme Court;

(d)  A member
representing the Mississippi Division of Medicaid to be appointed by the
Executive Director of the Division;

(e)  A member
representing the Mississippi Department of Human Services to be appointed by
the Executive Director of the Department;

(f)  A member to be
appointed by the Commissioner of the Department of Public Safety;

(g)  A member to be
appointed by the Commissioner of Child Protection Services;

(h)  A member of the
Mississippi State Medical Association to be appointed by the President of the
Association;

(i)  A member of the
Mississippi Society of Addiction Medicine to be appointed by the President of
the Society;

(j)  A member
representing the Community Mental Health Centers to be appointed by the
Executive Director of the State Department of Mental Health;

(k)  A member
representing the Community Health Centers to be appointed by the State Health
Officer;

(l)  A member
representing private sector substance abuse treatment facilities to be
appointed by the State Health Officer;

(m)  A member
representing a peer support recovery specialist organization to be appointed by
the Executive Director of the State Department of Mental Health;

(n)  The Medical
Director of the State Department of Mental Health or a designee;

(o)  A member from the
State Intervention Courts Advisory Committee to be appointed by the Chief
Justice of the Mississippi Supreme Court;

(p)  A member
representing the Mississippi Ambulance Alliance to be appointed by the Board of
the Alliance;

(q)  Two (2) members of
the Senate to be appointed by the Lieutenant Governor; and

(r)  Two (2) members of
the House to be appointed by the Speaker of the House.

(7)  Voting members may
request to add additional nonvoting, advisory members with expertise in opioid
prevention, treatment and recovery.  Such members may be added by a majority
vote of the voting members.

(8)  (a)  Members of the
council pursuant to subsection (5)(a) through (c) of this section shall
serve permanently during their tenure in their respective offices.

(b)  Members appointed
pursuant to subsection (5)(d) through (f) of this section shall serve an
initial term ending on December 31, 2027.  After the expiration of the initial
term, each such appointment shall be for a term of four (4) years from the
expiration date of the previous term.

(c)  All other members
of the council shall serve for a three-year term.

(d)  The respective
appointing authority may remove a member for failure to attend at least one-half
(1/2) of the scheduled meetings in any one-year period or for other good cause.

(e)  If a vacancy on
the council occurs, the respective appointing authority shall fill the vacancy
for the remainder of the unexpired term.  Notwithstanding the expiration of a
member's term, each member shall serve until a successor is duly appointed.

(f)  Members of the
council shall be appointed within sixty (60) days after effective date of this
act.  The chair of the council shall call the first meeting of the council no
later than ninety (90) days after the effective date of this act.

(g)  A majority of the
voting members of the council shall constitute a quorum.  A voting member of
the council who recuses under subsection (17) of this section shall not be
considered for the purposes of quorum for the votes for which the voting member
of the council is recused.

(9)  Members of the council
shall serve without compensation but may be reimbursed for actual and necessary
expenses incurred in the performance of their duties, in accordance with
Section 25-3-41.  All such expenses shall be paid from the Opioid Settlement
Fund and not from the State General Fund.

(10)  The council shall be
housed within the Office of the Attorney General.  The Attorney General shall
provide the staff and facilities necessary to assist the council in the
performance of its duties.

(11)  The council shall:

(a)  Prepare and
publish a list of priorities to guide the selection of grant recipients at its
first meeting of each calendar year * * *;.  In developing these priorities, the
council shall align, to the greatest extent practicable and consistent with
state law and the opioid settlements, with the following strategy pillars for
addressing opioid use disorder and overdose:

(i)  Prevention
and early intervention;

(ii)  Treatment
and recovery access;

(iii)
Accountability and transparency;

(iv)  Community-based
solutions;

(v)  Reducing
overdose and harm;

(vi)
Enforcement;

(vii)  Workforce
and integration; and

(viii)  Data-driven
policy;

(b)  Develop and
publish criteria and procedures for the submission of grant applications for
funds derived from opioid settlements;

(c)  Review and
evaluate applications based on established criteria to determine the most
effective and impactful use of funds in addressing opioid-related issues,
including prevention, treatment and recovery efforts;

(d)  Ensure that all
applications are reviewed and evaluated for compliance with the terms of the
opioid settlement agreements;

(e)  Prepare a
prioritized list of recommended grant recipients, which includes a description
of how each recommended recipient complies with the council's published
priorities; and

(f)  Upon approval of
the total list of recommended grant recipients by the council, submit
the list of recommended grant recipients * * * shall be submitted to the Lieutenant Governor,
Speaker of the House, Chairs of the Senate and House Appropriations Committees,
Chairs of the Senate Public Health and Welfare and House Public Health and
Human Services Committees, and Chairs of the Senate and House Judiciary A
Committees no later than thirty (30) days before the first day of the Regular
Legislative Session.

(12)  The council shall not
exclude any qualified applicant from the list provided to the Legislature under
subsection (11) of this section.

(13)  The council shall
ensure that all funds appropriated comply with the terms and conditions of the
respective settlement agreements and state laws governing the use of such
funds, except as otherwise authorized in Section 27-103-305(4).

(14)   The council shall
adopt necessary rules, regulations and procedures to effectuate the purposes of
this act and to ensure that a grant applicant expends all grant funds in a
manner consistent with the terms of the opioid settlement agreements.

(15)  (a)  In advance of
the 2026-2027 grant cycle, the council, by and through the Office of the
Attorney General, shall, using nonabatement settlement funds as appropriated by
the Legislature and acting in compliance with state procurement laws, solicit
and enter into a contract with a qualified third party, on behalf of the
council, to provide the following services:

(i)  Creation
and administration of an online platform for the submission of grant proposals;

(ii)  Technical
assistance to grant applicants in submitting such proposals;

(iii)  Initial
independent assessment, scoring and categorization of proposals using
standardized criteria;

(iv)  Grant
administration for those line-item appropriations in the Attorney General
appropriation bill, including compliance, payment requests, approval of
disbursal of funds, reporting and closeout; and

(v)  Outcome
monitoring, including the review of quarterly reports and other necessary data,
and the reporting of such data to the council and to the public on the Attorney
General's website, with such data on the website being in the form of a data
dashboard.

(b)  The Office of
the Attorney General shall complete the solicitation process and enter into a
contract with a qualified third party in accordance with state procurement laws
not later than sixty (60) days after the effective date of this act.

(c)  Nothing in this
subsection (15) shall be construed as removing any authority of the council to
make its annual funding recommendations to the Legislature, or to limit the
authority of the Legislature to determine which applicants receive settlement
funds and the amount each applicant receives.

( * * *1516)  The council shall terminate when
all * * * opioid
settlement funds being paid pursuant to the opioid settlements have been
received and disbursed, unless the Attorney General certifies that additional
funds are anticipated within one (1) year.

(17)  A member of the
council shall not, directly or indirectly, influence, seek to influence, vote
on, or participate in the recommendation of grant recipients or the
recommendation to allocate funds for the benefit of any organization with which
the member has an affiliation.  A member of the council shall recuse from the
discussion, ranking, or vote upon any such matter.

( * * *1618)  (a)  By * * * December November 1 of each year, the
council shall submit an annual report to the * * * Legislature Lieutenant Governor, the
Speaker of the House, the Chair of the Senate Appropriations Committee, the
Chair of the appropriate House Appropriations Committee, the Chair of the
Senate Judiciary, Division A Committee, the Chair of the House Judiciary A
Committee, the Legislative Budget Office, and the Governor summarizing the
distribution of funds, outcomes of funded programs, and any recommendations for
improving the process of appropriation and administration of settlement funds.
The report shall also include, as of the date of the report:

(i)  The total
amount of settlement funds deposited to the fund;

(ii)  The
balance of the fund; and

(iii)  The
amount of abatement and nonabatement settlement funds available to be disbursed
by the Legislature.

(b)  The report shall
be made publicly available on the Attorney General's website.

(c)  No later than
forty-five (45) days after sine die of any regular session or any extraordinary
session of the Legislature in which settlement funds are appropriated, the
Legislative Budget Office shall report, in summary, to the Attorney General the
amount of any abatement and nonabatement settlement funds, if any, that were
appropriated from the fund.

SECTION 2.  Section
27-103-305, Mississippi Code of 1972, is reenacted as follows:

27-103-305.  (1)  There is
created in the State Treasury a special fund to be known as the Opioid Settlement Fund.  The fund shall consist of the
monies received by the Attorney General on behalf of the State of Mississippi
from settlements of opioid litigation with distributors Cardinal Health,
McKesson and AmerisourceBergen, manufacturers Purdue Pharma, Inc., Janssen
Pharmaceuticals/Johnson & Johnson, Allergan and Teva, and pharmacy chains CVS,
Walgreens, Walmart, and Kroger, and other defendants of related opioid
litigation.  The Attorney General shall deposit all of such monies into the
fund after attorney fees and expenses have been paid.

(2)  Abatement settlement
funds shall be disbursed upon appropriation by the Legislature in accordance
with the requirements of Section 41-153-1.

(3)  For abatement
settlement funds, the Attorney General shall oversee the expenditure of such
monies to ensure compliance with the opioid settlements.

(4)  Nonabatement settlement
funds shall be disbursed upon appropriation by the Legislature without any
recommendations by the council regarding the use of those monies.

(5)  Unexpended amounts
remaining in the fund at the end of a fiscal year shall not lapse into the
State General Fund, and any interest earned or investment earnings on amounts
in the fund shall be deposited into such fund.

SECTION 3.  Upon the
effective date of this act, the State Fiscal Officer, in conjunction with the
State Treasurer, shall transfer the balance of the funds in Fund No. 3308900000
to the new Opioid Settlement Fund created pursuant to the reenacted Section 27-103-305.
Upon completion of the transfer under this section, the State Treasurer or the
Attorney General shall close Fund No. 3308900000.

SECTION 4.  This act
shall take effect and be in force from and after its passage.
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