A portion of West Virginia’s nearly $1 billion opioid settlement fund can be used to pay regional jail bills that have strained county budge
For a decade, multi-billion dollar companies increased their bottom lines at the expense of West Virginians by pumping opioids into the state: here, people fatally overdosed at rates higher than anywhere else in the country. The fallout has persisted into the 2020s; recent data estimates that, between June 2021 and 2022, drugs caused the death of nearly four West Virginians every day.
Many of those companies have paid settlements to West Virginia over the past year and a half for their role in catalyzing the crisis. Those funds, eventually estimated to total upwards of a billion dollars, are intended to benefit West Virginians—like to connect more people like Ford to counseling and medication-assisted treatment programs, or to prevent children in schools from initiating opioid use.
But while the funds could be used that way, there's no guarantee they will be. The contract agreed to by Attorney General Patrick Morrisey and the state’s local governments allows counties to use their shares, expected to be around $150 million, to pay regional jail fees instead.
These rising jail costs—exacerbated in part by people jailed on charges related to substance use disorder—are a problem in many West Virginia counties, and many county commissioners have said they feel stifled by the $48.25 daily cost to keep someone behind bars.
But for public health experts, allowing settlement funds to be spent on incarcerating those with substance use disorders would further the epidemic.
"If someone wanted to increase overdose rates, what they would do is simply round people up and arrest them," said Dr. Dan Ciccarone, a professor at the University of California San Francisco who specializes in treating opioid addiction. "Because the number one predictor of overdose . . . is recent release from incarceration."












