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                                                                                                 U.S. NEWS Wednesday 2 February 2022
            Native American tribes reach $590 million opioid settlement



            By  GEOFF  MULVIHILL  and                                                                                           $75 million one the Chero-
            FELICIA FONSECA                                                                                                     kee  Nation  and  the  three
            Associated Press                                                                                                    distribution   companies
            Native   American     tribes                                                                                        reached  last  year  ahead
            have  reached  settlements                                                                                          of a trial.
            over the toll of opioids total-                                                                                     The  same  four  companies
            ing  $590  million  with  drug-                                                                                     are nearing the final stages
            maker  Johnson  &  Johnson                                                                                          of  approval  of  settlements
            and  the  country's  three                                                                                          worth $26 billion with state
            largest  drug  distribution                                                                                         and  local  governments
            companies, according to a                                                                                           across  the  U.S.  They  have
            court filing made Tuesday.                                                                                          until  later  this  month  to
            The  filing  in  U.S.  District                                                                                     decide  whether  enough
            Court  in  Cleveland  lays                                                                                          government  entities  have
            out the broad terms of the                                                                                          signed  on  to  continue  in
            settlements  with  Johnson                                                                                          the deal.
            & Johnson and distribution                                                                                          The  money  for  tribes  will
            companies     Amerisource-                                                                                          come out of the larger set-
            Bergen,  Cardinal  Health                                                                                           tlements.
            and  McKesson.  Some  de-                                                                                           The  tribal  settlements  are
            tails  are  still  being  hashed                                                                                    part  of  about  $40  billion
            out.                                                                                                                worth  of  settlements,  pen-
            All  federally  recognized   This June 17, 2019, file photo shows 5-mg pills of Oxycodone.                          alties  and  fines  rung  up
            tribes in the U.S. will be able                                                                    Associated Press   over  the  years  by  compa-
            to participate in the settle-                                                                                       nies  over  their  role  in  opi-
            ments, even if they did not  treatment services."         The   newly    announced  deals  are separate from a  oids. q
            sue over opioids. And there  More  than  400  tribes  and
            could  be  settlements  be-  intertribal   organizations
            tween other firms in the in-  representing  about  80%  of
            dustry  and  tribes,  many  of  tribal  citizens  have  sued
            which  have  been  hit  hard  over opioids.
            by the overdose crisis.      New  Brunswick,  New  Jer-
            W.  Ron  Allen,  chair  of  the  sey-based   Johnson   &
            Jamestown  K'Klallam  Tribe  Johnson  —  whose  opioids
            in  Sequim,  Washington,  included  Duragesic  and
            called  it  a  big  deal  for  Nucynta  but  which  has
            tribes  to  reach  their  own  stopped  selling  opioids  —
            settlement, in contrast with  said  in  a  statement  Tues-
            tobacco  industry  deals  in  day  that  the  settlement  is
            the  1990s  that  left  out  Na-  not an admission of liability
            tive American groups.        or  wrongdoing.  Cardinal,
            Allen  doesn't  expect  his  based  in  Columbus,  Ohio,
            tribe  of  about  550  people  declined to comment, and
            to  get  much  from  the  set-  the  other  distributors  did
            tlement,  but  it  will  help  in  not  immediately  respond
            its efforts to build a healing  to requests for comment.
            center that will address opi-  Under the deal, Johnson &
            oid addiction, he said.      Johnson  would  pay  $150
            "Every  penny  counts,  so  million over two years. Am-
            we'll take it and run with it,"  erisourceBergen,  based  in
            he said.                     Conshohocken,      Pennsyl-
            One study cited in the set-  vania;  McKesson,  based
            tlement  found  that  Native  in Irving, Texas; and Cardi-
            Americans  have  had  the  nal  would  contribute  $440
            highest  per  capita  rate  of  million  in  total  over  seven
            opioid  overdose  of  any  years.
            population group in 2015.    Each  tribe  could  decide
            "American  Indians  have  whether to participate but
            suffered  the  highest  per  would  be  required  to  use
            capita rate of opioid over-  the money to deal with the
            dose  and  are  more  likely  opioid epidemic.
            than  other  group  in  the  The deal would take effect
            United  States  to  die  from  when 95% of the tribes with
            drug-induced deaths," said  lawsuits  against  the  com-
            Douglas    Yankton,  chair  panies agree to the settle-
            of the Spirit Lake Nation in  ment,  said  Tara  Sutton,  a
            North  Dakota,  in  a  state-  lawyer whose firm is repre-
            ment.  "The  dollars  that  will  senting 28 tribes.
            flow to Tribes under this ini-  Settlements are also in the
            tial settlement will help fund  works  between  tribes  and
            crucial, on-reservation, cul-  other  companies  involved
            turally  appropriate  opioid  in opioids, Sutton said.
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