As part of the deal, Purdue would be dissolved and replaced by Knoa Pharma, a new public-benefit entity with a board appointed by the states; the Sackler family would be shielded from opioid-related lawsuits in exchange for their payments.

The Sackler family would not face criminal charges under the settlement, and their names could be removed from museums and institutions they supported.

The Sackler family would be shielded from lawsuits related to the payments, while Purdue would cease to exist in its current form.

A sweeping settlement could total up to $7 billion to be paid over 15 years by the Sackler family, owners of Purdue, to state, local, and Native American governments, individual victims, and others, with most funds earmarked to fight the opioid crisis.

If approved, the settlement could take effect on May 1, and would push the overall opioid-related settlements beyond $50 billion across governments, victims, and other parties to address overdose deaths and addiction.

Taken together, the settlements represent a landmark in opioid litigation, combining corporate restructuring, accountability payments, and sustained public health funding to tackle the crisis.

The sentencing hearing could also influence museum donations and reputational considerations for Sackler family members, who have faced scrutiny but not criminal charges themselves.

There are ongoing debates over how recipient governments and advocates will use the settlement funds, with calls for stronger accountability and criminal accountability for individuals involved.

Some victims and survivors oppose the deal, arguing it falls short of justice and urging criminal charges against individuals, including Sackler family members, with victim impact statements continuing ahead of sentencing.

About 54,000 claimants voted to accept the settlement while roughly 218 voted against it, illustrating a divide among victims over whether compensation or criminal accountability should take precedence.

Victims’ families remain divided, with many pressing for criminal prosecutions of individuals linked to the crisis alongside the settlement.

Advocates for harsher accountability, including criminal charges against individuals and Sackler family members, have organized to push for accountability rather than directing funds solely to governments.