While 98% of 34,000 local governments agreed to be bound by a class action against major pharmaceutical companies, 541 major counties opted out.
Some of these counties were most affected by the opioid crisis. The Florida and West Virginia counties that opted out were among the hardest hit by the epidemic.
The negotiation class must get a 75% approval for any settlement.
Lawyers explained those towns and counties not as affected had little incentive to pursue their own lawsuits while the areas hit hardest do have that incentive.