# Maryland’s Opioid Settlements

*This Community Guide will describe how Maryland is spending its opioid settlements and whether Maryland is working to ensure community access to opioid settlement funds. Last revised September 1, 2024.*

<table data-view="cards" data-full-width="true"><thead><tr><th align="center"></th><th align="center"></th></tr></thead><tbody><tr><td align="center"><h4>Total Funds</h4></td><td align="center"><p><strong>$653 million</strong>[1]</p><hr><p>[1] Total is rounded. <em>See</em> <a href="https://www.opioidsettlementtracker.com/globalsettlementtracker">The Official Opioid Settlement Tracker Tally</a>. Accessed September 1, 2024.</p></td></tr><tr><td align="center"><h4>Allocation</h4></td><td align="center"><p>70% to local governments and 30% to the state[2]</p><p><br><img src="https://2302236312-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FY7CPfyYcXuai9zbWSjrB%2Fuploads%2FrZYzrhf2wF45LAUYimf5%2F_OpioidSettlement-DecisionMaking_Maryland.png?alt=media&#x26;token=914887ac-fd72-4d9d-a9c2-6fe2a4f93bb2" alt=""></p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><strong>State-Local Agreements</strong> (<a href="https://nationalopioidsettlement.com/wp-content/uploads/2022/02/Maryland-State-Subdivision-Agreement.pdf">State-Subdivision Agreement Between the State of Maryland and Local Governments on Proceeds Relating to the Settlement of Opioids Litigation</a> and <a href="https://stopoverdose.maryland.gov/wp-content/uploads/sites/34/2024/03/2023.04.15-Maryland-Signed-State-Subdivision-Agreement-2023-Update.pdf">State-Subdivision Agreement Between the State of Maryland and Participating Local Governments on Proceeds From Settlement of Opioids Litigation Against Teva, Allergan, Walmart, and Walgreens</a>); <strong>Legislation</strong> (<a href="https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=gsf&#x26;section=7-331">Md. State Finance and Procurement Code Ann. Sec.  7-331</a>, Md. Health - General Code Ann. Secs. <a href="https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&#x26;section=7.5-901">7.5-901</a> to <a href="https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&#x26;section=7.5-905">7.5-905</a>); <strong>Executive Order</strong> (<a href="https://governor.maryland.gov/Lists/ExecutiveOrders/Attachments/26/EO%2001.01.2023.21%20Marylands%20Office%20of%20Overdose%20Response_Accessible.pdf">Executive Order 01.01.2023.21</a>)</td></tr></tbody></table>

<table data-header-hidden data-full-width="true"><thead><tr><th></th><th></th><th></th><th></th><th></th></tr></thead><tbody><tr><td> </td><td><h4>45% Targeted Abatement Grants</h4></td><td><h4>25% Local Share</h4></td><td><h4>15% State Share</h4></td><td><h4>15% State Discretionary Abatement Fund</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><strong>Local officials</strong> for counties, cities, and towns</td><td><strong>Local officials</strong> for counties, cities, and towns</td><td><strong>The “State” (</strong><a href="https://health.maryland.gov/Pages/Home.aspx"><strong>Maryland Department of Health</strong></a>)</td><td><a href="https://health.maryland.gov/Pages/Home.aspx"><strong>Maryland Department of Health</strong></a></td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><p><strong>Qualifying charter counties decide autonomously</strong></p><p><strong>Other localities receive funds</strong> <strong>via a</strong> <a href="https://health.maryland.gov/Pages/Home.aspx"><strong>Maryland Department of Health</strong></a> targeted abatement grant program <strong>after approval of a local abatement plan</strong></p></td><td><strong>Localities decide autonomously</strong> after receiving non-binding recommendations from the state and consulting other localities in their county</td><td>The <strong>Maryland Department of Health distributes</strong> funds after considering recommendations from the <a href="https://stopoverdose.maryland.gov/orf/">Opioid Restitution Fund Advisory Council</a></td><td>The <strong>Maryland Department of Health distributes funds through a competitive grant program</strong> after considering recommendations from the <a href="https://stopoverdose.maryland.gov/orf/">Opioid Restitution Fund Advisory Council</a></td></tr><tr><td><em><strong>Supplantation</strong></em></td><td><strong>Prohibited</strong></td><td><strong>Not prohibited</strong></td><td><strong>Prohibited</strong></td><td><strong>Prohibited</strong></td></tr><tr><td><em><strong>Grant Funding</strong></em></td><td><strong>Up to each locality</strong> (availability and processes will vary)</td><td><strong>Up to each locality</strong> (availability and processes will vary)</td><td><strong>Yes</strong>. <em>See</em> Maryland’s Office of Overdose Response’s <a href="https://stopoverdose.maryland.gov/grants/">Grants</a> and <a href="https://stopoverdose.maryland.gov/orf/">ORF Advisory Council</a> pages.</td><td><strong>Yes</strong>. <em>See</em> Maryland’s Office of Overdose Response’s <a href="https://stopoverdose.maryland.gov/grants/">Grants</a> and <a href="https://stopoverdose.maryland.gov/orf/">ORF Advisory Council</a> pages.</td></tr><tr><td><em><strong>Public Input</strong></em></td><td><p><strong>Up to each locali</strong>ty (not required)</p><p> </p></td><td><strong>Up to each locality</strong> (not required)</td><td><strong>Depends on future programming</strong> (recurring opportunities not required)</td><td><strong>Depends on future programming</strong> (recurring opportunities not required)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><p><strong>Up to each locality</strong> (not required)</p><p> </p></td><td><p><strong>Up to each locality</strong> (not required)</p><p> </p></td><td><p><strong>Yes</strong> (required). <em>See</em> the <a href="https://stopoverdose.maryland.gov/orf/">Opioid Restitution Fund Advisory Council</a>.</p><p>The Council is required to include member(s) with lived and/or living experience.</p></td><td><p><strong>Yes</strong> (required). <em>See</em> the <a href="https://stopoverdose.maryland.gov/orf/">Opioid Restitution Fund Advisory Council</a>.</p><p>The Council is required to include member(s) with lived and/or living experience.</p></td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>Public reporting required</strong>. View annual public reports <a href="https://stopoverdose.maryland.gov/orf-public-reporting/">here</a>.</td><td><strong>Neither public nor intrastate reporting required</strong></td><td><strong>Public reporting required</strong>. View annual public reports <a href="https://stopoverdose.maryland.gov/orf-public-reporting/">here</a>.</td><td><strong>Public reporting required</strong>. View annual public reports <a href="https://stopoverdose.maryland.gov/orf-public-reporting/">here</a>.</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the Targeted Abatement Grants share, a good starting point is to check the websites for your county council, city council, or local health department. You can also refer to the Maryland Association of Counties’ various opioid settlement-related articles on its <a href="https://conduitstreet.mdcounties.org/?s=Opioids">Opioids</a> page. <em>See also</em> <a href="https://stopoverdose.maryland.gov/orf/">Opioid Restitution Fund Advisory Council</a> (Maryland’s Office of Overdose Response).</td><td>For updates on the local share, a good starting point is to check the websites for your county council, city council, or local health department. You can also refer to the Maryland Association of Counties’ various opioid settlement-related articles on its <a href="https://conduitstreet.mdcounties.org/?s=Opioids">Opioids</a> page.</td><td>For updates on the state share, visit the Opioid Restitution Fund Advisory Council’s <a href="https://stopoverdose.maryland.gov/orf/">website</a> and join Maryland’s <a href="https://docs.google.com/forms/d/e/1FAIpQLSdoUZgZq1MlRMAtUdZh9Z1gAXd0kyGlMjSDvsNVxhMZ3mr5vA/viewform">Office of Overdose Response mailing list</a>.</td><td>For updates on the State Discretionary Abatement Fund share, visit the Opioid Restitution Fund Advisory Council’s <a href="https://stopoverdose.maryland.gov/orf/">website</a> and join Maryland’s <a href="https://docs.google.com/forms/d/e/1FAIpQLSdoUZgZq1MlRMAtUdZh9Z1gAXd0kyGlMjSDvsNVxhMZ3mr5vA/viewform">Office of Overdose Response mailing list</a>.</td></tr></tbody></table>

\[2] The 70% to local governments includes the 45% Targeted Abatement Grants share and 25% Local Share.
