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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.

45% Targeted Abatement Grants

25% Local Share

15% State Share

15% State Discretionary Abatement Fund

Ultimate Decisionmaker

Local officials for counties, cities, and towns

Local officials for counties, cities, and towns

Decision-making Process

Qualifying charter counties decide autonomously

Other localities receive funds via a Maryland Department of Health targeted abatement grant program after approval of a local abatement plan

Localities decide autonomously after receiving non-binding recommendations from the state and consulting other localities in their county

The Maryland Department of Health distributes funds after considering recommendations from the Opioid Restitution Fund Advisory Council

The Maryland Department of Health distributes funds through a competitive grant program after considering recommendations from the Opioid Restitution Fund Advisory Council

Supplantation

Prohibited

Not prohibited

Prohibited

Prohibited

Grant Funding

Up to each locality (availability and processes will vary)

Up to each locality (availability and processes will vary)

Yes. See Maryland’s Office of Overdose Response’s Grants and ORF Advisory Council pages.

Yes. See Maryland’s Office of Overdose Response’s Grants and ORF Advisory Council pages.

Public Input

Up to each locality (not required)

Up to each locality (not required)

Depends on future programming (recurring opportunities not required)

Depends on future programming (recurring opportunities not required)

Advisory Body

Up to each locality (not required)

Up to each locality (not required)

Yes (required). See the Opioid Restitution Fund Advisory Council.

The Council is required to include member(s) with lived and/or living experience.

Yes (required). See the Opioid Restitution Fund Advisory Council.

The Council is required to include member(s) with lived and/or living experience.

Expenditures

Public reporting required. View annual public reports here.

Neither public nor intrastate reporting required

Public reporting required. View annual public reports here.

Public reporting required. View annual public reports here.

Updates

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 Opioids page. See also Opioid Restitution Fund Advisory Council (Maryland’s Office of Overdose Response).

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 Opioids page.

For updates on the state share, visit the Opioid Restitution Fund Advisory Council’s website and join Maryland’s Office of Overdose Response mailing list.

For updates on the State Discretionary Abatement Fund share, visit the Opioid Restitution Fund Advisory Council’s website and join Maryland’s Office of Overdose Response mailing list.

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

Last updated