Maryland’s Opioid Settlements
Last updated
Maryland
Last updated
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.
Ultimate Decisionmaker
Local officials for counties, cities, and towns
Local officials for counties, cities, and towns
The “State” ()
Decision-making Process
Qualifying charter counties decide autonomously
Other localities receive funds via a 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
The Maryland Department of Health distributes funds through a competitive grant program after considering recommendations from the
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 and pages.
Yes. See Maryland’s Office of Overdose Response’s and 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 .
The Council is required to include member(s) with lived and/or living experience.
Yes (required). See the .
The Council is required to include member(s) with lived and/or living experience.
Expenditures
Public reporting required. View annual public reports .
Neither public nor intrastate reporting required
Public reporting required. View annual public reports .
Public reporting required. View annual public reports .
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 page. See also (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 page.
For updates on the state share, visit the Opioid Restitution Fund Advisory Council’s and join Maryland’s .
For updates on the State Discretionary Abatement Fund share, visit the Opioid Restitution Fund Advisory Council’s and join Maryland’s .
[2] The 70% to local governments includes the 45% Targeted Abatement Grants share and 25% Local Share.
$653 million[1]
[1] Total is rounded. See . Accessed September 1, 2024.
70% to local governments and 30% to the state[2]
State-Local Agreements ( and ); Legislation (, Md. Health - General Code Ann. Secs. to ); Executive Order ()
