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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.

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45% Targeted Abatement Grants

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25% Local Share

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15% State Share

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15% State Discretionary Abatement Fund

Ultimate Decisionmaker

Local officials for counties, cities, and towns

Local officials for counties, cities, and towns

The “State” ()

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

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 .

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Total Funds

$653 million[1]


[1] Total is rounded. See . Accessed September 1, 2024.

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Allocation

70% to local governments and 30% to the state[2]

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Mechanism

State-Local Agreements ( and ); Legislation (, Md. Health - General Code Ann. Secs. to ); Executive Order ()

Maryland Department of Healtharrow-up-right
Maryland Department of Healtharrow-up-right
Maryland Department of Healtharrow-up-right
Opioid Restitution Fund Advisory Councilarrow-up-right
Opioid Restitution Fund Advisory Councilarrow-up-right
Grantsarrow-up-right
ORF Advisory Councilarrow-up-right
Grantsarrow-up-right
ORF Advisory Councilarrow-up-right
Opioid Restitution Fund Advisory Councilarrow-up-right
Opioid Restitution Fund Advisory Councilarrow-up-right
herearrow-up-right
herearrow-up-right
herearrow-up-right
Opioidsarrow-up-right
Opioid Restitution Fund Advisory Councilarrow-up-right
Opioidsarrow-up-right
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Office of Overdose Response mailing listarrow-up-right
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Office of Overdose Response mailing listarrow-up-right
The Official Opioid Settlement Tracker Tallyarrow-up-right
State-Subdivision Agreement Between the State of Maryland and Local Governments on Proceeds Relating to the Settlement of Opioids Litigationarrow-up-right
State-Subdivision Agreement Between the State of Maryland and Participating Local Governments on Proceeds From Settlement of Opioids Litigation Against Teva, Allergan, Walmart, and Walgreensarrow-up-right
Md. State Finance and Procurement Code Ann. Sec. 7-331arrow-up-right
7.5-901arrow-up-right
7.5-905arrow-up-right
Executive Order 01.01.2023.21arrow-up-right