# Massachusetts’ Opioid Settlements

*This Community Guide will describe how Massachusetts is spending its opioid settlements and whether Massachusetts 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>$974.9 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>60% to the state and to local governments</p><p><br><img src="/files/AS6piDuaUGT6GCfiFEJ3" alt=""></p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><strong>State-Local Agreement</strong> (<a href="https://www.mass.gov/doc/march-4-2022-ma-subdivision-agreement/download">Massachusetts State-Subdivision Agreement for Statewide Opioid Settlements</a>); <strong>Legislation</strong> (<a href="https://malegislature.gov/Laws/GeneralLaws/PartI/TitleII/Chapter10/Section35OOO">Mass. Ann. Laws ch. 10, Sec. 35OOO</a>)</td></tr></tbody></table>

<table data-header-hidden data-full-width="true"><thead><tr><th></th><th></th><th></th></tr></thead><tbody><tr><td> </td><td><h4>60% Opioid Recovery and Remediation Fund Share</h4></td><td><h4>40% Municipal Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://www.mass.gov/orgs/executive-office-of-health-and-human-services"><strong>Massachusetts Executive Office of Health and Human Services</strong></a></td><td><strong>Local officials</strong> for <a href="https://www.sec.state.ma.us/divisions/cis/government/gov-city.htm">towns, cities</a>, and <a href="https://www.sec.state.ma.us/divisions/cis/government/gov-county.htm">counties</a></td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><strong>The Massachusetts Executive Office of Health and Human Services (EOHHS) decides specific expenditures</strong> from the Opioid Recovery and Remediation Fund with recommendations from the <a href="https://www.mass.gov/opioid-recovery-and-remediation-fund-advisory-council">Opioid Recovery and Remediation Fund Advisory Council</a>.</td><td><strong>Municipalities decide autonomously</strong> (but those receiving at least $35,000 per year must report spending to the state)</td></tr><tr><td><em><strong>Supplantation</strong></em></td><td><strong>Prohibited</strong></td><td><strong>Prohibited</strong></td></tr><tr><td><em><strong>Grant Funding</strong></em></td><td><strong>Yes</strong>. <em>See</em> <a href="https://www.rizema.org/apply-for-a-grant/">Apply for a Grant</a> from <a href="https://www.rizema.org/mosaic-opioid-recovery-partnership/">Mosaic Opioid Recovery Partnership</a> (<a href="https://www.rizema.org/">RIZE Massachusetts</a>).</td><td><strong>Up to each locality</strong> (availability and processes will vary)</td></tr><tr><td><em><strong>Public Input</strong></em></td><td><strong>No opportunities available</strong> (not required)</td><td><strong>Up to each municipality</strong> (not required)</td></tr><tr><td><em><strong>Advisory Body</strong></em></td><td><p><strong>Yes</strong> (required). <em>See</em> the <a href="https://www.mass.gov/opioid-recovery-and-remediation-fund-advisory-council">Opioid Recovery and Remediation Fund Advisory Council</a>.</p><p>The Council is required to include member(s) with lived and/or living experience.</p></td><td><strong>Up to each municipality</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>Public reporting required</strong>. View the Opioid Recovery and Remediation Fund’s annual reports <a href="https://www.mass.gov/info-details/opioid-recovery-and-remediation-fund-advisory-council-meeting-materials#annual-reports-">here</a>.</td><td><strong>Public reporting required</strong>. <em>See</em> the <a href="https://www.caremass.org/ma-opioid-abatement-municipality-data">Municipal Opioid Abatement Funds Data Dashboard</a>.</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the Opioid Recovery and Remediation Fund share, visit the Opioid Recovery and Remediation Fund Advisory Council’s <a href="https://www.mass.gov/opioid-recovery-and-remediation-fund-advisory-council">website</a>, which includes details on upcoming meetings.</td><td>To find updates on the local share, a good starting point is to check the websites for your municipality’s governing body, local board of health, or local health department. <em>See also</em> individual municipalities’ opioid settlement-specific websites, e.g., <a href="https://www.boston.gov/government/cabinets/boston-public-health-commission/boston-opioid-settlements">Boston</a>, <a href="https://www.falmouthma.gov/1471/Opioid-Abatement-Funds">Falmouth</a>, <a href="https://www.fallriverma.gov/departments/health_and_human_services/fall_river_opioid_settlement_funds.php">Fall River</a>, and <a href="https://www.framinghamma.gov/3772/Opioid-Task-Force">Framingham</a>.</td></tr></tbody></table>


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