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.

Total Funds

$974.9 million[1]

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[1] Total is rounded. See The Official Opioid Settlement Tracker Tally. Accessed September 1, 2024.

Allocation

60% to the state and to local governments

Mechanism

State-Local Agreement (Massachusetts State-Subdivision Agreement for Statewide Opioid Settlements); Legislation (Mass. Ann. Laws ch. 10, Sec. 35OOO)

	60% Opioid Recovery and Remediation Fund Share	40% Municipal Share
Ultimate Decisionmaker	Massachusetts Executive Office of Health and Human Services	Local officials for towns, cities, and counties
Decision-making Process	The Massachusetts Executive Office of Health and Human Services (EOHHS) decides specific expenditures from the Opioid Recovery and Remediation Fund with recommendations from the Opioid Recovery and Remediation Fund Advisory Council.	Municipalities decide autonomously (but those receiving at least $35,000 per year must report spending to the state)
Supplantation	Prohibited	Prohibited
Grant Funding	Yes. See Apply for a Grant from Mosaic Opioid Recovery Partnership (RIZE Massachusetts).	Up to each locality (availability and processes will vary)
Public Input	No opportunities available (not required)	Up to each municipality (not required)
Advisory Body	Yes (required). See the Opioid Recovery and Remediation Fund Advisory Council. The Council is required to include member(s) with lived and/or living experience.	Up to each municipality (not required)
Expenditures	Public reporting required. View the Opioid Recovery and Remediation Fund’s annual reports here.	Public reporting required. See the Municipal Opioid Abatement Funds Data Dashboard.
Updates	For updates on the Opioid Recovery and Remediation Fund share, visit the Opioid Recovery and Remediation Fund Advisory Council’s website, which includes details on upcoming meetings.	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. See also individual municipalities’ opioid settlement-specific websites, e.g., Boston, Falmouth, Fall River, and Framingham.