This Community Guide will describe how Michigan is spending its opioid settlements and whether Michigan is working to ensure community access to opioid settlement funds. Last revised June 2, 2026.
Ultimate Decisionmaker
Michigan Department of Health and Human Services (within parameters established by the Michigan state legislature)
Local officials for counties, cities, and townships
Decision-making Process
The Michigan state legislature appropriates funds from the state share with non-binding recommendations from the Michigan Opioid Advisory Commission (OAC).
Funds from this share are typically appropriated to the Michigan Department of Health and Human Services (MDHHS), then distributed to state agencies and other entities. MDHHS may consult the Michigan Opioids Task Force and/or the Michigan Opioid Advisory Commission.
Localities decide autonomously
Supplantation
Prohibited
Not prohibited
Grant Funding
Yes. See Current Public Funding Opportunities
Up to each locality (availability and processes will vary)
Public Input
Yes (public comment required at OAC and Opioid Task Force meetings). See also Community Impact Survey.
Generally, yes (public comments required at public meetings)
Advisory Body
Yes (required). See the Opioid Advisory Commission and Opioids Task Force.
Neither body is required to include member(s) with lived and/or living experience.
Up to each locality (not required)
Expenditures
No public reporting required (only intrastate), but see Michigan’s Settlement Spending page, which publishes state-level investments and links to annual reports.
No public reporting required (only intrastate), but see local spending data on the Michigan Attorney General’s website
Updates
For updates on the state share, visit the OAC’s website and the Michigan Department of Health and Human Services’ (MDHHS) Opioid Settlements page. You can also subscribe to OAC meeting notifications by emailing this address: opioid-advisory-comm-join@listserver.legislature.mi.gov and sign up for updates from the Opioids Task Force here.
For updates on the local share, visit the Michigan Assoc. of Counties’ Opioid Settlement Resource Center, which describes counties’ funded plans and strategies, and the Michigan Attorney General’s Opioids website, which contains local implementation examples and expenditure information for localities.
Another way to find updates on the local share is to check the websites for your county commission, city council, or local health department. See, e.g., the opioid settlement-specific websites maintained by Berrien County, Cass County, and Calhoun County.
$1.84 billion[1]
[1] Total is rounded. See OpioidSettlementTracker.com’s Everything Table. Accessed June 2, 2026.
50% to the state and 50% to local governments
State-Local Agreements (Michigan State-Subdivision Agreement for Allocation of Opioid Settlement Agreements); Legislation (Mich. Comp. Laws Serv. Secs. 4.1850, 4.1851, 12.253); Executive Order (Executive Order 2022-12)