# Montana’s Opioid Settlements

*This Community Guide will describe how Montana is spending its opioid settlements, and whether Montana 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>$83.97 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>70% to the Montana Opioid Abatement Trust, 15% to the state, and 15% to local governments</p><p><br><img src="https://3497314519-files.gitbook.io/~/files/v0/b/gitbook-x-prod.appspot.com/o/spaces%2FclbeoVnGGj8og9r9iiGi%2Fuploads%2FBL0bkMVL9OuGP5NJJp47%2F_OpioidSettlement-DecisionMaking_Montana.png?alt=media&#x26;token=743a6c80-578b-40c1-a734-d4a1d495126f" alt=""></p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><strong>State-Local Agreement</strong> (<a href="https://montanaopioid.org/wp-content/uploads/2023/05/MOU-2021_11_26-Distributors-MT-MOU.pdf">Montana Distributors’ and Janssen Opioids Settlement Memorandum of Understanding</a> and its subsequent amendments: <a href="https://montanaopioid.org/wp-content/uploads/2023/12/1st-Amendment-2022_1_27-Amendment-to-MOU.pdf">Amendment I</a> &#x26; <a href="https://montanaopioid.org/wp-content/uploads/2023/05/2nd-Amendment-to-the-November-2021-Memorandum-of-Understanding-6-15-22.pdf">Amendment II</a>); <strong>Other Agreements</strong> (<a href="https://leg.mt.gov/content/Publications/fiscal/2025-Biennium/Section-D/Interim/DOJ-Opioid-Settlement-MOU-Dec2023.pdf">Montana Department of Public Health and Human Services/Montana Department of Justice Memorandum of Understanding: Allocation and Use of Opioid Settlement Funds</a>)</td></tr></tbody></table>

<table data-header-hidden data-full-width="true"><thead><tr><th></th><th></th><th></th><th></th></tr></thead><tbody><tr><td> </td><td><h4>70% Montana Opioid Abatement Trust Share</h4></td><td><h4>15% State Share</h4></td><td><h4>15% Local Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://montanaopioid.org/abatement-regions/"><strong>Abatement Regions</strong></a> and <strong>local governments</strong> <em>(for 80% of this share, or 56% of MT’s total funds)</em> and <a href="https://montanaopioid.org/about/"><strong>Montana Opioid Abatement Trust Advisory Committee</strong></a> <em>(for 20% of this share, or 14% of MT’s total funds)</em></td><td><a href="https://dphhs.mt.gov/"><strong>Montana Department of Public Health and Human Services</strong></a> and <a href="https://dojmt.gov/"><strong>Montana Department of Justice</strong></a></td><td><strong>Local officials</strong> for cities and counties</td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><p><strong>Abatement Regions and local governments decide 80% of this share</strong> and submit proposals to the Montana Opioid Abatement Trust’s <a href="https://montanaopioid.org/about/">Advisory Committee</a>. The Advisory Committee must distribute funds if proposed for approved purposes. </p><p><strong>The Advisory Committee decides how to spend the remaining 20% of this share</strong> on statewide programs, innovation, research, and education.</p></td><td> <strong>Montana Department of Public Health and Human Services and Montana Department of Justice decide</strong>. The two agencies must share information with one another and are encouraged to coordinate.</td><td><strong>Localities decide autonomously</strong></td></tr><tr><td><em><strong>Supplantation</strong></em></td><td><strong>Discouraged but not prohibited</strong></td><td><strong>Discouraged but not prohibited</strong></td><td><strong>Discouraged but not prohibited</strong></td></tr><tr><td><em><strong>Grant Funding</strong></em></td><td><strong>Yes</strong><em>. See</em> the Montana Opioid Abatement Trust’s <a href="https://montanaopioid.org/grant-portal/">grant portal</a>.</td><td><strong>No</strong></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><p><em><strong>80% Abatement Regions sub-share:</strong></em><strong> Up to each locality</strong> (not required)</p><p><em><strong>20% Advisory Committee sub-share</strong>:</em> <strong>No</strong> <strong>opportunities available</strong> (not required)</p></td><td><strong>No opportunities available</strong> (not required)</td><td><strong>Generally, yes</strong> (public comments at public meetings 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://montanaopioid.org/">Montana Opioid Abatement Trust's</a> <a href="https://montanaopioid.org/about/">Advisory Committee</a>.</p><p>The Advisory Committee is not required to include member(s) with lived and/or living experience.</p></td><td><strong>No</strong> (not required)</td><td><strong>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>Neither public nor intrastate reporting required</strong></td><td><strong>No public reporting required</strong> (only intrastate)</td><td><strong>Neither public nor intrastate reporting required</strong></td></tr><tr><td><em><strong>Updates</strong></em></td><td><p>For updates on the Montana Opioid Abatement Trust share, visit the Trust’s <a href="https://montanaopioid.org/">website</a>, which includes information about the Advisory Committee’s <a href="https://montanaopioid.org/advisory-committee-meetings/">past and upcoming meetings</a> and provides contact information for <a href="https://montanaopioid.org/abatement-regions/">Abatement Regions</a>.</p><p>You can also check out the Montana Association of Counties’ opioid settlement <a href="https://www.mtcounties.org/resources-data/national-opioid-settlement/">website</a>, which describes Abatement Regions’ governance structure processes, and the websites for the individual Abatement Regions’ governing structures. <em>See,</em> <em>e.g.</em>, <a href="https://www.helenamt.gov/Government/City-Commission/City-Boards-Committees/Lewis-Clark-Metro-Region-Opioid-Governance-Committee">Lewis &#x26; Clark Metro Region Opioid Governance Committee</a>.</p></td><td>A single resource containing updates specific to the state share could not be found.</td><td>For updates on the local share, visit the Montana Association of Counties’ opioid settlement <a href="https://www.mtcounties.org/resources-data/national-opioid-settlement/">website</a>. Another good starting point is to check the websites for your city council, board of county commissioners, or local health department.</td></tr></tbody></table>


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