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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.

Ultimate Decisionmaker

and local governments (for 80% of this share, or 56% of MT’s total funds) and (for 20% of this share, or 14% of MT’s total funds)

and

Local officials for cities and counties

Decision-making Process

Abatement Regions and local governments decide 80% of this share and submit proposals to the Montana Opioid Abatement Trust’s . The Advisory Committee must distribute funds if proposed for approved purposes.

The Advisory Committee decides how to spend the remaining 20% of this share on statewide programs, innovation, research, and education.

Montana Department of Public Health and Human Services and Montana Department of Justice decide. The two agencies must share information with one another and are encouraged to coordinate.

Localities decide autonomously

Supplantation

Discouraged but not prohibited

Discouraged but not prohibited

Discouraged but not prohibited

Grant Funding

Yes. See the Montana Opioid Abatement Trust’s .

No

Up to each locality (availability and processes will vary)

Public Input

80% Abatement Regions sub-share: Up to each locality (not required)

20% Advisory Committee sub-share: No opportunities available (not required)

No opportunities available (not required)

Generally, yes (public comments at public meetings required)

Advisory Body

Yes (required). See the .

The Advisory Committee is not required to include member(s) with lived and/or living experience.

No (not required)

Up to each locality (not required)

Expenditures

Neither public nor intrastate reporting required

No public reporting required (only intrastate)

Neither public nor intrastate reporting required

Updates

For updates on the Montana Opioid Abatement Trust share, visit the Trust’s , which includes information about the Advisory Committee’s and provides contact information for .

You can also check out the Montana Association of Counties’ opioid settlement , which describes Abatement Regions’ governance structure processes, and the websites for the individual Abatement Regions’ governing structures. See, e.g., .

A single resource containing updates specific to the state share could not be found.

For updates on the local share, visit the Montana Association of Counties’ opioid settlement . Another good starting point is to check the websites for your city council, board of county commissioners, or local health department.

$83.97 million[1]


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

70% to the Montana Opioid Abatement Trust, 15% to the state, and 15% to local governments

State-Local Agreement ( and its subsequent amendments: & ); Other Agreements ()

70% Montana Opioid Abatement Trust Share

15% State Share

15% Local Share

Total Funds

Allocation

Mechanism

Abatement Regions
Montana Opioid Abatement Trust Advisory Committee
Montana Department of Public Health and Human Services
Montana Department of Justice
Advisory Committee
grant portal
Montana Opioid Abatement Trust's
Advisory Committee
website
past and upcoming meetings
Abatement Regions
website
Lewis & Clark Metro Region Opioid Governance Committee
website
The Official Opioid Settlement Tracker Tally
Montana Distributors’ and Janssen Opioids Settlement Memorandum of Understanding
Amendment I
Amendment II
Montana Department of Public Health and Human Services/Montana Department of Justice Memorandum of Understanding: Allocation and Use of Opioid Settlement Funds