# North Dakota’s Opioid Settlements

*This Community Guide will describe how North Dakota is spending its opioid settlements and whether North Dakota 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>$48.4 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><p> </p></td></tr><tr><td align="center"><h4>Allocation</h4></td><td align="center"><p>85% to the Opioid Settlement Fund and 15% to local governments</p><p><br><img src="/files/QNMyiBc6VgH0xrHXLS9s" alt=""></p><p> </p></td></tr><tr><td align="center"><h4>Mechanism</h4></td><td align="center"><strong>Legislation</strong> (<a href="https://nationalopioidsettlement.com/wp-content/uploads/2024/06/north-dakota.pdf">N.D. Cent. Code Secs. 50-36-01 through 50-36-06</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>85% Opioid Settlement Fund Share</h4></td><td><h4>15% Local Share</h4></td></tr><tr><td><em><strong>Ultimate Decisionmaker</strong></em></td><td><a href="https://www.hhs.nd.gov/"><strong>North Dakota Department of Health and Human Services</strong></a></td><td><strong>Local officials</strong> for cities and counties, in collaboration with <a href="https://www.ndhealth.gov/localhd/">local public health units</a></td></tr><tr><td><em><strong>Decision-making Process</strong></em></td><td><strong>North Dakota Department of Health and Human Services decides how to spend legislatively appropriated funds</strong> after considering recommendations from the <a href="https://www.hhs.nd.gov/opioids/settlement">Opioid Settlement Advisory Committee</a>. </td><td><strong>Local officials for cities and counties decide in collaboration with their local public health units</strong>. Localities must also submit a plan to the Department of Health and Human Services Behavioral Health Division prior to spend.</td></tr><tr><td><em><strong>Supplantation</strong></em></td><td><strong>Generally, not prohibited</strong></td><td><strong>Not prohibited</strong></td></tr><tr><td><em><strong>Grant Funding</strong></em></td><td><strong>Yes</strong>. <em>See</em> any current funding opportunities <a href="https://www.hhs.nd.gov/opioids/settlement">here</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>Yes</strong> (Advisory Committee is required to develop a process for receiving public input and includes a public comment period at its meetings)</td><td><strong>Up to each locality</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.hhs.nd.gov/opioids/settlement">North Dakota Opioid Settlement 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>Up to each locality</strong> (not required)</td></tr><tr><td><em><strong>Expenditures</strong></em></td><td><strong>No public reporting required</strong> (only intrastate)</td><td><strong>No public reporting required</strong> (only intrastate)</td></tr><tr><td><em><strong>Updates</strong></em></td><td>For updates on the Opioid Settlement Fund share, visit the <a href="https://www.hhs.nd.gov/opioids/settlement">North Dakota Opioid Settlement</a> website, which includes information about the Opioid Settlement Advisory Committee’s <a href="https://apps.nd.gov/gov/boards/Search/Boards">current members</a> and <a href="https://www.hhs.nd.gov/opioids/settlement#:~:text=manufacturers%20and%20distributors.-,Opioid%20Settlement%20Advisory%20Committee,-A%20requirement%20to">past and upcoming meetings</a>, in addition to summaries of past listening sessions and grant opportunities.</td><td>For updates on the local share, visit the <a href="https://www.hhs.nd.gov/opioids/settlement">North Dakota Opioid Settlement</a> website’s <a href="https://www.hhs.nd.gov/opioids/settlement#:~:text=Political%20Subdivision%20Allocation%20Plans">Political Subdivision Allocation Plans</a> section and check the websites for your board of county commissioners, city council, or <a href="https://www.ndhealth.gov/localhd/">local public health unit</a>. The <a href="https://www.hhs.nd.gov/opioids/settlement">Opioid Settlement Advisory Committee</a>’s website also hosts a list of <a href="https://www.hhs.nd.gov/sites/www/files/documents/BH/Opioids/Subdivision%20opioid%20payment%20contacts.pdf">Subdivision Opioid Payment Contacts</a>.</td></tr></tbody></table>


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